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Why Most Published Research Findings Are False

🧐 Skeptical/Critical β†—
Ioannidis, John P.A β€’ 2005 Modern Era β€’ methodology

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Plain English Summary

This blockbuster paper β€” over 35,000 citations β€” argued that most published scientific results are wrong, kicking off the "replication crisis." Using straightforward math, Ioannidis showed a finding's trustworthiness depends on study size, effect strength, analytical wiggle room, and how plausible the hypothesis was beforehand. The uncomfortable punchline? Well-designed clinical trials get it right about 85% of the time, but underpowered exploratory studies are true only 12-23% of the time. This framework became the go-to toolkit for skeptics questioning psi research, since psi effects tend to be small with limited samples β€” exactly the recipe Ioannidis warns about.

Research Notes

Landmark paper (35,000+ citations) that launched the replication crisis. Provides the mathematical framework skeptics invoke to challenge psi claims: small samples, small effects (d=0.1-0.3), analytical flexibility, and belief-driven bias all push PPV toward zero. Directly relevant to every methodology debate in this library.

Mathematical modeling using 2x2 contingency tables proves that most published research findings are false. Positive predictive value (PPV) depends on statistical power (1-beta), pre-study odds (R), Type I error rate (alpha), bias (u), and number of competing teams (n). The core formula PPV = (1-beta)R/(R - betaR + alpha) shows a finding is more likely true than false only when power times pre-study odds exceeds 0.05. Six corollaries identify conditions reducing PPV: small studies, small effects, multiple testing, analytical flexibility, conflicts of interest, and competitive fields. Simulations show adequately powered RCTs achieve PPV = 85%, underpowered exploratory research achieves 12-23%, and discovery-oriented genomics achieves < 0.2%.

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πŸ“‹ Cite this paper
APA
Ioannidis, John P.A (2005). Why Most Published Research Findings Are False. PLoS Medicine. https://doi.org/10.1371/journal.pmed.0020124
BibTeX
@article{ioannidis_2005_false,
  title = {Why Most Published Research Findings Are False},
  author = {Ioannidis, John P.A},
  year = {2005},
  journal = {PLoS Medicine},
  doi = {10.1371/journal.pmed.0020124},
}