Presenting numbers

Significant digits and reported precision

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Reported precision should reflect the information a measurement supports. Significant digits, calculation rules and rounding conventions help prevent extra digits from implying unwarranted certainty or too few digits from hiding a meaningful difference.

Measurement and uncertainty

Significant digits, or significant figures, comprise the certain digits in a measured value plus one uncertain digit. For example, measurements of the same object on a kitchen scale, triple beam balance and analytical balance may be reported as 4 g, 3.6 g and 3.582 g, with one, two and four significant digits respectively. Reporting too many or too few significant digits can misrepresent scientific data and affect decisions.

Accuracy describes agreement with the true value, whereas precision describes agreement among repeated measurements under the same conditions. A precise measurement can be inaccurate, and an accurate measurement can be imprecise. Both inaccuracy and imprecision contribute to uncertainty in measurements and in quantities calculated from them. Uncertainty can be expressed through limited significant digits, in measurement units or as a percentage of the value. For example, 25.2 mL ± 0.05 mL corresponds to approximately 25.2 mL ± 0.2%.

Reporting 3.50 implies finer precision than reporting 3.5.

Counts can also require approximation: New York City's 2018 population was reported as 8.40 million. A value whose precision supports 5.4 should not be reported as 5.38761. Software's ability to display many decimal places does not establish that they are meaningful.

Counting significant digits

Five rules determine the significant digits in a measured quantity.

  1. All nonzero digits are significant: 4.63 mg has three significant digits and 9.8 °C has two.
  2. Zeros between nonzero digits are significant: 208 g has three significant digits and 5.004 µg has four.
  3. Leading zeros are placeholders, not significant digits: 0.04 mL has one significant digit and 0.053 nm has two.
  4. Trailing zeros to the right of the decimal point are significant: 1.0630 dL has five significant digits and 0.70 mg has two.
  5. Trailing zeros in whole numbers are not necessarily significant: 140 cm may have two or three significant digits and 52,400 km may have three, four or five.

Scientific notation removes ambiguity about trailing zeros: 52,400 km can be written as 5.24 × 10⁴ km, 5.240 × 10⁴ km or 5.2400 × 10⁴ km to indicate three, four or five significant digits.

Exact numbers do not limit the significant digits in a calculation because they are treated as having infinitely many significant digits. Examples include the conversion 1 in = 2.54 cm, the constants π and e, and a count of 27 students in a classroom.

Calculations

Calculations using measured inputs cannot acquire greater precision merely through arithmetic. For addition and subtraction, the rounding rule uses the number of decimal places in the least precise input: 135 + 53.487 = 188.487, rounded to 188. For multiplication and division, it uses the smallest number of significant digits among the inputs: 6.2 × 24.63 = 152.706, rounded to 150 with two significant digits.

Logarithms and antilogarithms

For base-10 logarithms, the integer part is the characteristic and the fractional part is the mantissa. The characteristic represents the power of ten, so the number of digits retained after the decimal point corresponds to the significant digits in the original value. Thus log(3.00 × 10⁴) = 4.47712125472 is rounded to 4.477, retaining three decimal places.

For an antilogarithm, the result has as many significant digits as there were digits in the logarithm's mantissa. A pH of 6.47 corresponds to a hydrogen ion concentration of 3.4 × 10⁻⁷, and a pKa of 4.578 corresponds to Ka = 2.64 × 10⁻⁵. Similarly, 10^(2.53) = 338.8442 is rounded to 340, or 3.4 × 10², with two significant digits.

Rounding conventions

The following rounding rules limit reported precision, rounding bias and intermediate calculation error.

  1. If the digit to be dropped is greater than 5, add 1 to the last retained digit: 84.7 becomes 85.
  2. If it is less than 5, leave the last retained digit unchanged: 26.4 becomes 26.
  3. If it is 5 followed by any nonzero digit, add 1 to the last retained digit: 28.51 becomes 29.
  4. If it is 5 followed only by zeros, increase an odd last retained digit by 1 and leave an even one unchanged: both 47.5 and 48.5 become 48.
  5. In multistep calculations, retain as many intermediate digits as practical, at least one more than the final result, to avoid round-off error.

Rounding ties to an even retained digit is intended to avoid bias by averaging rounding errors across calculations.

Planning reported precision

The statistical analysis plan should specify the appropriate precision for each output variable so that tables, figures and listings report meaningful values. This is particularly relevant to clinical study reports, which combine data from many sources.

A worked reporting example used a bioanalytical method validated over a calibration range of 7.754–3969 ng/mL and recommended four significant digits for plasma concentrations throughout that range: 7.754–9.999, 10.00–99.99, 100.0–999.9 and 1000–3969 ng/mL. A reported value of 3938.748 ng/mL has seven significant digits, exceeding the precision supported by the method in that example.

Medical writers, statisticians, clinical reviewers and others involved in research reporting share responsibility for appropriate reported precision. Meaningful results support decisions by clinicians, regulators, policymakers and other stakeholders.

Reasons to round and reasons to retain digits

Statistical reproducibility can limit useful digits: simulations of correlation coefficients across different coefficients and sample sizes found two decimal digits statistically meaningful only with samples above 500 and three only with samples above 100,000.

Limiting numbers to at most two significant digits can aid comprehension. If greater precision is unnecessary, rounding a procedure cost of $32,833 to $33,000 should improve comprehension and recall.

Practical meaning also matters: a mean age of 32.81 years includes about 296 days beyond 32 years, and changing 0.81 to 0.8 years changes it by about four days. Rounding to the nearest year is pragmatic advice for this example, with similar reasoning applicable to other demographic and clinical characteristics.

Terminal digit bias is a tendency to round recorded values to zero, an even digit or five. It has been reported for manually measured blood pressure, emergency department discharge times, birth weights, self-reported age among cancer patients in developing countries and self-reported menopause onset year.

Among almost 29,000 women, blood pressure measurements ended in zero in 78% of cases, another even digit in 15%, five in 5%, and another odd digit in 2%. In that study, changing the hypertension threshold from at least 140 mm Hg to greater than 140 mm Hg reduced estimated prevalence from 26% to 13% overall, from 15% to 6% in the low-risk subgroup and from 43% to 25% in the high-risk subgroup. In another study, caregivers recorded diastolic pressures of 88–89 rather than 90–99 mm Hg for patients they thought did not need treatment; this difference was associated with a relative risk for excess cardiovascular death of 2.6 (95% confidence interval 1.4–4.6).

Consequences of inappropriate precision

Three examples illustrate the potential effects of inappropriate precision.

  1. A misleading claim of precision in an epidemiological study of phenylpropanolamine and stroke was suggested to have influenced policymakers and contributed to withdrawal of the product from the US market.
  2. A potassium concentration rising from 4.8 to 5.2 mmol/L with assay imprecision of 0.1 mmol/L was considered a likely patient change rather than assay imprecision alone; reporting both values as 5 mmol/L would hide the 0.4 mmol/L increase. Laboratory results reflecting measurement imprecision give clinicians greater confidence in judging whether changes reflect normal variability or possible disease.
  3. A scientific advisory panel to the US Environmental Protection Agency concluded that extra significant figures in cancer risk estimates could imply false precision and mislead risk managers.

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