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Evidence · Study critique

Measurement error in a self-reported exposure

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Solved by p.fontaine in post #6
Distinguishing three things in the measurement error discussion that keep getting used interchangeably: the observation, the proposed mechanism, and the recommendation that gets attached to both.

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LJankowiakTL3Regular21 Feb 2026#1

Posting this under the heading it deserves: Measurement error in a self-reported exposure Everything below is what sits behind that.

The question about measurement error that I actually want answered is the second one below. The first is context and I have kept it short.

Both are stated with units, and I have said what I already checked so that nobody repeats it.

14 likes 5mo
HC
h.castellanosTL221 Feb 2026#2

No disagreement from me. Posting only so the question does not look ignored.

18 likes 5mo
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KStephanopoulosTL3Regular21 Feb 2026#3

The strongest argument against my own position on measurement error, stated as well as I can state it, since nobody else has yet.

0 likes 5mo
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s.vogelTL221 Feb 2026#4

I read post #3 twice before replying, because I had assumed the opposite.

Criticism is more useful when it is narrower. "The trial answers a different question from the one being asked" is actionable; "the trial is flawed" is not.

1 like 5mo
CW
c.wijnbergTL2Member21 Feb 2026#5

Building consensus on which criticisms matter: if everyone agrees that the sample size is small but only you think that affects the conclusion, maybe your criticism is more idiosyncratic. That does not make it wrong but it is worth noticing.

This is the sort of thing the wiki should carry and currently does not.

12 likes 5mo
PF
p.fontaineTL2 Solution21 Feb 2026#6
LJankowiak, post #1: Posting this under the heading it deserves: Measurement error in a self-reported exposure Everything below is what sits behind that. The question about measurement error that I actually want answered is the second one below. The first is context and I have kept it short. Both are stated with units, and I have said what I already checked… Go to post

Distinguishing three things in the measurement error discussion that keep getting used interchangeably: the observation, the proposed mechanism, and the recommendation that gets attached to both.

25 likes in reply to #1 5mo
NR
n.rowntreeTL3Regular21 Feb 2026 · edited#7

That is clearer than the version I had in my head. Thank you.

0 likes 5mo
KK
k.kuuselaTL221 Feb 2026#8

Coming back to post #6, because the follow-up matters more than the original answer.

Measurement error sits at the boundary between what this community can usefully discuss and what it cannot, and I think it falls on the discussable side, narrowly.

4 likes 5mo
OF
outline_firstTL3Wiki editor22 Feb 2026#9
c.wijnberg, post #5: Building consensus on which criticisms matter: if everyone agrees that the sample size is small but only you think that affects the conclusion, maybe your criticism is more idiosyncratic. That does not make it wrong but it is worth noticing. This is the sort of thing the wiki should carry and currently does not. Go to post

Multiple comparisons: if a paper reports many outcomes, the chance of a spurious association by random chance is real. Pre-specification of primary outcomes matters and secondary analyses are weaker evidence.

17 likes in reply to #5 5mo
JR
j.restrepoTL222 Feb 2026#10

Worth separating two things that post #6 runs together.

Measurement error is worth one more sentence than it usually gets, and the sentence is the one about how the number was arrived at.

33 likes 5mo
DB
d.barrosTL222 Feb 2026#11
h.castellanos, post #2: No disagreement from me. Posting only so the question does not look ignored. Go to post

Adding a small correction to the measurement error summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters.

0 likes in reply to #2 5mo
MI
m.ivaturiTL222 Feb 2026#12

Reading rather than contributing, but this is the most useful thread I have found on it.

0 likes 5mo
AS
a.silvaTL222 Feb 2026#13

Worth separating two things that post #9 runs together.

Hold a trial to the standard something could actually have met. A criticism that no achievable design could have answered is a criticism of the field rather than of the paper.

The literature is thinner on this than the confidence in the thread implies.

17 likes 5mo
OC
o.cousineauTL3Regular22 Feb 2026#14
n.rowntree, post #7: That is clearer than the version I had in my head. Thank you. Go to post

Post #13 is right about the mechanism and I think understates the practical bit.

What I want from this measurement error thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it.

7 likes in reply to #7 5mo
KH
k.haddadTL222 Feb 2026#15

The version of measurement error that I was taught turned out to be a teaching simplification. Useful, and not true in the way I had assumed it was.

1 like 5mo
CN
c.niemelTL3Regular22 Feb 2026 · edited#16

Per-protocol and intention-to-treat analyses answer different questions and neither is the honest one by default. Reporting both is the practice worth insisting on.

0 likes 5mo
RM
r.mwangiTL222 Feb 2026#17

On post #13 — agreed on the reasoning, with one qualification.

I have been on both sides of the measurement error argument in this category within eighteen months, which should tell you how strong the evidence for either side is.

24 likes 5mo
EC
excursion_checkTL3Regular22 Feb 2026#18
d.barros, post #11: Adding a small correction to the measurement error summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters. Go to post

One caution on measurement error: everything above assumes the underlying documentation is what it claims to be. That assumption is doing real work and is rarely stated.

11 likes in reply to #11 5mo
CR
compounding_ruthTL4Pharmacist22 Feb 2026#19

I read post #17 twice before replying, because I had assumed the opposite.

Generalisability and validity are separate axes. A trial can be internally impeccable and still tell you nothing about the person asking.

3 likes 5mo
NL
n.laurentTL222 Feb 2026#20

This follows post #17 rather than contradicting it.

Measurement error was covered in the wiki last year and the page has a review date on it, which is a better starting point than my memory of a thread.

0 likes 5mo
FK
f.kimaniTL222 Feb 2026 · edited#21
outline_first, post #9: Multiple comparisons: if a paper reports many outcomes, the chance of a spurious association by random chance is real. Pre-specification of primary outcomes matters and secondary analyses are weaker evidence. Go to post

This follows post #18 rather than contradicting it.

A request rather than an answer: could whoever has the primary source for measurement error post it? I have seen the claim three times this month and each version had lost a qualifier.

9 likes in reply to #9 5mo
TV
t.vasquezTL4 Moderator22 Feb 2026#22

I read post #20 twice before replying, because I had assumed the opposite.

The pre-specified endpoint being a weaker proxy than you would like is a real criticism. It is a smaller one than saying the result was chosen after the fact.

The interesting part of this is the exception, and I do not understand the exception.

21 likes 5mo
MR
m.rasmussenTL222 Feb 2026#23

Attrition is the failure mode most likely to invalidate a result and the least likely to be discussed. Differential attrition between arms is the specific thing to look for.

It is one reading of the data and not the only reasonable one.

0 likes 5mo
ZO
z.onwukaTL223 Feb 2026#24

Nothing to add, except that this is the answer I would give if asked.

2 likes 5mo
IN
i.norgaardTL223 Feb 2026#25
IT
impurity_tableTL3Analytical chemist23 Feb 2026#26
compounding_ruth, post #19: I read post #17 twice before replying, because I had assumed the opposite. Generalisability and validity are separate axes. A trial can be internally impeccable and still tell you nothing about the person asking. Go to post

What would change my mind on measurement error is a second dataset collected by someone with no stake in the first. Until then I hold it loosely and I would rather say so than pretend to more.

28 likes in reply to #19 5mo
JP
j.petrovTL223 Feb 2026#27
h.castellanos, post #2: No disagreement from me. Posting only so the question does not look ignored. Go to post

The useful distinction on measurement error is between what was measured and what was inferred from it. Both end up in the same sentence and only one of them has error bars.

0 likes in reply to #2 5mo
CR
compounding_ruthTL4Pharmacist23 Feb 2026#28

A criticism that would apply equally to every trial in the field is worth stating once and is not a reason to discount a particular paper.

5 likes 5mo
P
PSkarbekTL3Regular23 Feb 2026#29

Before the thread moves on from measurement error — what is the sample size behind the claim? I am not being difficult; I have seen the same figure quoted from an n of four and from an n of four hundred.

3 likes 5mo
TA
t.abubakarTL223 Feb 2026 · edited#30

This is the sort of exchange that makes the archive worth searching.

10 likes 5mo