Length time bias
Encyclopedia
Length time bias is a form of selection bias
Selection bias
Selection bias is a statistical bias in which there is an error in choosing the individuals or groups to take part in a scientific study. It is sometimes referred to as the selection effect. The term "selection bias" most often refers to the distortion of a statistical analysis, resulting from the...

, a statistical distortion of results which can lead to incorrect conclusions about the data. Length time bias can occur when the lengths of intervals are analysed by selecting intervals that occupy randomly chosen points in time or space. This process favors longer intervals, thus skewing the data.

For example, length time bias can affect data on screening tests for cancer. Faster-growing tumors generally have a shorter asymptomatic
Asymptomatic
In medicine, a disease is considered asymptomatic if a patient is a carrier for a disease or infection but experiences no symptoms. A condition might be asymptomatic if it fails to show the noticeable symptoms with which it is usually associated. Asymptomatic infections are also called subclinical...

 phase than slower-growing tumours, and so are less likely to be detected. However, faster-growing tumors are also often associated with a poorer prognosis
Prognosis
Prognosis is a medical term to describe the likely outcome of an illness.When applied to large statistical populations, prognostic estimates can be very accurate: for example the statement "45% of patients with severe septic shock will die within 28 days" can be made with some confidence, because...

. Slower-growing tumors are hence likely to be over-represented in screening tests. This can mean screening tests are erroneously associated with improved survival, even if they have no actual effect on prognosis.
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