09 BiggestSecretinMedicine | Summary and Q&A

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July 31, 2020
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YaleCourses
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09 BiggestSecretinMedicine

TL;DR

Understanding the difference between relative risk and absolute risk difference is key in evaluating the effectiveness of medications.

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Key Insights

  • 😷 Medical studies evaluate the effects of medications on a population, not individual outcomes.
  • ✳️ Relative risk and absolute risk difference are different metrics used to express medication effectiveness.
  • ✳️ Relative risk can inflate the perceived effectiveness, while absolute risk difference provides a more accurate picture.
  • 🪡 The number needed to treat helps assess the likelihood of an individual benefiting from a medication.

Transcript

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Questions & Answers

Q: What is the difference between relative risk and absolute risk difference?

Relative risk compares the risks of an outcome between two groups, often expressed as a percentage, while absolute risk difference measures the actual difference in risk between the two groups.

Q: How can relative risk be misleading?

Relative risk can be misleading because it often sounds more impressive than absolute risk difference, giving a larger perception of the effectiveness of a medication.

Q: What is the number needed to treat (NNT)?

The NNT represents the number of people who need to be treated with a medication to prevent one additional bad outcome, such as a heart attack. It is calculated as the inverse of the absolute risk difference.

Q: Is the NNT a universal threshold for the effectiveness of medications?

No, the NNT does not have a specific threshold. It depends on the individual's risk profile, the cost and side effects of the medication, and the perceived benefit of preventing the bad outcome.

Summary & Key Takeaways

  • Medical studies assess the effects of medications on a population, not individual outcomes, similar to the odds of winning in a casino.

  • Relative risk and absolute risk difference are two metrics commonly used in medical studies to express the effectiveness of a medication.

  • The number needed to treat (NNT) is the inverse of the absolute risk difference and helps determine the likelihood of a medication benefiting an individual.

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