Conclusion
Researchers employ the scientific method that involves a great deal of statistical thinking: generate a hypothesis –> design a study to test that hypothesis –> conduct the study –> analyze the data –> report the results. [Image: widdowquinn, https://goo.gl/9l8Dht, CC BY-NC-SA 2.0, https://goo.gl/Toc0ZF]
Statistical thinking involves the careful design of a study to collect meaningful data to answer a focused research question, detailed analysis of patterns in the data, and drawing conclusions that go beyond the observed data. Random sampling is paramount to generalizing results from our sample to a larger population, and random assignment is key to drawing cause-and-effect conclusions. With both kinds of randomness, probability models help us assess how much random variation we can expect in our results, in order to determine whether our results could happen by chance alone and to estimate a margin of error.
So where does this leave us with regard to the coffee study mentioned at the beginning of this module? We can answer many of the questions:
This was a 14-year study conducted by researchers at the National Cancer Institute.
The results were published in the June issue of the New England Journal of Medicine, a respected, peer-reviewed journal.
The study reviewed coffee habits of more than 402,000 people ages 50 to 71 from six states and two metropolitan areas. Those with cancer, heart disease, and stroke were excluded at the start of the study. Coffee consumption was assessed once at the start of the study.
About 52,000 people died during the course of the study.
People who drank between two and five cups of coffee daily showed a lower risk as well, but the amount of reduction increased for those drinking six or more cups.
The sample sizes were fairly large and so the p-values are quite small, even though percent reduction in risk was not extremely large (dropping from a 12% chance to about 10%–11%).
Whether coffee was caffeinated or decaffeinated did not appear to affect the results.
This was an observational study, so no cause-and-effect conclusions can be drawn between coffee drinking and increased longevity, contrary to the impression conveyed by many news headlines about this study. In particular, it’s possible that those with chronic diseases don’t tend to drink coffee.
This study needs to be reviewed in the larger context of similar studies and consistency of results across studies, with the constant caution that this was not a randomized experiment. Whereas a statistical analysis can still “adjust” for other potential confounding variables, we are not yet convinced that researchers have identified them all or completely isolated why this decrease in death risk is evident. Researchers can now take the findings of this study and develop more focused studies that address new questions.