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How To Calculate Absolute Risk Reduction From Odds Ratio

ARR Approximation Formula:

\[ ARR \approx \frac{(OR - 1)}{(OR + 1)} \times CER \]

proportion (0-1)

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1. What Is Absolute Risk Reduction?

Absolute Risk Reduction (ARR) is the difference in event rates between control and treatment groups in clinical trials. It provides a direct measure of treatment effect size and is more clinically meaningful than relative measures like odds ratio.

2. How Does The Calculator Work?

The calculator uses the ARR approximation formula:

\[ ARR \approx \frac{(OR - 1)}{(OR + 1)} \times CER \]

Where:

Explanation: This formula approximates ARR from OR when the actual event rates are not available, providing a useful estimate for clinical decision-making.

3. Importance Of ARR Calculation

Details: ARR is crucial for understanding the actual clinical impact of treatments, calculating Number Needed to Treat (NNT), and making informed treatment decisions based on absolute rather than relative benefits.

4. Using The Calculator

Tips: Enter odds ratio (any positive value) and control event rate as a proportion between 0 and 1. For example, 15% event rate should be entered as 0.15.

5. Frequently Asked Questions (FAQ)

Q1: Why Use This Approximation Instead Of Exact Calculation?
A: This approximation is useful when only odds ratio is reported in studies, allowing estimation of ARR without access to raw event rate data.

Q2: How Accurate Is This Approximation?
A: The approximation works best when event rates are low to moderate (less than 30%). Accuracy decreases with very high event rates.

Q3: What Is The Relationship Between ARR And NNT?
A: Number Needed to Treat (NNT) is calculated as 1/ARR. For example, ARR of 0.1 corresponds to NNT of 10.

Q4: When Should I Use ARR Instead Of Relative Risk Reduction?
A: ARR provides the actual difference in risk, making it more clinically relevant for understanding treatment impact, especially when baseline risks vary.

Q5: Can This Formula Be Used For Harm Outcomes?
A: Yes, when OR > 1 indicates harm, the formula calculates Absolute Risk Increase (ARI), which is the negative of ARR.

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