Prevention Book

http://www.fpnotebook.com/

Number Needed to ScreenAka: Number Needed to Treat, Absolute Risk Reduction, Relative Risk Reduction

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  1. Event Rate (Event Probability)
    1. Event Rate: (Number Events) / (Number Total Patients)
    2. Calculate for both intervention and control groups
  2. Relative Risk (RR)
    1. RR = (Intervention Event Rate)/(Control Event Rate)
  3. Relative Risk Reduction (RRR)
    1. Relative risk Reduction or RRR = 1 - (Relative Risk)
    2. RRR = (Absolute Risk)/(Control Group Event Probability)
  4. Absolute Risk Reduction (ARR)
    1. ARR = (Intervention Event Rate) - (Control Event Rate)
  5. Number Needed to Screen (NNS) or Treat (NNT)
    1. Number of patients screened to prevent one death
    2. Assumes certain period of time (e.g. one year)
    3. NNS or NNT = 1/(Absolute risk reduction)
  6. Resources
    1. Visual Tool
      1. http://www.nntonline.com
  7. References
    1. Cook (1995) BMJ 310:492
    2. Daya (1999) Evid Based Obstet Gynecol 1:103-4
    3. Mcquay (1997) Ann Intern Med 126(9):712

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