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Glossary of terms

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Term Explanation 
Absolute risk reduction (ARR) The difference between the rates in the control and the treatment group. 
Baye’s revision A formula for revising belief in the light of new information 
Blinded Single blinded – the patient doesn’t know if on trial therapy or placebo; double blinded – the doctor also doesn’t know. 
Cohort study A study design where patients are followed over time without an intervention and control group – observational. 
Confidence interval (CI) Two figures delineating the range within which the true value is likely to fall 95% of the time if you repeated the trial many times 
Control event rate (CER) The rate of events in the group given placebo. 
Diagnostic probability Your degree of certainty that a diagnosis is correct. 
Diagnostic threshold The level of certainty below which a diagnosis is so unlikely that investigating further is unwarranted. 
Experimental event rate (EER) The rate of events in the group given the active treatment 
Hazard ratio The ratio of two incidence rates. Not intuitively easy to grasp, so look for more clinically meaningful comparators. 
Likelihood ratio negative (LR-) A small number (e.g. < 0.3) indicates a useful test if the result is negative – i.e. will be helpful at excluding a diagnosis. 
Likelihood ratio positive (LR+) A large number (e.g. > 3) indicates a useful test if a result is positive (i.e. will make the diagnosis much more likely). 
Meta-analysis A mathematical process for pooling results from a systematic review. 
Negative predictive value (NPV) Probability that a disease is absent if the test is negative. 
Number needed to harm (NNH) Number you will have treated before one patient derives harm from the treatment. 
Number needed to investigate (NNI) The number of patients you need to test to detect one case 
Number needed to treat (NNT) The number of patients one needs to treat in order to secure benefit for one individual. 
Observational study A study design where you watch without intervening. 
Odds A ratio expressed in a form more easily used in Bayesian revision. (Events occurring/events not occurring.) 
Odds ratio (OR) A ratio of two odds ratios. Commonly used in meta-analysis outputs.
Positive predictive value (PPV) Probability that a disease is present if the test is positive. 
Posterior probability Your degree of certainty after revising knowledge in the light of new information. 
Prior probability Your degree of certainty before revising knowledge with new information. 
Randomised controlled trial (RCT) An experimental design incorporating a group given the trial therapy compared with a group given either placebo or standard care. 
Rate A proportion (e.g. events occurring /all possible events) 
Relative risk reduction (RRR) Efficacy measured as a proportional rather than an absolute difference.
Sensitivity (Sens) Probability that test is positive if the disease is present. 
Significance level A measure of the degree of certainty about trial result. 
Specificity (Spec) Probability that the test is negative if the disease is absent. 
Systematic review A formal overview of literature on a specific topic, done according to strict rules. 
Treatment threshold The level of diagnostic certainty above which treatment is appropriate without further testing. 
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