Reporting and justification of sample size in translational chronic variable stress procedures: A systematic review

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This paper is a systematic review examining how sample size is reported and justified in translational chronic variable stress (CVS) animal studies, with a focus on the Three Rs principle of Reduction. The authors screened 385 CVS studies and found that only one article reported using a biologically meaningful effect size to determine sample size for appropriate statistical testing. They conclude that, despite the rationale that effect-size justification should be important in experiments intentionally involving suffering, most CVS studies may not strongly align with Reduction. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

All in vivo studies using laboratory animals should be guided by the Three Rs: Replacement, Reduction and Refinement. The concept of Reduction is important in sample size estimation; the sample size used should allow the detection of a biologically meaningful effect size using appropriate statistical tests, but not at the expense of animal suffering. Because studies using chronic variable stress (CVS) procedures deliberately impose suffering, we reasoned that Three Rs principles would be a strong consideration in experimental design. To explore this, we conducted a systematic review of CVS studies to ask whether a biologically meaningful effect size was used to determine the sample size. Only one article in our sample of 385 reported doing this. Accordingly, it is questionable whether most of these studies align strongly with the principle of Reduction. While determining a biologically meaningful effect size is not always straightforward, we believe it is central to making biologically informed decisions about study design and interpretation, and we discuss possible ways forward.
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Abstract All in vivo studies using laboratory animals should be guided by the Three Rs: Replacement, Reduction and Refinement. The concept of Reduction is important in sample size estimation; the sample size used should allow the detection of a biologically meaningful effect size using appropriate statistical tests, but not at the expense of animal suffering. Because studies using chronic variable stress (CVS) procedures deliberately impose suffering, we reasoned that Three Rs principles would be a strong consideration in experimental design. To explore this, we conducted a systematic review of CVS studies to ask whether a biologically meaningful effect size was used to determine the sample size. Only one article in our sample of 385 reported doing this. Accordingly, it is questionable whether most of these studies align strongly with the principle of Reduction. While determining a biologically meaningful effect size is not always straightforward, we believe it is central to making biologically informed decisions about study design and interpretation, and we discuss possible ways forward. Competing Interest Statement The authors have declared no competing interest. Footnotes Competing interests: The authors have no competing interests. JM conceived the study. CJ, NR and JM performed the research, analysed the data and wrote the paper.

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