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and = / / = While the prevalence is only 9% (9/100), the odds ratio (OR) is equal to 11.3 and the relative risk (RR) is equal to 7.2. Despite fulfilling the rare disease assumption overall, the OR and RR can hardly be considered to be approximately the same. However, the prevalence in the exposed group is 40%, which means is not sufficiently small
An odds ratio (OR) is a statistic that quantifies the strength of the association between two events, A and B. The odds ratio is defined as the ratio of the odds of event A taking place in the presence of B, and the odds of A in the absence of B. Due to symmetry, odds ratio reciprocally calculates the ratio of the odds of B occurring in the presence of A, and the odds of B in the absence of A.
Diagnostic odds ratios less than one indicate that the test can be improved by simply inverting the outcome of the test – the test is in the wrong direction, while a diagnostic odds ratio of exactly one means that the test is equally likely to predict a positive outcome whatever the true condition – the test gives no information.
The calculation of likelihood ratios for tests with continuous values or more than two outcomes is similar to the calculation for dichotomous outcomes; a separate likelihood ratio is simply calculated for every level of test result and is called interval or stratum specific likelihood ratios. [6] The pretest odds of a particular diagnosis ...
In practice the odds ratio is commonly used for case-control studies, as the relative risk cannot be estimated. [1] In fact, the odds ratio has much more common use in statistics, since logistic regression, often associated with clinical trials, works with the log of the odds ratio, not relative risk. Because the (natural log of the) odds of a ...
The (latter mentioned) effect of overestimation can be compensated for by converting risks to odds, and relative risks to odds ratios. However, this does not compensate for (former mentioned) effect of any difference between pre-test probability of an individual and the prevalence in the reference group.
In science, prevalence describes a proportion (typically expressed as a percentage). For example, the prevalence of obesity among American adults in 2001 was estimated by the U. S. Centers for Disease Control (CDC) at approximately 20.9%. [5] Prevalence is a term that means being widespread and it is distinct from incidence.
To overcome this problem, NPV and PPV should only be used if the ratio of the number of patients in the disease group and the number of patients in the healthy control group used to establish the NPV and PPV is equivalent to the prevalence of the diseases in the studied population, or, in case two disease groups are compared, if the ratio of ...