The association that reverses

One dataset. Two ways of grouping it. Two apparently contradictory answers.

Interactive laboratory 09 · Historical case study

The comparison that reverses

Explore published counts for two kidney-stone treatment methods from a historical nonrandomized comparison. The outcome is recorded treatment success; the grouping variable is stone size. The data come from Charig and colleagues' 1986 report and later analyses.

Open surgery success78.0%
Percutaneous procedure success82.6%
Higher observed ratePercutaneous
78%82.6%

Complete numerical data, for comparison and accessibility
Recorded successful procedures / total procedures
Stone sizeOpen surgery (A)Percutaneous (B)
Smaller than 2 cm81 / 87 (93.1%)234 / 270 (86.7%)
At least 2 cm192 / 263 (73.0%)55 / 80 (68.8%)
Both sizes273 / 350 (78.0%)289 / 350 (82.6%)

Important: These are historical, observational outcomes from different time periods, not randomized causal effects. Reversal of observed success proportions does not establish which treatment should be chosen for a patient. Harvard Statistics discussion and primary-study citation · Review article.

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