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The false-positive to false-negative ratio in epidemiologic studies
John P A Ioannidis1, Robert Tarone, Joseph K McLaughlin
1Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA 94305, USA. jioannid@stanford.edu
The false-positive to false-negative (FP:FN) ratio varies widely across epidemiology fields. Reducing this ratio requires stringent criteria and comprehensive reporting in genetic epidemiology studies.
Area of Science:
- Epidemiology
- Genetic Epidemiology
- Biostatistics
Background:
- The ratio of false-positive to false-negative findings (FP:FN) is a critical metric in epidemiological research.
- This ratio exhibits significant variability across different fields of epidemiology.
- Traditional epidemiological methods often resemble older candidate-gene study practices, leading to high FP:FN ratios.
Purpose of the Study:
- To evaluate the significance of the FP:FN ratio in epidemiological research.
- To analyze the factors influencing FP:FN ratios in various epidemiological contexts.
- To discuss the implications of FP:FN ratios for the interpretation and presentation of study results.
Main Methods:
- Comparative analysis of FP:FN ratios across different epidemiological study designs.
- Review of inferential criteria and reporting practices in genetic epidemiology.
- Assessment of the impact of study methodologies on FP:FN ratios.
Main Results:
- FP:FN ratios range dramatically, from over 100:1 in candidate-gene studies to 1:100 or lower in genome-wide significant associations.
- Human genome epidemiology has seen a substantial decrease in FP:FN ratios due to stringent criteria and comprehensive reporting.
- Traditional epidemiology fields often maintain high FP:FN ratios.
Conclusions:
- The FP:FN ratio is a key indicator of research rigor and requires careful consideration.
- Adoption of stringent inferential criteria and transparent reporting practices can significantly reduce FP:FN ratios.
- The varying consequences of false positives and false negatives necessitate context-specific interpretation of epidemiological findings.
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