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And again

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UK and Europe
Published
1 June 2004
Last activity
8 June 2004
Original author
Tony Raven
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  1. On Tue, 1 Jun 2004 07:39:52 +0100, "Tumbleweed"
    <[email hidden]> wrote (more or less):

    Quoted message said:


    "Tony Raven" <[email hidden]> wrote in message news:2i2et9Fi4d2cU1@uni-
    berlin.de...

    Quoted message said:

    Sigh!


    <snip>

    Quoted message said:

    But Professor Sheikh's team argue that there are good
    grounds for


    compulsory

    Quoted message said:

    cycle helmets.

    Bicycle helmet laws in other countries, such as Australia
    and New Zealand, have reduced cycling-related head
    injuries and fatalities with good


    uptake,

    Quoted message said:

    they say.

    Is that true or not?

    Not according to the Australian study that takes account of
    changes in cycling milage before and after the law. There
    are population-level studies for the US and for London which
    also disagree. All show injury rates /rising/ with increases
    in helmet usage.

    I don't know of studies one way or the other for New
    Zealand.

    --
    Cheers, Euan Gawnsoft: gawnsoft.co.srgawnsoft.co.sr
    Symbian/Epoc wiki: html.dnsalias.nethtml.dnsalias.net Smalltalk
    links (harvested from comp.lang.smalltalk)
    html.dnsalias.netsmalltalk

  2. On Tue, 01 Jun 2004 11:33:44 +0100, anonymous coward
    <[email hidden]> wrote (more or less): ...

    Quoted message said:

    His new paper won't have hit the shelves yet - but I'd be
    very surprised if this is the case. Perhaps you'd like to
    read some of his papers:

    e.g. ip.bmjjournals.com266 to
    pick just one.

    He doesn't 'fail to analyse the evidence' - he analyses it
    and comes to a different conclusion from some other
    researchers. In fact, it would be fair to say that the
    entire point of the paper is to 'weigh the evidence'.

    I couldn't get access to the article, but the abstract for
    his July 2003 article:

    "ABSTRACT In England the use of bicycle helmets remains low
    as debate continues about their effectiveness. Time trend
    studies have previously shown an inverse association between
    helmet wearing rates and hospital admissions for head
    injury, but data on helmet wearing are often sparse and
    admission rates vary for numerous reasons. For the period of
    this study comprehensive data on helmet wearing are
    available, and pedestrians are used as a control to monitor
    trends in admission. Among cyclists admitted to hospital,
    the percentage with head injury reduced from 27.9% (n =
    3070) to 20.4% (n = 2154), as helmet wearing rose from 16.0%
    to 21.8%. Pedestrian head injury admissions also declined
    but by a significantly smaller amount. The wearing of a
    cycle helmet is estimated to prevent 60% of head injuries."

    cites a 60% prevention.

    The new article which I presume is whatr he bases his quote
    to the BBC on, cites 'up to 88%'.

    Helmets must have got a great deal more effective in the
    last 10 months...

    --
    Cheers, Euan Gawnsoft: gawnsoft.co.srgawnsoft.co.sr
    Symbian/Epoc wiki: html.dnsalias.nethtml.dnsalias.net Smalltalk
    links (harvested from comp.lang.smalltalk)
    html.dnsalias.netsmalltalk

  3. On Tue, 1 Jun 2004 08:21:21 +0100, "Tony Raven"
    <[email hidden]> wrote (more or less):

    Quoted message said:
    Richard Lucas said:


    Go to:

    news.bbc.co.uk3281777.stm

    and ask them.

    I'm getting past "feedback" to "complaint". Every time the
    BBC ignores the counter view which they must by now know.
    This is moving from poor reporting to heavily biased
    reporting.

    Quite so. To make their pro-helmet 'reporting' once is an
    error of inadequate reporting.

    To keep it up in the face of repeated assertion of the counter-
    case is wilfully misleading.

    (My favourite is when they used someone who has a stake in a
    cycle helmet maker to provide a celeb endorsement of helmets
    as the basis of an article...)

    --
    Cheers, Euan Gawnsoft: gawnsoft.co.srgawnsoft.co.sr
    Symbian/Epoc wiki: html.dnsalias.nethtml.dnsalias.net Smalltalk
    links (harvested from comp.lang.smalltalk)
    html.dnsalias.netsmalltalk

  4. On Tue, 01 Jun 2004 15:16:17 +0100, Peter Clinch
    <[email hidden]> wrote (more or less):

    Quoted message said:
    anonymous coward said:

    What annoys me is when the press picks up on some little
    paper that it feels captures the zeitgeist, inflating its
    importance until its viewpoint becomes the only facet of
    the field that we are exposed to. It's quite possible
    Prof Sheikh's paper is abominable and one-sided; if this
    is so then the BBC should have either not reported it, or
    they should have reported it in context.

    Well, quite. But the bottom line is that for the above to
    be addressed jounalists will have to be fully clued in on
    what they're reporting, which they won't be because they're
    jounalists by trade rather than, say, public health
    epidemiologists.

    Having said that you sometimes wonder at how much research
    many of them bother to do these days :-(

    Yes - they do seem to mistake 'journalism' for 'selective
    regurgitation of press releases' far too often.

    --
    Cheers, Euan Gawnsoft: gawnsoft.co.srgawnsoft.co.sr
    Symbian/Epoc wiki: html.dnsalias.nethtml.dnsalias.net Smalltalk
    links (harvested from comp.lang.smalltalk)
    html.dnsalias.netsmalltalk

  5. On Tue, 01 Jun 2004 16:20:52 +0100,

    Gawnsoft said:

    On Tue, 01 Jun 2004 11:33:44 +0100, anonymous coward
    <[email hidden]> wrote (more or
    less): ...

    Quoted message said:

    His new paper won't have hit the shelves yet - but I'd be
    very surprised if this is the case. Perhaps you'd like to
    read some of his papers:

    e.g. ip.bmjjournals.com266 to
    pick just one.

    He doesn't 'fail to analyse the evidence' - he analyses it
    and comes to a different conclusion from some other
    researchers. In fact, it would be fair to say that the
    entire point of the paper is to 'weigh the evidence'.

    I couldn't get access to the article, but the abstract for
    his July 2003 article:

    "ABSTRACT In England the use of bicycle helmets remains
    low as debate continues about their effectiveness. Time
    trend studies have previously shown an inverse association
    between helmet wearing rates and hospital admissions for
    head injury, but data on helmet wearing are often sparse
    and admission rates vary for numerous reasons. For the
    period of this study comprehensive data on helmet wearing
    are available, and pedestrians are used as a control to
    monitor trends in admission. Among cyclists admitted to
    hospital, the percentage with head injury reduced from
    27.9% (n = 3070) to 20.4% (n = 2154), as helmet wearing
    rose from 16.0% to 21.8%. Pedestrian head injury
    admissions also declined but by a significantly smaller
    amount. The wearing of a cycle helmet is estimated to
    prevent 60% of head injuries."

    cites a 60% prevention.

    If this is the basis for his paper - then it isn't really
    worth anything. How many of those 3070 and 2154 were for
    minor injuries. How many were for facial injuries (probably
    still classed as head injury). When the decrease in head
    injury rate for cyclists and peds were compared were they
    normalised to account for risk exposure (size, make up of
    population, motor traffic behaviour, road conditions and
    total miles travelled for both years). Just quoting figures
    for two dates doesn't seem to be a very good method either -
    I would like to see the data graphed over a 15 year period
    at the very least.

    Of course his paper may answer some of these points but I
    would be surprised if one could design an unbiased study
    that could supply figures that would strongly support helmet
    compulsion.

    Interestingly there are a number of eletters (sic) at the
    following
    <URL:http://bmj.bmjjournals.com/cgi/eletters/321/7268/1055>

    --
    Andy Leighton => [email hidden] "The Lord is my
    shepherd, but we still lost the sheep dog trials"
    - Robert Rankin, _They Came And Ate Us_

  6. On Tue, 1 Jun 2004 13:34:32 +0100, Mark McN
    <[email hidden]> wrote (more or
    less):

    Quoted message said:

    Reply to Peter Amey

    Quoted message said:

    I fear (wearing my pedant's hat rather than my cycling
    helmet) that the statement is absolutely correct as it
    stands. Because "anything up to" includes 0 (no effect)
    and also negative numbers (icnreases risk). All the
    statement does is place an upper bound on the potential
    change in hazard.

    As a card-carrying pedant myself, I wondered about this;
    but I'd argue that he's implicitly including 88% as part of
    the consensus, so to speak. ICBW, though, and if I was
    posting my response now that I'm cooler, I'd be tempted to
    play safe and leave the consensus thing out of my first
    sentence altogether.

    Yes - at the least, he's saying that 87.9% is part of the
    consensus.

    --
    Cheers, Euan Gawnsoft: gawnsoft.co.srgawnsoft.co.sr
    Symbian/Epoc wiki: html.dnsalias.nethtml.dnsalias.net Smalltalk
    links (harvested from comp.lang.smalltalk)
    html.dnsalias.netsmalltalk

  7. in message <[email hidden]>, Gawnsoft

    (') said:

    On Tue, 1 Jun 2004 05:26:48 +0100, "Tony Raven" <junk@raven-
    family.com> wrote (more or less): ...

    Quoted message said:

    "The consensus is that they reduce anything up to 88% of
    serious head injuries if they are used," said Professor
    Sheikh, from the Division of Community Health Sciences.


    ...

    That sounds a suspiciously familiar figure...

    I have just received from the BBC the following email:

    Thank you for your email. The article has been amended to
    include the view that helmets may cut injury rates because
    fewer people cycle.

    Regards

    Caroline Ryan BBC News Online

    So: better than nothing.

    --
    [email hidden] (Simon Brooke)
    jasmine.org.uk~simon

    ;; 'I think we should trust our president in every
    decision ;; that he makes and we should just
    support that' ;; Britney Spears of George W Bush,
    CNN 04:09:03

  8. On 1/6/04 4:20 pm, in article [email hidden],

    Gawnsoft said:

    On Tue, 1 Jun 2004 13:34:32 +0100, Mark McN
    <[email hidden]> wrote
    (more or less):

    Quoted message said:

    Reply to Peter Amey

    Quoted message said:

    I fear (wearing my pedant's hat rather than my cycling
    helmet) that the statement is absolutely correct as it
    stands. Because "anything up to" includes 0 (no effect)
    and also negative numbers (icnreases risk). All the
    statement does is place an upper bound on the potential
    change in hazard.

    As a card-carrying pedant myself, I wondered about this;
    but I'd argue that he's implicitly including 88% as part
    of the consensus, so to speak. ICBW, though, and if I was
    posting my response now that I'm cooler, I'd be tempted
    to play safe and leave the consensus thing out of my
    first sentence altogether.

    Yes - at the least, he's saying that 87.9% is part of the
    consensus.


    I looked at the earlier papers on-line (haven't seen this
    latest epistle.)

    The one linked to from 2003 is somewhat poor. The
    conclusions have been predetermined by the author. The
    introduction is selective in terms of the previous studies
    cited (claiming that all previous studies have shown a
    consistent decrease in risk).

    The final conclusion is based on examining the difference in
    rate of fall between pedestrians and cyclists, assuming that
    these should be the same and attributing the difference to
    the increase in helmet wearing. This seems a bit
    disingenious.

    The new paper hasn't hit pubmed yet so I can't comment on
    that. I could do some further analysis but I get the feeling
    that the first guy (Cooke) did the work and Sheikh just got
    his name on the paper.

    ..d

  9. Just spotted this on the Evening Standard site.

    thisislondon.co.uk11081470
    =Evening%20Standard

  10. "Richard Lucas" <[email hidden]> wrote
    in message

    Re BBC h*lmet compulsion story:

    Quoted message said:

    Go to:

    Quoted message said:

    news.bbc.co.uk3281777.stm

    and ask them.

    Well, I sent this:

    " Scanning the your Health pages I note once again that some
    well intentioned but misguided person is calling for
    mandatory wearing of helmets by cyclists, presumably for
    "their own good". What no-one has spelled out to me yet is
    why, as an adult of sound mind, I should be forced to do
    something "for my own good". Surely if I want to incur some
    perceived risk to myself that doesn't affect others safety
    that is a decision to be made by me."

    <rant mode> I can't for the life of me understand these
    peoples obsessions. Throughout the day I can do any number
    of dangerous things, either out of ignorance or for the
    thrill of it, without interference but then come to the
    notice of these busy-bodies should I get on my bike without
    a helmet. Frankly I think they're pathetic tossers who ought
    to seek help and certainly they need to get out more.
    --
    Regards, Pete

  11. burt said:

    "James Annan" <[email hidden]> wrote in
    message -"]news:[email hidden]-
    net.or.jp...

    Quoted message said:
    anonymous coward said:

    Perhaps you'd like to read some of his papers:

    e.g. ip.bmjjournals.com266
    to pick


    just

    Quoted message said:

    one.

    Quoted message said:

    This is very obviously nonsense, although following the
    Roy Meadows episode I cannot pretend to be surprised that
    junk like this gets published. Students using his stats
    book beware!

    Prizes for the first person to explain his error(s).

    James

    Since I'm no statitician, and I've only viewed the
    abstract, this may be wildly wrong, but here goes anyway.

    I think it is the complete failure to correlate cause
    and effect

    No, the very basic error I was thinking of is the one they
    make in the "60%" calculation. The ratio of the two numbers
    they calculate is meaningless.

    The drop in head injuries rate according to their stats is
    3.6 percentage points. This is not a 3.6% drop in head
    injuries but a 13% change (3.6/27.9)! However, the number of
    unhelmeted cyclists only dropped by 5.8/84 = 7%. So
    according to their stats, the extra helmet wearers did not
    only prevent their own head injuries but also stopped
    injuries in a large number of those who were not wearing
    helmets! Since this conclusion is ludicrous, it is clear
    that there are huge confounding factors which they did not
    take acccount of (some possible ones are mentioned in the
    paper that references this one, which is clearly linked).

    If that is not clear enough, consider a simple hypothetical:
    head injury rates drop from 20% to 0% while helmet use
    increases from 0% to 100%. It is clear that helmet
    effficiency is 100% (all injuries are prevented), and not
    20/100=20% as Cook and Sheikh's method would indicate.

    Their calculation methodology would not be out of place on a
    P**l S***h website.

    I guess I get the prize...of writing to the journal and the
    authors to explain their mistake.

    James
    --
    If I have seen further than others, it is by treading on the
    toes of giants. ne.jphome

  12. On 1/6/04 4:53 pm, in article [email hidden], "Andy
    Leighton" <[email hidden]> wrote:

    First let me admit my professional background. I am a
    research scientist who has been published in top flight
    journals including Nature and reviews papers for scientific
    journals. I have not done a thorough review of the paper so
    the comments I give are a first impression.

    Quoted message said:

    If this is the basis for his paper - then it isn't really
    worth anything. How many of those 3070 and 2154 were for
    minor injuries. How many were for facial injuries
    (probably still classed as head injury).

    This was controlled for using the appropriate injury codes.
    There was also a discussion about mapping of the new
    (version 10) codes to the older version 9 ones which are a
    very different system. The paper does actually appear to do
    this correctly.

    Quoted message said:

    When the decrease in head injury rate for cyclists and
    peds were compared were they normalised to account for
    risk exposure (size, make up of population, motor traffic
    behaviour, road conditions and total miles travelled for
    both years).

    Does it need to be? It was as a proportion of total injuries
    resulting in admission. This automatically corrects for
    distance travelled/exposure, size of population etc.

    Quoted message said:

    Just quoting figures for two dates doesn't seem to be a
    very good method either - I would like to see the data
    graphed over a 15 year period at the very least.

    Three dates were used. There is of course no analysis of
    how much variation one expects in the ped/cyclist HI ratio.
    There is no taking into account other changes such as
    regional variations which may give an insight in to the
    expected level of variation (giving in essence a much
    larger data set from which to work) and correcting from
    potentially large factors such as the big introduction of
    speed cameras and the shift of helmet wearing in to the non-
    enthusiast camps.

    Quoted message said:

    Of course his paper may answer some of these points but I
    would be surprised if one could design an unbiased study
    that could supply figures that would strongly support
    helmet compulsion.

    It is a very short paper, and a very simplistic
    analysis that with a bit of care could probably have
    been done better.

    Quoted message said:

    Interestingly there are a number of eletters (sic) at the
    following <URL:http://bmj.bmjjournals.com/cgi/eletters/32-
    1/7268/1055>

    ..d

  13. --
    "anonymous coward" <[email hidden]> wrote
    in message
    "]news:[email hidden]...

    Quoted message said:
    Tony Raven said:
    anonymous coward said:


    His new paper won't have hit the shelves yet - but I'd
    be very


    surprised

    Quoted message said:
    Quoted message said:
    Quoted message said:

    if this is the case. Perhaps you'd like to read some of
    his papers:

    e.g. ip.bmjjournals.com266
    to pick just


    one.

    unfortunately only available to subscribers.

    Quoted message said:


    What I don't feel is likely is that Prof Sheikh simply
    fell into the thrall of the BHIT and is uncritically
    regurgitating it's rhetoric - aided and abbetted by a
    dodgy understanding of statistics.

    Not quite sure if I'm reading you right, are you suggesting
    that Prof Sheikh has a dodgy understanding of the stats? If
    so, how come he has just managed to publish a textbook about
    the analysis of statistics for the health industry?

    And having now read the article, see thread "and yet again",
    Prof Sheikh seems firmly in the "don't lets look at evidence
    that doesn't support our preconceived ideas" camp. He
    doesn't even mention the whole population, long term
    evidence, why not?

    cheers

    Rich

    Quoted message said:


    AC

  14. On 1/6/04 10:22 pm, in article
    [email hidden], "James Annan"

    Quoted message said:

    No, the very basic error I was thinking of is the one they
    make in the "60%" calculation. The ratio of the two
    numbers they calculate is meaningless.

    The drop in head injuries rate according to their stats is
    3.6 percentage points. This is not a 3.6% drop in head
    injuries but a 13% change (3.6/27.9)! However, the number
    of unhelmeted cyclists only dropped by 5.8/84 = 7%. So
    according to their stats, the extra helmet wearers did not
    only prevent their own head injuries but also stopped
    injuries in a large number of those who were not wearing
    helmets!

    I suppose you missed the point that the confounding factors
    are assumed to apply to pedestrians as well and that
    pedestrian injuries typically act as a good model for
    cyclist injuries. So comparing the change in cyclist HI
    with the change in pedestrian HI, one presumes that the
    difference in change is due to cyclists increased wearing
    of helmets.

    Quoted message said:

    Since this conclusion is ludicrous, it is clear that there
    are huge confounding factors which they did not take
    acccount of (some possible ones are mentioned in the paper
    that references this one, which is clearly linked).

    The conclusion is ludicrous which is why they used
    pedestrian HI as a control against which to benchmark the
    cyclist HI.

    Quoted message said:


    If that is not clear enough, consider a simple
    hypothetical: head injury rates drop from 20% to 0% while
    helmet use increases from 0% to 100%. It is clear that
    helmet effficiency is 100% (all injuries are prevented),
    and not 20/100=20% as Cook and Sheikh's method would
    indicate.

    No. You cannot take the extreme.

    Assume cyclist HI drop from 50 to 25 percentage points. A
    50% drop at the same time that helmet use increases from
    0 to 50 %.

    What is the effectiveness of helmets if the mode of injury
    distribution changes? how can we track this change? by using
    pedestrians. If over the same time the HI rate in
    pedestrians stays at 50% then there is a justification for
    claiming helmets have prevented all the injuries. If
    pedestrian HI drop by 50% then one can claim that helmets
    have no effect and that external factors are involved. the
    figures to compare are Adult cyclists declined from a mean
    of 24.7 by
    8.09 points (6.18-10.01). Adult pedestrians declined from
    24.7 to 21. There are no clear confidence intervals for
    adult pedestrians, just pedestrians as a whole. Taking all
    cyclists and all pedestrians there is a significant
    difference in rate of change (p=0.03).

    So we have a change of one third for cyclists and one eighth
    for pedestrians.

    If pedestrians track cyclists we would expect to see a
    change to 21, not to
    9.6 so we have a 4.4 point difference (or an increased
    saving of 4.4/21 points of head injuries.

    This is nearly 25%.

    The increase in helmet wearing is from 16 to 21.8 % so
    we see a decrease in unhelemted cyclists from 84 to
    78.2%, or 7%.

    So we can calculate that 7% extra helmet wearing
    reduces head injury by 25%, or each helmet prevents
    350% of head injuries.

    Quoted message said:

    Their calculation methodology would not be out of place on
    a P**l S***h website.

    It is much better than that but the answer is so obviously
    bogus that it is hard to credit the study.

    Quoted message said:

    I guess I get the prize...of writing to the journal and
    the authors to explain their mistake.

    Don't do it, you'll be laughed out of court unless you can
    come up with a much better interpretation of the data than
    you already have. Mine would need to be thoroughly worked
    over before letting anyone near it professionally.

    ..d

  15. "Nathaniel Porter" <[email hidden]> wrote:

    |
    | "Tony Raven" <[email hidden]> wrote in message news:2i2et9Fi4d2cU1@uni-
    | berlin.de...
    | >
    | > Opponents argue that making helmets mandatory for
    | > cyclists removes
    | individual
    | > choice, infringing on civil liberties.
    | >
    |
    | It seems to me the anti lobby aren't getting their point
    | across well. Why no mention of the fact that helmets are
    | inneffective in most accidents, and most accidents
    | wouldn't happen if the motorist(s) that are usually
    | involved took a bit more care?

    Highly agree-worthy. The thing about the overall effect of
    seatbelts is also not common knowledge, and that's a much
    older debate.

    BTW, how many helmets actually have the warning not to be
    used in an RTA?

    I think this is BHIT et al running out their big guns in the
    run-up to the 18th of June re-reading.

    --
    Patrick Herring, Sheffield, UK anweald.co.ukanweald.co.uk

  16. David Martin <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    On 1/6/04 10:22 pm, in article
    [email hidden], "James

    Annan said:

    No, the very basic error I was thinking of is the one
    they make in the "60%" calculation. The ratio of the two
    numbers they calculate is meaningless.

    The drop in head injuries rate according to their stats
    is 3.6 percentage points. This is not a 3.6% drop in
    head injuries but a 13% change (3.6/27.9)! However, the
    number of unhelmeted cyclists only dropped by 5.8/84 =
    7%. So according to their stats, the extra helmet
    wearers did not only prevent their own head injuries but
    also stopped injuries in a large number of those who
    were not wearing helmets!

    I suppose you missed the point that the confounding
    factors are assumed to apply to pedestrians as well and
    that pedestrian injuries typically act as a good model for
    cyclist injuries. So comparing the change in cyclist HI
    with the change in pedestrian HI, one presumes that the
    difference in change is due to cyclists increased wearing
    of helmets.

    No, I didn't miss that, which is why I used their figure for
    the _extra_ gains made by cyclists, over and above that made
    by pedestrians. Incidentally, none of the figures in the
    paper seem to square with the data points or the regression
    line in the figure, but I wasn't particularly addressing
    that initial part of their calculation at all, even though
    it is also wrong in detail[1].

    Quoted message said:


    Quoted message said:


    If that is not clear enough, consider a simple
    hypothetical: head injury rates drop from 20% to 0%
    while helmet use increases from 0% to 100%. It is clear
    that helmet effficiency is 100% (all injuries are
    prevented), and not 20/100=20% as Cook and Sheikh's
    method would indicate.

    No. You cannot take the extreme.

    Sheesh. I just dropped in a simple numerical example to show
    the bogosity of their calculation.

    Quoted message said:


    Assume cyclist HI drop from 50 to 25 percentage points. A
    50% drop

    You can stop right there, since according to the method in
    the paper it is clear that they would refer to this as a 25%
    drop (50 - 25, not the correct 25/50). This is the error
    which I am referring to. Their
    3.6% drop in %HI (after accounting for pedestrian gains) is
    a number of percentage points, not a % fall in injury
    rate. Got it yet? When calculated as a % change in injury
    rate, it is double the % drop in the proportion of
    unhelmeted cyclists. As soon as one realises this point,
    it is clear that there are other factors present which
    exceed any possible benefit of helmets, and that
    attributing any part of this large overall injury
    reduction to helmets is basically guesswork.

    I see you need to work through all the numbers rather than
    understanding the essence of the mistake directly.
    Biologists!

    [snip lots of tedious calculation]

    Quoted message said:

    the answer is so obviously bogus that it is hard to credit
    the study.

    So finally you agree with me. I'm happy for you. Do you
    understand _why_ it is bogus, and how their 60% figure is
    wrong, or do I need to go through it one more time?

    Quoted message said:
    Quoted message said:

    I guess I get the prize...of writing to the journal and
    the authors to explain their mistake.

    Don't do it, you'll be laughed out of court unless you can
    come up with a much better interpretation of the data than
    you already have. Mine would need to be thoroughly worked
    over before letting anyone near it professionally.

    Don't be such a pompous ass, their formula for the 60%
    calculation is obviously bogus, and the correct conclusion
    from that data, which I have already explained, is that
    there _must_ be substantial confounding factors that they
    have not taken into account since the overall reduction in
    head injury rates is twice what would be provided by 100%
    effective helmets. There is no better interpretation of
    this data than to point out that it is wholly inadequate
    for the purpose.

    James

    [4] Note that there is also essentially the same error in
    the way they calculate an "excess" 3.6 percentage points
    gain for cyclists, since the drop in ped and cyclist %HI
    rates should also both be normalised by their initial
    values before subtracting one from the other. However,
    the effect of this error is probably small, since the
    ped and bike values are quite similar, and it could
    perhaps be defended as an insignificant approximation.
    I'm only addressing the error where they calculate the
    efficiency of helmets as 3.6/5.8 = 60% which is a rather
    elementary mistake to make for those who presume to
    write statistics textbooks.

    --
    If I have seen further than others, it is by treading on the
    toes of giants. ne.jphome

  17. Quoted message said:
    Quoted message said:

    AC wrote: What I don't feel is likely is that Prof Sheikh
    simply fell into the thrall of the BHIT and is
    uncritically regurgitating it's rhetoric - aided and
    abbetted by a dodgy understanding of statistics.

    Quoted message said:

    Not quite sure if I'm reading you right, are you suggesting
    that Prof Sheikh has a dodgy understanding of the stats? If
    so, how come he has just managed to publish a textbook
    about the analysis of statistics for the health industry?

    No - I'm saying the opposite.

    Earlier you wrote:

    "If such a highly qualified person can fall for the bent
    stats and outright lies told by BHIT, it isn't surprising
    that so many other people
    do. Mind you, I'm not too sure how much faith I'd put in a
    book by an author who has so completely failed to
    analyse the evidence."

    Quoted message said:

    And having now read the article, see thread "and yet
    again", Prof Sheikh seems firmly in the "don't lets look at
    evidence that doesn't support our preconceived ideas" camp.

    I don't come to that conclusion from reading that paper.
    What I take away from it is a clear framework for thinking
    about the ethical issues involved (useful whatever your
    stance), an impression that many of the arguments are
    contentious, and some starting points to investigate them
    further (there are links to papers that do not support his
    views - they might not be the ones that you would have
    chosen). He openly takes a stance, but I don't feel bullied
    into accepting it.

    Quoted message said:

    He doesn't even mention the whole population, long term
    evidence, why not?

    I'm not sure what evidence you think he should have
    included. Remember that this is an article primarily about
    ethics - the guy will have strict word limits and his
    article would have been hard to follow if he hadn't kept
    reasonably close to the point.

    If you want to read something that should be comprehensive
    look for a review paper.

    AC

  18. Peter Amey said:
    Peter Clinch said:
    anonymous coward said:

    Professor Sheikh has been researching bicycle helmets
    for years - it's more likely that BHIT listen to what he
    has to say, than the other way round.

    Then he really ought to manage better than "The consensus
    is that they reduce anything up to 88% of serious head
    injuries if they are used".

    I fear (wearing my pedant's hat rather than my cycling
    helmet) that the statement is absolutely correct as it
    stands. Because "anything up to" includes 0 (no effect)
    and also negative numbers (icnreases risk). All the
    statement does is place an upper bound on the potential
    change in hazard.

    I withdraw my comment above and trade will send in my
    pedant's hat for a full service. I was misled by the
    "anything up to" when the really innacurate bit is "The
    consensus is...". Starting the sentence with those words is
    an attempt to make axiomatic that there is a consenus. The
    rest is just sleight of hand intended to imply that the (non
    existent) consensus tends toward the 88% of the scale.

    One of the most important aspects of the whole H debate is
    that /there is no consensus/.

    Peter

  19. On Tue, 01 Jun 2004 22:41:35 +0100,

    David Martin said:

    First let me admit my professional background. I am a
    research scientist

    Thanks for your feedback.

    Quoted message said:
    Quoted message said:

    When the decrease in head injury rate for cyclists and
    peds were compared were they normalised to account for
    risk exposure (size, make up of population, motor traffic
    behaviour, road conditions and total miles travelled for
    both years).

    Does it need to be? It was as a proportion of total
    injuries resulting in admission. This automatically
    corrects for distance travelled/exposure, size of
    population etc.

    I think it does. Measuring change in hospitalisation numbers
    over time and then attributing them to one putative injury-
    prevention device without looking at other risk factors or
    the make-up and actions of the groups (and other parties)
    doesn't seem very rigorous.

    Also the helmet wearing number was stated as 22% (which
    comes from Bryan-Brown and Christie's survey in 1999). This
    is only correct for busy sites, the same survey showed helmet-
    wearing at 8.2% on quieter roads.

    Quoted message said:
    Quoted message said:

    Of course his paper may answer some of these points but I
    would be surprised if one could design an unbiased study
    that could supply figures that would strongly support
    helmet compulsion.

    It is a very short paper, and a very simplistic
    analysis that with a bit of care could probably have
    been done better.

    From what I have seen the number of papers pro and anti
    helmet compulsion seem pretty equally split. Some of them
    arrive at diametrically opposite conclusions from the same
    base data.

    --
    Andy Leighton => [email hidden] "The Lord is my
    shepherd, but we still lost the sheep dog trials"
    - Robert Rankin, _They Came And Ate Us_

  20. On 2/6/04 3:22 am, in article
    [email hidden], "James Annan"

    Quoted message said:

    No, I didn't miss that, which is why I used their figure
    for the _extra_ gains made by cyclists, over and above
    that made by pedestrians. Incidentally, none of the
    figures in the paper seem to square with the data points
    or the regression line in the figure, but I wasn't
    particularly addressing that initial part of their
    calculation at all, even though it is also wrong in
    detail[1].

    I misread your original post. My apologies. It was late. I
    was tired. As they say, don't drink and derive.

    I see we do actually agree. The numbers quoted are
    completely bogus.

    What would have helped their analysis is using the data
    split into regions. They obviously have some data of this
    sort (looking at the regression plot).

    Quoted message said:


    Quoted message said:


    Quoted message said:


    If that is not clear enough, consider a simple
    hypothetical: head injury rates drop from 20% to 0%
    while helmet use increases from 0% to 100%. It is clear
    that helmet effficiency is 100% (all injuries are
    prevented), and not 20/100=20% as Cook and Sheikh's
    method would indicate.

    No. You cannot take the extreme.

    Sheesh. I just dropped in a simple numerical example to
    show the bogosity of their calculation.

    Misread the point. Sorry. Now I see what point you are
    making I am entirely in agreement.

    Quoted message said:
    Quoted message said:


    Assume cyclist HI drop from 50 to 25 percentage points. A
    50% drop

    You can stop right there, since according to the method in
    the paper it is clear that they would refer to this as a
    25% drop (50 - 25, not the correct 25/50). This is the
    error which I am referring to. Their
    3.6% drop in %HI (after accounting for pedestrian gains)
    is a number of percentage points, not a % fall in injury
    rate. Got it yet? When calculated as a % change in
    injury rate, it is double the % drop in the proportion
    of unhelmeted cyclists. As soon as one realises this
    point, it is clear that there are other factors present
    which exceed any possible benefit of helmets, and that
    attributing any part of this large overall injury
    reduction to helmets is basically guesswork.

    I see you need to work through all the numbers rather than
    understanding the essence of the mistake directly.
    Biologists!

    I missed your original point on the underlying mistake (it
    was a poorly presented paper, hard enough to work out what
    they had done, let alone why it was wrong.) BTW I put
    numerical examples in for the benefit of others to explain
    why the original data is unreliable.

    Quoted message said:

    [snip lots of tedious calculation]

    Quoted message said:
    Quoted message said:

    the answer is so obviously bogus that it is hard to
    credit the study.

    Quoted message said:

    So finally you agree with me. I'm happy for you. Do you
    understand _why_ it is bogus, and how their 60% figure is
    wrong, or do I need to go through it one more time?

    I didn't actually see where they had got their 60% figure
    from. (reading things late at night after a few beers is not
    a good idea.)

    Quoted message said:
    Quoted message said:
    Quoted message said:

    I guess I get the prize...of writing to the journal and
    the authors to explain their mistake.

    Quoted message said:
    Quoted message said:

    Don't do it, you'll be laughed out of court unless you
    can come up with a much better interpretation of the data
    than you already have. Mine would need to be thoroughly
    worked over before letting anyone near it professionally.

    Don't be such a pompous ass,

    </pompous ass>

    Quoted message said:

    their formula for the 60% calculation is obviously bogus,
    and the correct conclusion from that data, which I have
    already explained, is that there _must_ be substantial
    confounding factors that they have not taken into account
    since the overall reduction in head injury rates is twice
    what would be provided by 100% effective helmets. There is
    no better interpretation of this data than to point out
    that it is wholly inadequate for the purpose.

    Agreed 100%. Is it worth writing now or is it too late?
    Would it raise the issue in the wrong way or actually be
    beneficial?

    Maybe it would be worth contacting the authors directly to
    find out what their original data was and their
    justification for arriving at the figure.

    Apologies for the misunderstanding. Notwithstanding the
    disagreement, I think we do have plenty of ammunition for a
    critical letter if it would be appropriate.

    ..d

    Quoted message said:

    [1] Note that there is also essentially the same error in
    the way they calculate an "excess" 3.6 percentage
    points gain for cyclists, since the drop in ped and
    cyclist %HI rates should also both be normalised by
    their initial values before subtracting one from the
    other. However, the effect of this error is probably
    small, since the ped and bike values are quite
    similar, and it could perhaps be defended as an
    insignificant approximation. I'm only addressing the
    error where they calculate the efficiency of helmets
    as 3.6/5.8 = 60% which is a rather elementary mistake
    to make for those who presume to write statistics
    textbooks.

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