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Michel Cucherat

@mcucherat.bsky.social
446 followers 231 following 4 posts
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Reposted by Michel Cucherat
Société Française de Pharmacologie et de Thérapeutique @sfpt-fr.org · 27/04/2026
Mise à jour du livre blanc de la méthodologie ! 👏 👉Ajout d'un document de synthèse sur la méthodologie des groupes contrôles externes ("external control arms") Document en ligne sur le site du livre blanc de la SFPT : sfpt-fr.org/livreblancme... Document PDF : sfpt-fr.org/livreblancme...
sfpt-fr.org
1 Introduction
1 Introduction
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Reposted by Michel Cucherat
Frank Harrell @f2harrell.bsky.social · 28/02/2026
How is it that a paper that claims to show how to do target trial emulation does not address confounding by indication and its ramifications for data collection? www.jclinepi.com/article/S089... #EpiSky #StatsSky
jclinepi.com
Practical elements to consider when emulating a target trial
When carefully designed and analyzed, target trial emulation, i.e., the analysis of observational data through the explicit emulation of the design components of randomized controlled trials (RCT), ca...
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Reposted by Michel Cucherat
Journal of Clinical Epidemiology @jclinepi.bsky.social · 28/02/2026
Practical elements to consider when emulating a target trial - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
jclinepi.com
Practical elements to consider when emulating a target trial
When carefully designed and analyzed, target trial emulation, i.e., the analysis of observational data through the explicit emulation of the design components of randomized controlled trials (RCT), ca...
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Reposted by Michel Cucherat
Frank Harrell @f2harrell.bsky.social · 26/02/2026
Brilliantly written with one small caveat: Towards the end the article implies that observational data may be useful for studying heterogeneity in treatment effects. Don't know why that would be the case. But great work Darren! #StatsSky #EpiSky
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Dan Quintana @dsquintana.bsky.social · 24/02/2026
We should rename these types of funnel plots to ‘avalanche plots’
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Darren Dahly @statsepi.bsky.social · 16/07/2025
My own university has a "strategic goal" to increase research "outputs" by 10% annually (7 year doubling time). Your university is almost surely working towards the same. University rankings are now the main driver of this damaging institutional behavior. Publication is an out-of-control arms race.
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Andrew Vickers @vickersbiostats.bsky.social · 26/01/2026
Too many meta-analyses have findings equivalent to: “If you average the cost of a loaf of bread, car insurance for a year and a movie ticket, you get $752.36”
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Reposted by Michel Cucherat
Josh Shepperd @joshshepperd.bsky.social · 19/12/2025
Do not cite an academic paper unless you’ve read it
rollingstone.com
AI Is Inventing Academic Papers That Don't Exist -- And They're Being Cited in Real Journals
Academic articles from authors using large language model are creating an ecosystem of fake research that threatens human knowledge itself.
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Reposted by Michel Cucherat
Yale CRRIT @yalecrrit.bsky.social · 03/11/2025
We are excited to share a recently published article in Clinical Trials which investigated confirmatory evidence supporting single pivotal trials for new drug approvals. (1/8)
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Michel Cucherat @mcucherat.bsky.social · 30/10/2025
Assessing outcomes emerging after conversion to regular approval for cancer drug indications granted accelerated approval, 1992-2021 url: academic.oup.com/jnci/article...
academic.oup.com
Assessing outcomes emerging after conversion to regular approval for cancer drug indications granted accelerated approval, 1992-2021
AbstractBackground. The FDA’s accelerated approval pathway expedites cancer drug approvals based on surrogate measures, while clinical benefit is assessed
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Reposted by Michel Cucherat
Astropierre @astropierre.com · 21/09/2025
La dernière étude d'OpenAI prouve mathématiquement que les grands modèles linguistiques produiront toujours des résultats plausibles mais faux (hallucinations), même avec des données parfaites, à cause de la nature statistiques des algorithmes en jeu. www.computerworld.com/article/4059...
computerworld.com
OpenAI admits AI hallucinations are mathematically inevitable, not just engineering flaws
In a landmark study, OpenAI researchers reveal that large language models will always produce plausible but false outputs, even with perfect data, due to fundamental statistical and computational limi...
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Robin Bougie @robinbougie.bsky.social · 20/09/2025
Someone was trying to take a portrait of their two fave Chickens, and this happened.
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Oded Rechavi @odedrechavi.bsky.social · 21/09/2025
CRISPR is amazing
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Florian Zores @fzores.eurosky.social · 08/09/2025
C'est joli les scores, ça fait des publications, ca donne l'air malin, ca dit que les patients tres malades sont très malades et ont plus de risque de mourir, c'est poussé par des KOL Et quand on les évalue correctement...
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Jack Wilkinson @jdwilko.bsky.social · 05/09/2025
www.medrxiv.org/content/10.1... INSPECT-SR: A tool for assessing trustworthiness of randomised controlled trials.
medrxiv.org
INSPECT-SR: a tool for assessing trustworthiness of randomised controlled trials
The integrity of evidence synthesis is threatened by problematic randomised controlled trials (RCTs). These are RCTs where there are serious concerns about the trustworthiness of the data or findings....
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Reposted by Michel Cucherat
Le Point @lepoint.fr · 20/07/2025
Alzheimer : polémique autour du Leqembi, un médicament à quelques milliards d’euros Par @olivierhertel.bsky.social
l.lepoint.fr
Alzheimer : polémique autour du Leqembi, un médicament à quelques milliards d’euros
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Reposted by Michel Cucherat
Darren Dahly @statsepi.bsky.social · 04/07/2025
If you are analyzing clinical data, you almost certainty don't need a multivariable model unless you are building a prognostic model or asking causal questions. Statistics shouldn't be a performance.
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Reposted by Michel Cucherat
Darren Dahly @statsepi.bsky.social · 04/07/2025
Relevant: (from statsepi.substack.com/p/sorry-what... ICYMI)
People often say their goal is to identify “risk factors”. But what does that mean? Some people use the term to indicate potential causes of outcomes. Then just say cause. Others use it to identify predictors of outcomes. Then just say predict. And, sadly, too many others use it as shorthand for factors that are “statistically associated” with outcomes. In this case, say nothing at all, since this “goal” has no clinical utility whatsoever (beyond what it might suggest about causation or prediction). So once you have framed your research question as description, prediction, causation or measurement, there is no longer a need to talk about risk factors. It's basically just a catch-all phrase to cover up muddy thinking.
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Darren Dahly @statsepi.bsky.social · 04/07/2025
I'm not saying you can't generate a hypothesis from data. I'm just saying that generating a hypothesis from the entirety of human knowledge that preceded your data is a much safer bet.
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Reposted by Michel Cucherat
CRESS UMR1153 @cressumr1153.bsky.social · 17/04/2025
Read our paper in JAMA Internal Med with a great editorial. Wonderful collaboration with @gcabanac.cpesr.fr Retracted papers are included in meta-analyses published in HIF journal. Inclusion of the retracted studies changed effect estimates. jamanetwork.com/journals/jam...
jamanetwork.com
Inclusion of Retracted Studies in Systematic Reviews and Meta-Analyses of Interventions
This systematic review and meta-analysis identifies reports of systematic reviews that included retracted studies in their meta-analyses, and assesses the impact of these retracted studies on the resu...
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Reposted by Michel Cucherat
George Davey Smith @mendelrandom.bsky.social · 28/03/2025
Triangulation of evidence in medical research explained, in work led by Sirena Gutierrez and @mariaglymour.bsky.social Will do a thread when I get a moment link.springer.com/article/10.1...
link.springer.com
Evidence triangulation in health research - European Journal of Epidemiology
For many important questions about influences on clinical and public health outcomes, no single study can provide a decisive answer. The perfect study—a large, diverse, well-conducted trial randomizin...
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Reposted by Michel Cucherat
Florian Naudet @floriannaudet.bsky.social · 09/03/2025
Provenance and funding of extremely cited biomedical papers published in 2003- 2004, 2013-2014 and 2023-2024
medrxiv.org
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Reposted by Michel Cucherat
Journal of Clinical Epidemiology @jclinepi.bsky.social · 09/03/2025
Definitions of Validity Terms for Use in Discussions of Randomized Controlled Trials - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
jclinepi.com
Definitions of Validity Terms for Use in Discussions of Randomized Controlled Trials
We review existing definitions and usages of validity terms and propose a single definition for each term for use in communicating inferences from Randomized Controlled trials (RCTs).
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Reposted by Michel Cucherat
Florian Naudet @floriannaudet.bsky.social · 08/03/2025
Analysis of indications for selectively missing results in comparative registry-based studies in medicine: a meta-research study
researchintegrityjournal.biomedcentral.com
Analysis of indications for selectively missing results in comparative registry-based studies in medicine: a meta-research study - Research Integrity and Peer Review
Background We assess if there are indications that results of registry-based studies comparing the effectiveness of interventions might be selectively missing depending on the statistical significance...
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Reposted by Michel Cucherat
JAMA @jama.com · 06/03/2025
Viewpoint: Proposals to lower or eliminate the @fda.gov's preapproval effectiveness requirements for drugs are unnecessary and dangerous, as they undermine patient safety and public health. ja.ma/4brnk39
Image shows website.
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Reposted by Michel Cucherat
TCTMD @tctmd.bsky.social · 23/02/2025
ICYMI: ‘Arbitrary’ Hodgepodge of Composite Endpoints Used Across ASCVD Trials
tctmd.com
‘Arbitrary’ Hodgepodge of Composite Endpoints Used Across ASCVD Trials
‘Arbitrary’ Hodgepodge of Composite Endpoints Used Across ASCVD Trials hdellabella@crf.org Thu, 02/20/2025 - 16:31 Michael O'Riordan A minority of studies used the standard three-point MACE endpoint, and many tweaked their endpoints along the…
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Reposted by Michel Cucherat
Maarten van Smeden @maartenvsmeden.bsky.social · 22/02/2025
This is sad...
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Tobias Fellinger @stats-tobby.bsky.social · 20/02/2025
doi.org/10.1002/sim.... Our paper "A Comparison of Statistical Methods for Time-To-Event Analyses in Randomized Controlled Trials Under Non-Proportional Hazards" got published today 🎉 We describe commonly used methods, and compare their performance in a simulation study across different scenarios.
doi.org
A Comparison of Statistical Methods for Time‐To‐Event Analyses in Randomized Controlled Trials Under Non‐Proportional Hazards
While well-established methods for time-to-event data are available when the proportional hazards assumption holds, there is no consensus on the best inferential approach under non-proportional hazar...
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Reposted by Michel Cucherat
JAMA @jama.com · 20/02/2025
A more than doubled rate of nirmatrelvir-ritonavir prescriptions was not associated with reductions in hospitalizations or mortality among highly vaccinated older adults in Canada. ja.ma/3ENOh4U #MedSky
Figure.  Regression Discontinuities of Nirmatrelvir-Ritonavir Prescription, COVID-19–Related Hospitalization, and All-Cause Hospitalization and Death Rates per 100 000 Older Adults, April 1–November 30, 2022, Ontario
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JAMA @jama.com · 19/02/2025
"We cannot think that our AI systems will not be biased. There will always be a risk of bias." María Villalobos-Quesada, a researcher at Leiden University Medical Centre, discusses the need for transparent and consistent reporting of quality for #AI tools with JAMA+ AI. #MedSky
jamanetwork.com
Evidence Lacking for Many AI Tools Used in Primary Care
This Medical News article is an interview with study author María Villalobos-Quesada, PhD, a researcher at the National eHealth Living Lab at the Leiden University Medical Centre in the Netherlands.
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Reposted by Michel Cucherat
Journal of Clinical Epidemiology @jclinepi.bsky.social · 16/02/2025
Author’s reply : “The importance of properly specifying your target trial emulation: commentary on Mésidor et al.” - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
jclinepi.com
Author’s reply : “The importance of properly specifying your target trial emulation: commentary on Mésidor et al.”
Not applicable.
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Reposted by Michel Cucherat
Jeffrey Brainard @jeffreybrainard.bsky.social · 13/02/2025
Many #researchintegrity sleuths are volunteers with little financial support for their often-daunting work to uncover #scientificfraud. One of the most prominent, Elisabeth Bik, has now provided money to change that. @elisabethbik.bsky.social @science.org www.science.org/content/arti...
science.org
Renowned scientific integrity investigator endows fund to support fellow sleuths
Microbiologist Elisabeth Bik donates $200,000 to support training, travel
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Richard Riley (R²) @richarddriley.bsky.social · 13/02/2025
**NEW BMJ PAPER** "Uncertainty of risk estimates from clinical prediction models: rationale, challenges, and approaches" - most models provide just a risk estimate - we argue for presenting associated uncertainty too - includes pros, cons, PPIE & methods Hope helpful! www.bmj.com/content/388/...
bmj.com
Uncertainty of risk estimates from clinical prediction models: rationale, challenges, and approaches
Clinical prediction models estimate an individual’s risk (probability) of a health related outcome to help guide patient counselling and clinical decision making. Most models provide a single point es...
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Florian Naudet @floriannaudet.bsky.social · 10/02/2025
Short news on the RetoRes website inviting to read the new and insightful @jclinepi.bsky.social paper by @davidit.bsky.social and @jdwilko.bsky.social about trustworthiness checks.
restores.univ-rennes.fr
Assessing the trustworthiness of randomized controlled trials requires clear criteria and robust evaluation methods. | RestoRes
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Florian Naudet @floriannaudet.bsky.social · 07/02/2025
"Common Sense Oncology principles for the design, analysis, and reporting of phase 3 randomised clinical trials"
thelancet.com
Common Sense Oncology principles for the design, analysis, and reporting of phase 3 randomised clinical trials
Common Sense Oncology (CSO) prioritises treatments providing meaningful benefits for people with cancer. Here, we describe CSO principles aimed at improving the design, analysis, and reporting of rand...
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Reposted by Michel Cucherat
Florian Naudet @floriannaudet.bsky.social · 04/02/2025
Interesting 🧐 reading
transparimed.org
Cochrane review: 47% of all clinical trial results are not made public
Nearly half of clinical trial results are not made public, an exhaustive review published by the medical evidence group Cochrane has found. The new Cochrane review draws together data from 204 existin...
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Reposted by Michel Cucherat
Journal of Clinical Epidemiology @jclinepi.bsky.social · 02/02/2025
Using artificial intelligence to semi-automate trustworthiness assessment of randomized controlled trials: A case study - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
jclinepi.com
Using artificial intelligence to semi-automate trustworthiness assessment of randomized controlled trials: A case study
Randomised controlled trials (RCTs) are the cornerstone of evidence-based medicine. Unfortunately, not all RCTs are based on real data. This serious breach of research integrity compromises the reliab...
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Reposted by Michel Cucherat
Journal of Clinical Epidemiology @jclinepi.bsky.social · 02/02/2025
You wait ages and then two arrive at once: reporting guidelines shouldn’t be like buses - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
jclinepi.com
You wait ages and then two arrive at once: reporting guidelines shouldn’t be like buses
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Journal of Clinical Epidemiology @jclinepi.bsky.social · 02/02/2025
Risk of bias assessment tools often addressed items not related to risk of bias and used numerical scores - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
jclinepi.com
Risk of bias assessment tools often addressed items not related to risk of bias and used numerical scores
We aimed to determine whether the existing risk of bias assessment tools addressed constructs other than risk of bias or internal validity, and whether they used numerical scores to express quality, w...
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Florian Naudet @floriannaudet.bsky.social · 26/01/2025
Uncertainties about the benefit-risk balance of oncology medicines assessed by the European Medicines Agency
sciencedirect.com
Uncertainties about the benefit-risk balance of oncology medicines assessed by the European Medicines Agency
Drug regulators assess and describe uncertainties regarding treatment outcomes and the benefit-risk balance of newly authorised medicines. We aimed to…
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Suzie Cro @suziecro.bsky.social · 17/01/2025
Register here to attend the **2nd Contemporary Clinical Trials Methodology Meeting** -a fantastic line-up of speakers in store across 1 or 2 days, including statistical day 1 covering multi-arm multi-stage trials, platform trials & target trial emulation! www.imperial.ac.uk/events/18598...
imperial.ac.uk
2nd Contemporary Clinical Trials Methodology Meeting
Putting contemporary clinical trials methodology into practice. Do you work in clinical trials and want to find out about the latest in the design and delivery of contemporary trials? Join us for ses...
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Dr Martha Gulati @drmarthagulati.bsky.social · 16/01/2025
Dr. Sanjay Kaul giving the Burch Lecture at #AUC2025 discussing Research Misconduct: what is Sloppy Science? Median time from publication to retraction: 1.4 y On average 8 citations before retraction Don’t be a John Darsee! The DECREASE 1 trial: BB use entered guidelines despite 2 day retraction
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Société Française de Pharmacologie et de Thérapeutique @sfpt-fr.org · 17/01/2025
Nouvelle entrée sur le blog de la méthodologie : Essai de non-infériorité : choix du seuil de non-infériorité et expression en différence de risques ou en rapport de risques sfpt-fr.org/blog-des-art...
sfpt-fr.org
#M014 Essai de non-infériorité : choix du seuil de non-infériorité et expression en différence de risques ou en rapport de risques
Société Française de Pharmacologie et de Thérapeutique
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JAMA @jama.com · 16/01/2025
Centers for Medicare & Medicaid Services coding changes linking abdominal wall hernia size to reimbursement were associated with an increase in documented hernia size by surgeons. ja.ma/42gdA96
Figure. Interrupted Time Series Analysis of Monthly Percentage of Repairs Involving Hernias Smaller Than 3 cm
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Darren Dahly @statsepi.bsky.social · 14/01/2025
We've frustratingly allowed "real world" to become a deceptive synonym for "observations we happened haphazardly to make". I'd say half the studies that come to me now, the majority of which are useful but modest clinical audits, will have "real world" in the proposal title. It's magic!
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Darren Dahly @statsepi.bsky.social · 14/01/2025
Let's stop encouraging novice researchers to think that lots of "data cleaning" is normal, or even a good thing. Why are we so proud of all this data cleaning!? The need for lots of data cleaning should instead be seen as a failure to invest in data collection. In medicine, this harms patients.
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Frank Harrell @f2harrell.bsky.social · 13/01/2025
Glad to learn of this, & to see it refer to the classic Cook & Farewell paper on multiplicity in #ClinicalTrials. People need to know that corrections are sometimes appropriate for testing a union (H1 OR H2) but not for testing H1 just because you test H2 a minute later. #StatsSky #rct #Statistics
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OncLive @onclive.bsky.social · 08/01/2025
FDA Issues Draft Guidance for Accelerated Approval Confirmatory Clinical Trials @fda.gov #oncology #MedEd www.onclive.com/view/fda-iss...
onclive.com
FDA Issues Draft Guidance for Accelerated Approval Confirmatory Clinical Trials
The FDA released a draft guidance document detailing their interpretation of when a confirmatory clinical trial for an accelerated approval is underway.
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Stephen Burgess @stevesphd.bsky.social · 08/01/2025
Our work on immortal time bias "Illustrating the structures of bias from immortal time using directed acyclic graphs" led by Emma Guoyi Yang @yanggy_hku is out at International Journal of Epidemiology: doi.org/10.1093/ije/.... Brief thread:
doi.org
Illustrating the structures of bias from immortal time using directed acyclic graphs
AbstractBackground. Immortal time is a period of follow-up during which death or the study outcome cannot occur by design. Bias from immortal time has been
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Miguel Hernan @miguelhernan.org · 06/01/2025
1/ That "immortal time" is so frequent in survival analyses for #causalinference is fascinating. Because "immortal time" doesn't exist in the data, *we* create it when misanalyzing the data. Our new paper pubmed.ncbi.nlm.nih.gov/39494894/ summarizes why immortal time arises & how to prevent it.
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