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What does a p-value tell me about a laboratory comparison?

A p-value describes how unusual the observed test statistic would be under the null hypothesis and the assumptions of the test. To interpret a laboratory comparison, read it alongside the estimated difference, its uncertainty and the difference that would matter in practice.

Worked example at a glance

+2 units

Mean difference in both studies

12 pairs each

Same sample size

0.005 vs 0.193

Two-sided p-values

Read the p-value in relation to the question tested

A paired t-test can ask whether the population mean difference is zero. Under that null hypothesis and the test’s assumptions, a two-sided p-value is the probability of a test statistic at least as far from zero as the one observed, in either direction. It is conditional on the null model. [1] [2]

A smaller p-value means the result is less compatible with that model. It does not give the probability that the null hypothesis is true. The size of a difference, how precisely it was estimated and whether it matters require separate information. [1]

Hold the estimated difference fixed

Two fictional studies each measure 12 specimens by both methods. The estimated mean difference, B minus A, is +2 units in both. The paired differences are more variable in study B.

Both studies have a mean difference of plus 2 units. Study A’s 95% interval runs from 0.73 to 3.27, with p 0.005. Study B’s interval runs from minus 1.18 to 5.18, with p 0.193.
Fictional paired comparisons. Dots are estimates and lines are 95% confidence intervals for the mean difference. Open the figure full size.

The greater spread in study B gives a wider interval and a larger p-value. The estimated mean difference stays at +2 units. Study A’s interval excludes zero, while study B’s interval includes zero and also includes positive differences larger than those in study A’s interval.

Here the p-values come from two-sided paired t-tests. The intervals use the same model and estimate the mean difference across specimens.

Compare the interval with a difference that matters

The table shows that the studies have the same number of pairs and the same estimated mean. The precision differs.

StatisticStudy AStudy B
Pairs1212
Mean difference+2.0 units+2.0 units
SD of differences2.0 units5.0 units
95% CI0.73 to 3.27−1.18 to 5.18
Two-sided p-value0.0050.193
Both studies test the same null hypothesis of zero mean difference.

Suppose 3 units is the largest average difference the laboratory would regard as acceptable for this purpose. Both intervals extend above +3 units. Even study A’s smaller p-value does not settle whether the mean difference is within that limit.

To judge whether the methods can be used interchangeably for individual specimens, also examine the spread of the paired differences and how they vary with concentration. The interval here is for the mean.

Report the estimate, interval and test together

State the size and direction of the estimate, the confidence interval and the test. This gives the reader more information than a significance label.

Example wordingStudy B estimated a mean difference of +2.0 units (B minus A), with a 95% confidence interval from −1.18 to +5.18 units and a two-sided paired t-test p-value of 0.193.

Member Learning

Plan a laboratory study and prepare your data

Work through a laboratory study, from planning and checking the source data to summarising results and explaining their limits.

Sources and related reading

Read when to use SD, CV, standard error or a confidence interval · Read about agreement between laboratory methods

By Stephen MacDonald · Suggest a correction · Back to Find a guide