Evaluating Therapy Flashcards

1
Q

1st column of table in RCTs

A

Treatment
Placebo
Total

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2
Q

2nd column of table in RCTs

A

Outcome present
A
C
A+C

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3
Q

3rd column of table in RCTs

A

Outcome absent
B
D
B+D

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4
Q

4th column of table in RCTs

A

A+B
C+D
A+B+C+D

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5
Q

1st row of table in RCTs

A

Outcome present, outcome absent

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6
Q

2nd row of table in RCTs

A

Treatment, A, B, A+B

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7
Q

3rd row of table in RCTs

A

Placebo, C, D, C+D

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8
Q

4th row of table in RCTs

A

Total, A+C, B+D, A+B+C+D

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9
Q

What is the control event rate (CER) in placebo group?

A

Frequency of event

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10
Q

Calculation of CER

A

C/(C+D)

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11
Q

What is Experimental event rate (EER)?

A

Frequency of event in treatment group

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12
Q

Calculation for EER

A

A/(A+B)

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13
Q

Odds of the event of interest in treatment group?

A

A/B

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14
Q

Odds of event of interest in placebo group?

A

C/D

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15
Q

Odds ratio?

A

(A/B)/(C/D)

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16
Q

Another name for absolute benefit increase?

A

Absolute risk reduction

17
Q

Calculation for absolute risk reduction

A

EER - CER

18
Q

Calculation for relative risk

A

[A/(A+B)] / [C/(C+D)]

or
EER/CER

19
Q

Another name for relative benefit increase

A

Relative risk reduction

20
Q

Calculation for relative risk reduction

A

ABI/CER

or

(EER-CER)/CER

or

RR-1

21
Q

What is NNT?

A

Number of patients who would have to receive treatment for one of them to benefit

22
Q

Calculation of NNT

A

100/ARR

23
Q

Unit of NNT

A

Percentage

24
Q

Calculation for NNH (number needed to harm)

A

100/Absolute risk increase

25
Q

Unit for NNH

A

Percentage

26
Q

What is considered a significant value for NNT

A

<10

27
Q

What does NNT of 1 mean?

A

Everyone gets better with treatment, no one gets better with controls

28
Q

What value of NNT represents effective therapies

A

2-5

29
Q

Difference between trial participants and clinical population

A

Differences in baseline risk rates

30
Q

What do you need to change if applying RCT data to your own clinical patients?

A

CER - baseline risk in group w/o intervention

31
Q

What is the name of the new CER for your own clinical sample?

A

Patient expected event rate - PEER

32
Q

What is the PEER?

A

Control event rate in local population in which intervention is planned

33
Q

How do get a new ABI from PEER?

A

RBI x PEr

34
Q

How to get new NNT from PEER

A

1/ABI(new)

35
Q

How to get new NNT from f value?

A

NNT(old)/f value

36
Q

What is the f value?

A

Susceptibility of a local population to a particular outcome