The Statistical Fragility of Tranexamic Acid Use in the Orthopaedic Surgery Literature: A Systematic Review of Randomized Controlled Trials.
Ashley N BrownAvanish YendluriKyle W LawrenceJohn K CorderoCalin S MouchaBrett L HaydenRobert L ParisienPublished in: The Journal of the American Academy of Orthopaedic Surgeons (2024)
Statistical outcomes reported in RCTs on the use of TXA in orthopaedic surgery are fragile. Reversal of a few outcomes is sufficient to alter statistical significance. We recommend reporting FI, rFI, and FQ metrics to aid in interpreting the outcomes reported in comparative trials.