{"id":12669,"date":"2019-06-12T12:15:19","date_gmt":"2019-06-12T10:15:19","guid":{"rendered":"http:\/\/www.wjst.de\/blog\/?p=12669"},"modified":"2024-02-29T09:14:19","modified_gmt":"2024-02-29T07:14:19","slug":"how-to-interpret-an-odds-ratio-of-less-than-1","status":"publish","type":"post","link":"https:\/\/www.wjst.de\/blog\/sciencesurf\/2019\/06\/how-to-interpret-an-odds-ratio-of-less-than-1\/","title":{"rendered":"How to interpret an odds ratio of less than 1"},"content":{"rendered":"<p>In a recent paper \u00a0(<a href=\"https:\/\/publikationen.badw.de\/de\/045424636\/pdf\/CC%20BY-ND\/11%20von%20Mutius%20%28Die%20Rolle%20des%20Umweltmikrobioms%20in%20der%20Asthma-%20und%20Allergieentstehung%29\">see page 122<\/a> ) I have read that an odds ratio OR of 0.7 means a 30% risk reduction which is wrong.<\/p>\n<p>The OR is a measure of association not a risk ratio (which requires random sampling of the population and a slightly different formula)<\/p>\n<p>Let&#8217;s have a look on the following table to see why this is all wrong<\/p>\n\n<table id=\"tablepress-10\" class=\"tablepress tablepress-id-10\">\n<thead>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><\/td><th class=\"column-2\">Disease+<\/th><th class=\"column-3\">Disease-<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Exposure+<\/td><td class=\"column-2\">a=7<\/td><td class=\"column-3\">b=10<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Exposure-<\/td><td class=\"column-2\">c=10<\/td><td class=\"column-3\">d=10<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-10 from cache -->\n<p>The odds of an event is the number of those who experience the event divided by the number of those who do not.<br \/>\nComparing the odds in an exposed and a not exposed group results in the simple odds ratio OR formula.<\/p>\n<pre class=\"brush: php; title: ; notranslate\" title=\"\">\r\nOR = (a\/b) \/ (c\/d)\r\n<\/pre>\n<p>The interpretation is straightforward for more patients in the exposed group: With a=13 we get an OR=1.3.<\/p>\n<p>An odds of 0.7 however is less intuitive to interprete. 0.7 people will experience the event for every event that does not occur. This translates to one event for every 1,42 non-events, the reciprocal value of 0,7. The percent change PC is therefore<\/p>\n<pre class=\"brush: php; title: ; notranslate\" title=\"\">\r\nPC = 1\/0,7 - 1 = 1,42 -1 = 0,42 = 42%\r\n<\/pre>\n<p>42% and not 30%.<\/p>\n<p><a href=\"http:\/\/onbiostatistics.blogspot.com\/2012\/02\/how-to-interpret-odds-ratios-that-are.html\">Sorry<\/a> not only the math, also the <a href=\"https:\/\/www.wjst.de\/blog\/sciencesurf\/2022\/06\/bmj-wants-to-2000-gbp-so-it-is-here\/\">biology<\/a> is wrong there.<\/p>\n<p>&nbsp;<\/p>\n\n<p>&nbsp;<\/p>\n<div class=\"bottom-note\">\n  <span class=\"mod1\">CC-BY-NC Science Surf , accessed 27.04.2026<\/span>\n <\/div>","protected":false},"excerpt":{"rendered":"<p>In a recent paper \u00a0(see page 122 ) I have read that an odds ratio OR of 0.7 means a 30% risk reduction which is wrong. The OR is a measure of association not a risk ratio (which requires random sampling of the population and a slightly different formula) Let&#8217;s have a look on the &hellip; <a href=\"https:\/\/www.wjst.de\/blog\/sciencesurf\/2019\/06\/how-to-interpret-an-odds-ratio-of-less-than-1\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">How to interpret an odds ratio of less than 1<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-12669","post","type-post","status-publish","format-standard","hentry","category-computer-software"],"_links":{"self":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/12669","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/comments?post=12669"}],"version-history":[{"count":26,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/12669\/revisions"}],"predecessor-version":[{"id":23319,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/12669\/revisions\/23319"}],"wp:attachment":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/media?parent=12669"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/categories?post=12669"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/tags?post=12669"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}