Biostatistician/Professor/Founding Chair of Biostatistics, Vanderbilt U. Blog: Statistical Thinking:fharrell.com @f2harrell on bsky.social

Joined January 2017
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Frank Harrell retweeted
This one hits hard.
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Frank Harrell retweeted
Replying to @asinghal1
“Turning loose” ML on high dimensional observational datasets is highly problematic, see hbiostat.org/bbr/hdata, @f2harrell has nice clear examples and explanations. His work is *must read* for MDs, PhDs, etc
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Frank Harrell retweeted
Replying to @f2harrell
This is the bias you cannot sample size your way out of. Power calculations assume SE = σ/√n → 0 as n → ∞. But if E[θ̂] = θ δ, then MSE = Var δ².
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Frank Harrell retweeted
This review is a helpful entry point into TT thinking, but it may overstate the extent to which TTE can support causal inference when applied to retrospective data. TTE can help avoid preventable design errors, including self-inflicted biases. It does not recreate randomization, blinding or prospective capture of the factors that drive both tx choice and outcome. For that reason, many CV TTE studies should be described more cautiously: as structured observational comparisons, or at best hypothesis-generating, unless the data source was prospectively designed, audited, and shown to contain the main determinants of tx choice and outcome. As @f2harrell has argued, a more accurate label for many of these studies may be “Best Practices in Observational Comparisons” rather than TTE.
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Frank Harrell retweeted
17th Annual University of Pennsylvania Conference on statistical issues in clinical trials - Covariate adjustment in randomized clinical trials. doi.org/10.1177/174077452614… Contributions from Baim faculty, @f2harrell. #BaimInstitute #ClinicalResearch
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#Statistics thought of the day: Virtually all of single-event survival analysis (including Kaplan-Meier, Cox PH, log-rank, AFT) is a special case of cumulative probability semiparametric ordinal regression models: hbiostat.org/rmsc/ordsurv
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For those interested in behind-the-scenes statistical theory: The log-log link is the only link for which a Cox partial likelihood is possible. Ordinal models use full likelihood so handle all links, and estimate the underlying survival curve S0(t) simultaneously with beta.
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Computing tool of the day: I've needed to have an elegant way to stitch together pieces of Quarto books to make a unified html file for teaching. In collaboration with Claude I now have a great yaml-driven tool for this. #rstats
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What makes the resulting html file suitable as a slide deck: Using a chrome-based browser such as Brave so that math and text have correct font sizes upon 200% zoom. Quarto html automatically removes content in margins and adjusts line breaks when zooming.
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The ORBITA group continues to do groundbreaking, innovative cardiovascular research, and questioning commonly held beliefs in cardiovascular medicine. Proud to be associated with them.
ORBITA-FIRE suggests universal Ischemia-based thresholds for FFR and non-hyperemic pressure ratio should be interpreted with caution: Integrating symptom-linked physiology may refine PCI selection and improve symptomatic response.ahajrnls.org/3R6AzQD
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Frank Harrell retweeted
50 years of oncogene theory. One broken premise: that we can identify the causal driver, that it’s singular, that inhibiting it collapses the network. We can’t. It isn’t. It doesn’t. The oncogene is not the disease. It’s the mutation we happened to sequence.
For 30 years, we couldn't touch RAS. It drives 90% of pancreatic cancers. A new drug in today's @NEJM just proved we can. Early data. Real responses. More to come. @OncoAlert @DanaFarber
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Frank Harrell retweeted
🧵 A new Nature paper on “spatial ecotypes” claims liquid biopsy can predict immunotherapy response. The tumor biology is cool. The statistics are a masterclass in how to do bad biomarker research. @f2harrell has a checklist for this. Let’s go. 1/
1/ Thrilled to share our new paper, out today in @Nature: "Non-invasive profiling of the tumour microenvironment with spatial ecotypes". Paper (open access): nature.com/articles/s41586-0…
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Regression Modeling Strategies 4-day virtual course May 14-15, 18-19. More than regression:principled flexible modeling, accuracy, interpretation, selection, stability, validation, Bayes, contrast w/ML ... hbiostat.org/course @AmstatNews @InstatsS #Statistics @VUDataScience

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1-day online course May 11: Intro to R/RStudio & an efficient comprehensive R workflow, rms package, enhancing regression skills to be ready for the RMS 4-day course. Details&registration at hbiostat.org/course @AmstatNews @InstatsS #Statistics #rstats @VUDataScience

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