Sarah Ackley
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sfackley.bsky.social
Sarah Ackley
@sfackley.bsky.social
Assistant Professor of Epidemiology at Brown University. Dementia Pharmacoepidemiology. Dynamical Modeling. Statistics. Metascience & Knowledge Representation. Cat Mom. She/her.
There is a lot of literature with highly visible peaks just below 0.05. And the easiest way to get that is to p-hack under the null bc that's the scenario with the most density in the neighborhood of 0.04.
August 28, 2025 at 3:08 PM
Before writing this I had somehow assumed if you had lowish power you'd be more likely to get 0.04+delta than 0.01 + delta. But the p-curves, increase as you move towards zero. So a lot of p-hacking practices will show up in ways that aren't particularly visible--e.g. 0.01.
August 28, 2025 at 3:08 PM
This work illustrates how large-scale text analysis, combined with extensions of p-curve methods to variable-power settings, can determine how efforts to improve research rigor are influencing the quality and credibility of large bodies of the scientific literature.
August 28, 2025 at 12:04 AM
The fraction of borderline significant P values has modestly declined. But this appears to reflect increased study power, not reductions in P hacking or publication bias.
August 28, 2025 at 12:04 AM
These methods should be replicated in trials with greater clinical decline in placebo groups and larger treatment effects (e.g., lecanemab, donanemab) to assess whether amyloid truly works as a surrogate.
July 22, 2025 at 9:04 PM
... and does not find evidence that amyloid is a good surrogate marker.

But: A4 had minimal progression and modest amyloid removal.
July 22, 2025 at 9:04 PM
FDA accelerated approvals for Alzheimer’s drugs have relied on amyloid reduction as a surrogate marker, but does it actually lead to cognitive benefit?

This preprint uses individual-level A4 trial data to ask that question rigorously ...
July 22, 2025 at 9:04 PM
Thanks!
May 28, 2025 at 12:34 AM
This would seem to contradict that, at least for the most recent death. Looking into the other 2.

bsky.app/profile/kaka...
"The school-aged child who tested positive for measles was hospitalized in Lubbock and passed away on Thursday from what the child’s doctors described as measles pulmonary failure. The child was not vaccinated and had no reported underlying conditions."

www.dshs.texas.gov/news-alerts/...
#IDsky 🧪
Texas announces second death in measles outbreak | Texas DSHS
www.dshs.texas.gov
April 7, 2025 at 4:33 AM