Barely Significant
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Advancing Real-World Evidence Generation: Growth and Lessons Learned from the Early Years of Cosmos.

ACI open · 2026 · PMC13404524 · PMID 42523215

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highly significantno p-value reported
Similar to other multi-institutional health record databases, analyses in Cosmos frequently exhibit high statistical power due to large sample sizes but are susceptible to the big data paradox, wherein highly significant results might not reflect clinically meaningful discoveries. 11 This abundance of statistically significant results increases the risk of false discoveries.

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