Monday, January 22, 2018

Irreproducibility and lack of generalizability in research

The scientific community can be quick to vilify an experiment that is deemed “irreproducible.” People assume that the experimental design was poor or that the research was conducted sloppily when two seemingly comparable studies don’t result in the same conclusion.  In reality, immediately discounting science that is not consistently reproduced causes us to lose out on the ability to understand the nuances in whatever we are studying. If we get inconsistent results or a result that does not match up with the current literature, there is pressure to ditch the project for something more fruitful (i.e., publishable). However, identifying factors that cause an outcome to be different than expected can have real-world applications. For instance, failed efforts to replicate results showing Sildenafil to be an ideal treatment for heart disease resulted in the implementation of Viagra for erectile dysfunction. Irreproducibility should be acknowledged, but it should not be a death sentence for a study.

            A potentially more serious problem in science today is the lack of generalizability in many studies. Do study results hold true across age, race, and sex? Are the clinical assessments developed in the United States still useful in less industrialized countries? These problems are being addressed, to some extent, with things like the addition of the NIH requirement to consider sex as a biological variable in all grant applications.  However, we still have a long way to go. As an example, a study published in January of 2018 indicates that the progression of labor in Nigerian and Ugandan women does not necessarily reflect the “Friedman Curve,” a timecourse developed in the United States. Additionally, even within the United States, research studies tend to include cohorts of participants that are not reflective of the diverse population that we have. These are discrepancies that need to be addressed in order to maximize the benefits of the research we conduct.

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