Act 5 · Trust

Replay and limits

Does the profile predict what happened next, and what can it not show?

Sample values. Synthetic study, not real patients.

Replay: re-fitted on records dated before 2024-12-26, then the rest revealed

The fit saw nothing dated after the cut (latest record in the fit: 2024-12-26). Computed inside the hospital zone; only the results crossed.

CheckQuantityPredictedActual
ReplayDropouts in the last third18.0 (13.0 to 25.0, 80%) Learned13inside
ReplayInterim visits attended in the last third212.0 (202.0 to 222.0, 80%) Learned215inside
Back-testMonths from the cut to full enrolment11.01 (9.59 to 12.68, 80%) Learned10.15inside

Calibration

Not run for this build. Run python -m calibrate.

What one study can and cannot show

  • One study cannot show that local knowledge makes a design better. Simulating twice shows what changes when local inputs replace global ones.
  • One study cannot measure how much studies differ. Every prediction for a new study adds a between-study spread that clinicians estimated, and is labelled as such.
  • The treatment difference is the brief's assumption. Trial OS does not predict whether a drug works.
  • Site activation time has no local value and uses a global default.
  • Calibration uses synthetic studies drawn from one truth. It tests the interval method, not real-world transfer.
  • Theme agreement and extraction accuracy here are measured on synthetic text written beside the rules. Hand-labelled real documents are needed for a real number.