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NNT indicates the number of patients that would have to be treated to prevent one bad outcome or allow the gain rendered by treatment. The concept is discussed also in the Therapy lecture To understand NNT consider the following hypothetical example 1000 patients are randomized to receive either heparin or placebo. In the heparin group, adverse events (death, or MI ) occurred in 10% (50 of 500). For those treated with placebo, the adverse event rate was 20% (100 of 500). It is convenient to set up a contingency table
to assist data analysis
In other terms,
"the relative
risk of an adverse event in heparin treated patients is 50%"
"the risk of an adverse event was reduced by 50%"
2) NNT= 1/ (RRR X CER) NNT= 1/(0.5X 0.2)= 10 "You need to treat 10 patients to avoid one adverse event" NNT is in some ways more intuitive and informative than RR or RRR. However, a full appreciation of NNT's requires a little more reading |