Measures of Risk and Association Flashcards
single blind RCT
researchers do not tell participants if being given treatment or control
double blind RCT
neither pt’s or researchers know who is getting placebo or treatment
-prevent bias due to demand characteristics or placebo effect
open labeled clinical trials
both reasearchers and pt’s know which treatment is admin
-still randomized
-uncontrolled (all pt’s get same treatment)
crossover study
half pt’s get treatment I for a period then get placebo (treatment II)
other half gets placebo first then treatment
so pt serves as their own control (w/i subject)
crossover pros/cons
order effect
carryover effect (side effects of a drug)
good for improvement of chronic illness
absolute risk reduction
simple/direct measure of treatment impact
-dep on background baseline risk bc van vary based on population but clinically more interpretable
null value = 0
number needed to treat
NNT
number of pts needed to be treated by intervention to prevent an adverse event
-dep on efficacy of intervention and baseline risk
= 1/ARR
relative risk
RR
risk of even in the treatment group vs standard of care/control
null value = 1.0 so if
RR< 1.0 = dec risk and beneficial treat
RR>1.0= inc risk and harmful treat
relative risk reduction
proportion of baseline risk that is removed by new therapy = 1-RR
indicated magnitude of risk dec of the adverses event
number needed to harm
how many subjects need to be exposed to risk fact for one extra person to experience adverse event
1/risk difference