Question

Difficulty: EasyMeasures of Association and Impact

A physician is reviewing several medical journal articles to update hospital protocols. Match each clinical research conclusion with the corresponding epidemiological measure it best represents.

  • Treating 25 patients with a new antiplatelet drug for one year prevents one additional stroke.Number Needed to Treat (NNT)
  • Patients presenting with deep vein thrombosis had 3.5 times greater odds of carrying the Factor V Leiden mutation compared to patients without deep vein thrombosis.Odds Ratio (OR)
  • Individuals who consumed a high-sodium diet had 2.0 times the incidence of hypertension over a 5-year period compared to those on a low-sodium diet.Relative Risk (RR)
  • Eliminating asbestos exposure in the community would reduce the total incidence of mesothelioma in that community by 90%.Population Attributable Risk Percent (PAR%)

Answer

Treating 25 patients to prevent one stroke matches Number Needed to Treat (NNT). Patients with DVT having 3.5 times greater odds of mutation matches Odds Ratio (OR). High-sodium diet causing 2.0 times the incidence of hypertension matches Relative Risk (RR). Eliminating asbestos reducing community incidence by 90% matches Population Attributable Risk Percent (PAR%).
Each statement uniquely and classically defines the clinical interpretation of a specific epidemiological measure. NNT is identified by the phrase 'prevent one additional [event]'. OR is identified by comparing 'odds' of past exposures. RR is identified by comparing 'incidence' or 'risk' across groups moving forward in time. PAR% is identified by the concept of reducing 'total incidence in that community'.

Step-by-Step Solution

1
Analyze the first conclusion regarding treating a specific number of patients to prevent one adverse event.
This describes the inverse of the absolute risk reduction (1/ARR1/ARR).
Number Needed to Treat (NNT) is strictly defined by the clinical interpretation of how many individuals require an intervention to prevent one single outcome.
2
Analyze the second conclusion comparing 'odds' of an exposure between cases (deep vein thrombosis) and controls.
This describes a retrospective analysis comparing exposure odds.
The Odds Ratio (OR) is the primary measure of association used in case-control studies.
3
Analyze the third conclusion comparing the 'incidence' of a disease between an exposed group (high-sodium) and an unexposed group (low-sodium) over time.
This is a ratio of two incidence rates.
Relative Risk (RR) is calculated by dividing the incidence in the exposed group by the incidence in the unexposed group, typically in a cohort study.
4
Analyze the fourth conclusion regarding the proportion of overall community disease prevented by eliminating an exposure.
This describes an impact measure at the population level rather than the individual exposed group level.
Population Attributable Risk Percent (PAR%) specifically measures the proportion of disease incidence in the total population that is attributable to an exposure.

Key Concept

Identifying epidemiological measures of association and impact based on their standardized clinical interpretations in medical literature.
Rate this question