Large studies have more statistical power than small studies. This means the results from large studies are less likely to be due to chance than results from small studies.
You can see the power of large numbers if you think about flipping a coin. Say you are trying to test the theory that a coin is fixed so that it lands on “heads” more than “tails.” You want to test whether it lands on heads more than half of the time (a fair coin would land on heads half the time).
If you flip the coin twice and get two heads, you don't have a lot of evidence. It would not be surprising to flip a fair coin and get two heads in a row. With two coin flips, you can't be sure whether you have a fair coin or not. Even three or four heads in a row wouldn't be surprising for a fair coin. If, however, you flipped the coin 20 times and got mostly heads, you would start to think that the coin was not a fair one.
With an increasing number of observations, you have more evidence on which to base your conclusions, so you have more confidence in them. It is a similar idea in research.
Say you are interested in finding out whether or not alcohol use increases the risk of breast cancer. If there are only a few cases of breast cancer among the alcohol drinkers and the non-drinkers, you will not have much confidence making conclusions. If, however, there are hundreds of breast cancer cases, it is easier to draw firm conclusions about a link between alcohol and breast cancer. With more evidence, you have more confidence in your findings.
Study design (the type of research study) and study quality are also important. For example, a small, well-designed study may be better than a large, poorly-designed study. However, when all else is equal, a larger number of people in a study means the study is better able to answer research questions.
Learn about different types of studies.
How to Read a Research Table
Breast Cancer Research Home
Types of Research Studies
Breast Cancer 101
Ductal Carcinoma in Situ
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