100+ datasets found
  1. f

    Why Even More Clinical Research Studies May Be False: Effect of Asymmetrical...

    • plos.figshare.com
    xls
    Updated Jun 2, 2023
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    Matthew James Shun-Shin; Darrel P. Francis (2023). Why Even More Clinical Research Studies May Be False: Effect of Asymmetrical Handling of Clinically Unexpected Values [Dataset]. http://doi.org/10.1371/journal.pone.0065323
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    xlsAvailable download formats
    Dataset updated
    Jun 2, 2023
    Dataset provided by
    PLOS ONE
    Authors
    Matthew James Shun-Shin; Darrel P. Francis
    License

    Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
    License information was derived automatically

    Description

    BackgroundIn medical practice, clinically unexpected measurements might be quite properly handled by the remeasurement, removal, or reclassification of patients. If these habits are not prevented during clinical research, how much of each is needed to sway an entire study?Methods and ResultsBelieving there is a difference between groups, a well-intentioned clinician researcher addresses unexpected values. We tested how much removal, remeasurement, or reclassification of patients would be needed in most cases to turn an otherwise-neutral study positive. Remeasurement of 19 patients out of 200 per group was required to make most studies positive. Removal was more powerful: just 9 out of 200 was enough. Reclassification was most powerful, with 5 out of 200 enough. The larger the study, the smaller the proportion of patients needing to be manipulated to make the study positive: the percentages needed to be remeasured, removed, or reclassified fell from 45%, 20%, and 10% respectively for a 20 patient-per-group study, to 4%, 2%, and 1% for an 800 patient-per-group study. Dot-plots, but not bar-charts, make the perhaps-inadvertent manipulations visible. Detection is possible using statistical methods such as the Tadpole test.ConclusionsBehaviours necessary for clinical practice are destructive to clinical research. Even small amounts of selective remeasurement, removal, or reclassification can produce false positive results. Size matters: larger studies are proportionately more vulnerable. If observational studies permit selective unblinded enrolment, malleable classification, or selective remeasurement, then results are not credible. Clinical research is very vulnerable to “remeasurement, removal, and reclassification”, the 3 evil R's.

  2. E

    Health Statistic and Research Database

    • healthinformationportal.eu
    • www-acc.healthinformationportal.eu
    html
    Updated Feb 23, 2023
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    Estonian National Institute for Health Development (2023). Health Statistic and Research Database [Dataset]. https://www.healthinformationportal.eu/health-information-sources/health-statistic-and-research-database
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    htmlAvailable download formats
    Dataset updated
    Feb 23, 2023
    Dataset authored and provided by
    Estonian National Institute for Health Development
    Variables measured
    sex, title, topics, country, language, data_owners, description, contact_name, geo_coverage, contact_email, and 10 more
    Measurement technique
    Multiple sources
    Description

    The Health Statistics and Health Research Database is Estonian largest set of health-related statistics and survey results administrated by National Institute for Health Development. Use of the database is free of charge.

    The database consists of eight main areas divided into sub-areas. The data tables included in the sub-areas are assigned unique codes. The data tables presented in the database can be both viewed in the Internet environment, and downloaded using different file formats (.px, .xlsx, .csv, .json). You can download the detailed database user manual here (.pdf).

    The database is constantly updated with new data. Dates of updating the existing data tables and adding new data are provided in the release calendar. The date of the last update to each table is provided after the title of the table in the list of data tables.

    A contact person for each sub-area is provided under the "Definitions and Methodology" link of each sub-area, so you can ask additional information about the data published in the database. Contact this person for any further questions and data requests.

    Read more about publication of health statistics by National Institute for Health Development in Health Statistics Dissemination Principles.

  3. Projected growth in global healthcare data volume 2020

    • statista.com
    Updated Sep 24, 2020
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    Statista (2020). Projected growth in global healthcare data volume 2020 [Dataset]. https://www.statista.com/statistics/1037970/global-healthcare-data-volume/
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    Dataset updated
    Sep 24, 2020
    Dataset authored and provided by
    Statistahttp://statista.com/
    Area covered
    Worldwide
    Description

    The amount of global healthcare data is expected to increase dramatically by the year 2020. Early estimates from 2013 suggest that there were about 153 exabytes of healthcare data generated in that year. However, projections indicate that there could be as much as 2,314 exabytes of new data generated in 2020.

  4. Total number of registered clinical studies worldwide 2000-2024

    • statista.com
    Updated Nov 12, 2024
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    Statista (2024). Total number of registered clinical studies worldwide 2000-2024 [Dataset]. https://www.statista.com/statistics/732997/number-of-registered-clinical-studies-worldwide/
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    Dataset updated
    Nov 12, 2024
    Dataset authored and provided by
    Statistahttp://statista.com/
    Area covered
    Worldwide
    Description

    Clinical studies are an important part of drug development globally. The number of registered clinical trials has increased significantly recently. As of November 8, 2024, there were over 515 thousand clinical studies registered globally. The number of clinical studies has increased significantly since there were just 2,119 registered in 2000. In general, clinical trials have grown more complex in recent years and remain vital for the research and development of new drugs and products. Research and development Research and development are an important part of pharmaceutical companies and includes drug development and product development. Among all industry sectors, the pharmaceutical industry spends the largest percentage of their revenue on research and development. Many companies are active in pharmaceutical research and development globally. It is projected Swiss company Roche will remain one of the largest research and development spenders among pharmaceutical companies in the near future. Clinical studies globally Most clinical studies occurring globally are held in countries outside of the U.S. Many clinical trials performed outside the U.S. and EU are done so because it is often easier and cheaper to conduct trials in other locations. Success rates for clinical trials depend heavily on the stage of the trial and the drugs or products being developed. Recent data suggested that only around 29 percent of drugs make it from phase II to phase III.

  5. Clinical Data Analytics Market - Share & Research

    • mordorintelligence.com
    pdf,excel,csv,ppt
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    Mordor Intelligence, Clinical Data Analytics Market - Share & Research [Dataset]. https://www.mordorintelligence.com/industry-reports/clinical-data-analytics-market-industry
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    pdf,excel,csv,pptAvailable download formats
    Dataset authored and provided by
    Mordor Intelligence
    License

    https://www.mordorintelligence.com/privacy-policyhttps://www.mordorintelligence.com/privacy-policy

    Time period covered
    2019 - 2030
    Area covered
    Global
    Description

    The Clinical Data Analytics Market Report is Segmented by Deployment Model (Cloud and On-Premise), Application (Quality Improvement and Clinical Benchmarking, Clinical Decision Support, Regulatory Reporting and Compliance, Comparative Analytics/Comparative Effectiveness, and Precision Health), End-User Vertical (Payers and Providers), and Geography (North America, Europe, Asia-Pacific, Middle East and Africa, and Latin America). The Market Sizes and Forecasts are Provided in Terms of Value (USD) for all the Above Segments.

  6. Total clinical research funding by National Institutes for Health 2013-2025

    • statista.com
    Updated May 17, 2024
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    Statista (2024). Total clinical research funding by National Institutes for Health 2013-2025 [Dataset]. https://www.statista.com/statistics/716602/total-clinical-research-funding-by-the-national-institutes-for-health/
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    Dataset updated
    May 17, 2024
    Dataset authored and provided by
    Statistahttp://statista.com/
    Area covered
    United States
    Description

    In fiscal year 2023, clinical research funding by the NIH was around 18.9 billion U.S. dollars. This graph shows the actual clinical research funding by the National Institutes for Health (NIH) from FY 2013 to FY 2023 and estimates for FYs 2024 and 2025.

  7. A Detailed Analysis of the Clinical Data Analytics Market by Clinical...

    • futuremarketinsights.com
    pdf
    Updated Jul 29, 2023
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    Future Market Insights (2023). A Detailed Analysis of the Clinical Data Analytics Market by Clinical Decision Support, Precision Health, Quality Improvement, and Clinical Benchmarking 2023 to 2033 [Dataset]. https://www.futuremarketinsights.com/reports/clinical-data-analytics-market
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    pdfAvailable download formats
    Dataset updated
    Jul 29, 2023
    Dataset authored and provided by
    Future Market Insights
    License

    https://www.futuremarketinsights.com/privacy-policyhttps://www.futuremarketinsights.com/privacy-policy

    Time period covered
    2023 - 2033
    Area covered
    Worldwide
    Description

    The clinical data analytics market revenue totaled around US$ 15,100.1 million in 2022 and is expected to reach US$ 18,769.4 million in 2023. Furthermore, with rising adoption in the healthcare industry, the overall demand for clinical data analytics is projected to record a staggering CAGR of 25.9% between 2023 and 2033, totaling a valuation of US$ 1,88,305 million by 2033.

    AttributeKey Statistics
    Clinical Data Analytics Market Estimated Size (2023)US$ 18,769.4 million
    Projected Market Valuation (2033)US$ 1,88,305.1 million
    Value-based CAGR (2023 to 2033)25.9%
    Top 5 Vendor Market ShareAround 25%

    Scope of Report

    AttributeDetails
    Estimated Market Value (2023)US$ 18,769.4 million
    Projected Market Value (2033)US$ 1,88,305.1 million
    Market CAGR 2023 to 203325.9%
    Share of Top 5 PlayersAround 25%
    Forecast Period2023 to 2033
    Historical Data Available for2018 to 2022
    Market AnalysisUS$ million for Value
    Key Regions CoveredNorth America, Latin America, Europe, East Asia, South Asia & Pacific, and the Middle East & Africa
    Key Countries CoveredUnited States, Canada, Germany, United Kingdom, France, Italy, Spain, Russia, China, Japan, South Korea, India, Australia & New Zealand, GCC Countries, Turkey, and South Africa
    Key Segments CoveredSolution, Application, End Users, and Region
    Key Companies Profiled
    • McKesson Corporation
    • Optum, Inc.
    • IBM
    • Oracle
    • SAS Institute, Inc.
    • IQVIA
    • Verisk Analytics, Inc.
    • Elsevier
    • Medeanalytics, Inc.
    • Truven Health Analytics, Inc.
    • Allscripts Healthcare Solutions, Inc.
    • Cerner Corporation
    • Medical Information Technology Inc.
    • Qsi Management LLC
    • CareCloud Corporation
    Report CoverageMarket Forecast, Company Share Analysis, Competition Intelligence, DROT Analysis, Market Dynamics and Challenges, and Strategic Growth Initiatives
  8. E

    Healthcare Statistics

    • healthinformationportal.eu
    • www-acc.healthinformationportal.eu
    html
    Updated Sep 28, 2022
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    (2022). Healthcare Statistics [Dataset]. https://www.healthinformationportal.eu/health-information-sources/healthcare-statistics
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    htmlAvailable download formats
    Dataset updated
    Sep 28, 2022
    Variables measured
    title, topics, country, language, description, contact_email, free_keywords, alternative_title, access_information, type_of_information, and 3 more
    Measurement technique
    Multiple sources
    Description

    Diagnosis data of patients and patients in hospitals.

    The hospital diagnosis statistics are part of the hospital statistics and have been collected annually from all hospitals since 1993. The statistics include information on the main diagnosis (coded according to ICD-10), length of stay, department and selected sociodemographic characteristics such as age, gender and place of residence, among others.

    Basic data of hospitals and preventive care or rehabilitation facilities.

    The basic data statistics are part of the hospital statistics. The material and personnel resources of hospitals and preventive or rehabilitation facilities and their specialist departments have been reported annually since 1990.

    The aggregated data are freely accessible.

  9. Global big data healthcare analytics market size by application 2016 & 2025

    • statista.com
    Updated Feb 21, 2025
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    Statista (2025). Global big data healthcare analytics market size by application 2016 & 2025 [Dataset]. https://www.statista.com/statistics/909669/global-big-data-in-healthcare-analytics-market-size-by-application/
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    Dataset updated
    Feb 21, 2025
    Dataset authored and provided by
    Statistahttp://statista.com/
    Area covered
    Worldwide
    Description

    This statistic shows the size of the global big data analytics services market related to healthcare in 2016 and a forecast for 2025, by application. It is predicted that by 2025 the market for health-related financial analytics services using big data will increase to over 13 billion U.S. dollars.

  10. Number of registered clinical studies by location worldwide 2024

    • statista.com
    Updated Nov 12, 2024
    + more versions
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    Statista (2024). Number of registered clinical studies by location worldwide 2024 [Dataset]. https://www.statista.com/statistics/732954/global-clinical-registered-studies-by-location/
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    Dataset updated
    Nov 12, 2024
    Dataset authored and provided by
    Statistahttp://statista.com/
    Area covered
    Worldwide
    Description

    This statistic shows the number of registered clinical studies worldwide by location, as of November 8, 2024. The number of registered clinical studies in non-U.S. areas was at around 284 thousand, while in the U.S. the number was at around 154 thousand.

  11. Data from previous studies examining patient-related risk factors for...

    • plos.figshare.com
    xls
    Updated Jun 10, 2023
    + more versions
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    Chuanlong Wu; Xinhua Qu; Yuanqing Mao; Huiwu Li; Fengxiang Liu; Zhenan Zhu (2023). Data from previous studies examining patient-related risk factors for aseptic loosening in patients who have undergone hip and knee arthroplasty. [Dataset]. http://doi.org/10.1371/journal.pone.0085562.t004
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    xlsAvailable download formats
    Dataset updated
    Jun 10, 2023
    Dataset provided by
    PLOShttp://plos.org/
    Authors
    Chuanlong Wu; Xinhua Qu; Yuanqing Mao; Huiwu Li; Fengxiang Liu; Zhenan Zhu
    License

    Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
    License information was derived automatically

    Description

    Data from previous studies examining patient-related risk factors for aseptic loosening in patients who have undergone hip and knee arthroplasty.

  12. w

    Data from: Modern Bayesian statistics in clinical research

    • workwithdata.com
    Updated Jan 10, 2022
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    Work With Data (2022). Modern Bayesian statistics in clinical research [Dataset]. https://www.workwithdata.com/object/modern-bayesian-statistics-in-clinical-research-book-by-ton-j-m-cleophas-0000
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    Dataset updated
    Jan 10, 2022
    Dataset authored and provided by
    Work With Data
    License

    Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
    License information was derived automatically

    Description

    Modern Bayesian statistics in clinical research is a book. It was written by Ton J. M. Cleophas and published by : Springer in 2018.

  13. Checklist S1 - Ex-PRESS Implantation versus Trabeculectomy in Open-Angle...

    • plos.figshare.com
    doc
    Updated Jun 1, 2023
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    Guohai Chen; Wensheng Li; Fangzheng Jiang; Sihong Mao; Yuhua Tong (2023). Checklist S1 - Ex-PRESS Implantation versus Trabeculectomy in Open-Angle Glaucoma: A Meta-Analysis of Randomized Controlled Clinical Trials [Dataset]. http://doi.org/10.1371/journal.pone.0086045.s001
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    docAvailable download formats
    Dataset updated
    Jun 1, 2023
    Dataset provided by
    PLOShttp://plos.org/
    Authors
    Guohai Chen; Wensheng Li; Fangzheng Jiang; Sihong Mao; Yuhua Tong
    License

    Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
    License information was derived automatically

    Description

    PRISMA Checklist. (DOC)

  14. c

    Clinical Data Management Systems Market Size and Growth Report 2031

    • consegicbusinessintelligence.com
    pdf,excel,csv,ppt
    Updated Oct 16, 2024
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    Consegic Business Intelligence Pvt Ltd (2024). Clinical Data Management Systems Market Size and Growth Report 2031 [Dataset]. https://www.consegicbusinessintelligence.com/clinical-data-management-systems-market
    Explore at:
    pdf,excel,csv,pptAvailable download formats
    Dataset updated
    Oct 16, 2024
    Dataset authored and provided by
    Consegic Business Intelligence Pvt Ltd
    License

    https://www.consegicbusinessintelligence.com/privacy-policyhttps://www.consegicbusinessintelligence.com/privacy-policy

    Area covered
    Global
    Description

    The global clinical data management systems market size was valued at USD 1,837.50 million in 2023 and it is expected to grow to USD 4,490.53 million by 2031 at a CAGR of 13.6%.

  15. P

    Global Clinical Data Analytics in Healthcare Market Economic and Social...

    • statsndata.org
    excel, pdf
    Updated Feb 2025
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    Stats N Data (2025). Global Clinical Data Analytics in Healthcare Market Economic and Social Impact 2025-2032 [Dataset]. https://www.statsndata.org/report/clinical-data-analytics-in-healthcare-market-42146
    Explore at:
    excel, pdfAvailable download formats
    Dataset updated
    Feb 2025
    Dataset authored and provided by
    Stats N Data
    License

    https://www.statsndata.org/how-to-orderhttps://www.statsndata.org/how-to-order

    Area covered
    Global
    Description

    The Clinical Data Analytics in Healthcare market is rapidly evolving, serving as a crucial component in enhancing the quality of patient care and optimizing operational efficiencies within healthcare organizations. As healthcare systems increasingly rely on data-driven decision-making processes, the demand for sophi

  16. Database of State Statistical Reports for the Health Care Sector

    • www-acc.healthinformationportal.eu
    • healthinformationportal.eu
    html
    Updated Jan 4, 2023
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    Centre fo Disease Prevention and Control of Latvia (CDPC) - Slimību profilakses un kontroles centrs (SPKC) (2023). Database of State Statistical Reports for the Health Care Sector [Dataset]. https://www-acc.healthinformationportal.eu/services/find-data?page=6
    Explore at:
    htmlAvailable download formats
    Dataset updated
    Jan 4, 2023
    Dataset provided by
    Centre for Disease Prevention and Control of Latviahttp://spkc.gov.lv/lv/
    Authors
    Centre fo Disease Prevention and Control of Latvia (CDPC) - Slimību profilakses un kontroles centrs (SPKC)
    Variables measured
    sex, title, topics, country, funding, language, data_owners, description, contact_name, geo_coverage, and 15 more
    Measurement technique
    Administrative data
    Dataset funded by
    <p>State funding</p>
    Description

    Statistical reports from all medical institutions in Latvia according to their medical activity (ambulatory and inpatient work, medical staff, radiology, dentistry, abortions, medical tourism, emergency medical assistance, etc.)

  17. f

    Quality scoring components for 8 clinical trials included.

    • plos.figshare.com
    xls
    Updated Jun 9, 2023
    + more versions
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    Wei Wang; Minwen Zhou; Wenbin Huang; Xiulan Zhang (2023). Quality scoring components for 8 clinical trials included. [Dataset]. http://doi.org/10.1371/journal.pone.0063591.t002
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    xlsAvailable download formats
    Dataset updated
    Jun 9, 2023
    Dataset provided by
    PLOS ONE
    Authors
    Wei Wang; Minwen Zhou; Wenbin Huang; Xiulan Zhang
    License

    Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
    License information was derived automatically

    Description

    Quality scoring components for 8 clinical trials included.

  18. w

    Books called Modern Bayesian statistics in clinical research by Ton J. M....

    • workwithdata.com
    Updated Jan 2, 1997
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    Work With Data (1997). Books called Modern Bayesian statistics in clinical research by Ton J. M. Cleophas [Dataset]. https://www.workwithdata.com/datasets/books?f=2&fcol0=author&fcol1=book&fop0=includes&fop1=includes&fval0=Ton+J.+M.+Cleophas&fval1=Modern+Bayesian+statistics+in+clinical+research
    Explore at:
    Dataset updated
    Jan 2, 1997
    Dataset authored and provided by
    Work With Data
    License

    Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
    License information was derived automatically

    Description

    This dataset is about books and is filtered where the author includes Ton J. M. Cleophas and the book includes Modern Bayesian statistics in clinical research, featuring 7 columns including author, BNB id, book, book publisher, and ISBN. The preview is ordered by publication date (descending).

  19. Global big data in healthcare market size 2016 & 2025

    • statista.com
    Updated Feb 21, 2025
    + more versions
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    Statista (2025). Global big data in healthcare market size 2016 & 2025 [Dataset]. https://www.statista.com/statistics/909654/global-big-data-in-healthcare-market-size/
    Explore at:
    Dataset updated
    Feb 21, 2025
    Dataset authored and provided by
    Statistahttp://statista.com/
    Area covered
    Worldwide
    Description

    This statistic shows the size of the global big data market related to healthcare in 2016 and a forecast for 2025. It is estimated that over this period the market will increase from around 11.5 billion to nearly 70 billion U.S. dollars.

  20. Global Statistical Analysis Software Market Size By Deployment Model, By...

    • verifiedmarketresearch.com
    Updated Mar 7, 2024
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    VERIFIED MARKET RESEARCH (2024). Global Statistical Analysis Software Market Size By Deployment Model, By Application, By Component, By Geographic Scope And Forecast [Dataset]. https://www.verifiedmarketresearch.com/product/statistical-analysis-software-market/
    Explore at:
    Dataset updated
    Mar 7, 2024
    Dataset provided by
    Verified Market Researchhttps://www.verifiedmarketresearch.com/
    Authors
    VERIFIED MARKET RESEARCH
    License

    https://www.verifiedmarketresearch.com/privacy-policy/https://www.verifiedmarketresearch.com/privacy-policy/

    Time period covered
    2024 - 2030
    Area covered
    Global
    Description

    Statistical Analysis Software Market size was valued at USD 7,963.44 Million in 2023 and is projected to reach USD 13,023.63 Million by 2030, growing at a CAGR of 7.28% during the forecast period 2024-2030.

    Global Statistical Analysis Software Market Drivers

    The market drivers for the Statistical Analysis Software Market can be influenced by various factors. These may include:

    Growing Data Complexity and Volume: The demand for sophisticated statistical analysis tools has been fueled by the exponential rise in data volume and complexity across a range of industries. Robust software solutions are necessary for organizations to evaluate and extract significant insights from huge datasets.
    Growing Adoption of Data-Driven Decision-Making: Businesses are adopting a data-driven approach to decision-making at a faster rate. Utilizing statistical analysis tools, companies can extract meaningful insights from data to improve operational effectiveness and strategic planning.
    Developments in Analytics and Machine Learning: As these fields continue to progress, statistical analysis software is now capable of more. These tools’ increasing popularity can be attributed to features like sophisticated modeling and predictive analytics.
    A greater emphasis is being placed on business intelligence: Analytics and business intelligence are now essential components of corporate strategy. In order to provide business intelligence tools for studying trends, patterns, and performance measures, statistical analysis software is essential.
    Increasing Need in Life Sciences and Healthcare: Large volumes of data are produced by the life sciences and healthcare sectors, necessitating complex statistical analysis. The need for data-driven insights in clinical trials, medical research, and healthcare administration is driving the market for statistical analysis software.
    Growth of Retail and E-Commerce: The retail and e-commerce industries use statistical analytic tools for inventory optimization, demand forecasting, and customer behavior analysis. The need for analytics tools is fueled in part by the expansion of online retail and data-driven marketing techniques.
    Government Regulations and Initiatives: Statistical analysis is frequently required for regulatory reporting and compliance with government initiatives, particularly in the healthcare and finance sectors. In these regulated industries, statistical analysis software uptake is driven by this.
    Big Data Analytics’s Emergence: As big data analytics has grown in popularity, there has been a demand for advanced tools that can handle and analyze enormous datasets effectively. Software for statistical analysis is essential for deriving valuable conclusions from large amounts of data.
    Demand for Real-Time Analytics: In order to make deft judgments fast, there is a growing need for real-time analytics. Many different businesses have a significant demand for statistical analysis software that provides real-time data processing and analysis capabilities.
    Growing Awareness and Education: As more people become aware of the advantages of using statistical analysis in decision-making, its use has expanded across a range of academic and research institutions. The market for statistical analysis software is influenced by the academic sector.
    Trends in Remote Work: As more people around the world work from home, they are depending more on digital tools and analytics to collaborate and make decisions. Software for statistical analysis makes it possible for distant teams to efficiently examine data and exchange findings.

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Matthew James Shun-Shin; Darrel P. Francis (2023). Why Even More Clinical Research Studies May Be False: Effect of Asymmetrical Handling of Clinically Unexpected Values [Dataset]. http://doi.org/10.1371/journal.pone.0065323

Why Even More Clinical Research Studies May Be False: Effect of Asymmetrical Handling of Clinically Unexpected Values

Explore at:
8 scholarly articles cite this dataset (View in Google Scholar)
xlsAvailable download formats
Dataset updated
Jun 2, 2023
Dataset provided by
PLOS ONE
Authors
Matthew James Shun-Shin; Darrel P. Francis
License

Attribution 4.0 (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/
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Description

BackgroundIn medical practice, clinically unexpected measurements might be quite properly handled by the remeasurement, removal, or reclassification of patients. If these habits are not prevented during clinical research, how much of each is needed to sway an entire study?Methods and ResultsBelieving there is a difference between groups, a well-intentioned clinician researcher addresses unexpected values. We tested how much removal, remeasurement, or reclassification of patients would be needed in most cases to turn an otherwise-neutral study positive. Remeasurement of 19 patients out of 200 per group was required to make most studies positive. Removal was more powerful: just 9 out of 200 was enough. Reclassification was most powerful, with 5 out of 200 enough. The larger the study, the smaller the proportion of patients needing to be manipulated to make the study positive: the percentages needed to be remeasured, removed, or reclassified fell from 45%, 20%, and 10% respectively for a 20 patient-per-group study, to 4%, 2%, and 1% for an 800 patient-per-group study. Dot-plots, but not bar-charts, make the perhaps-inadvertent manipulations visible. Detection is possible using statistical methods such as the Tadpole test.ConclusionsBehaviours necessary for clinical practice are destructive to clinical research. Even small amounts of selective remeasurement, removal, or reclassification can produce false positive results. Size matters: larger studies are proportionately more vulnerable. If observational studies permit selective unblinded enrolment, malleable classification, or selective remeasurement, then results are not credible. Clinical research is very vulnerable to “remeasurement, removal, and reclassification”, the 3 evil R's.

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