Experimental event rate

In epidemiology and biostatistics, the experimental event rate (EER) is a measure of how often a particular statistical event (such as response to a drug, adverse event or death) occurs within the experimental group (non-control group) of an experiment.[1]

This value is very useful in determining the therapeutic benefit or risk to patients in experimental groups, in comparison to patients in placebo or traditionally treated control groups.

Three statistical terms rely on EER for their calculation: absolute risk reduction, relative risk reduction and number needed to treat.

Control event rate

The control event rate (CER) is identical to the experimental event rate except that is measured within the scientific control group of an experiment.[2]

Worked example

In a trial of hypothetical drug "X" where we are measuring event "Z", we have two groups. Our control group (25 people) is given a placebo, and the experimental group (25 people) is given drug "X".

Event "Z" in control group : 4 in 25 people Control event rate : 4/25

Event "Z" in experimental group : 12 in 25 people Experimental event rate : 12/25

Another worked example is as follows:

  Example 1: risk reduction Example 2: risk increase
Experimental group (E) Control group (C) Total (E) (C) Total
Events (E) EE = 15 CE = 100 115 EE = 75 CE = 100 175
Non-events (N) EN = 135 CN = 150 285 EN = 75 CN = 150 225
Total subjects (S) ES = EE + EN = 150 CS = CE + CN = 250 400 ES = 150 CS = 250 400
Event rate (ER) EER = EE / ES = 0.1, or 10% CER = CE / CS = 0.4, or 40% EER = 0.5 (50%) CER = 0.4 (40%)
EquationVariableAbbr.Example 1Example 2
EER CER< 0: absolute risk reduction ARR()0.3, or ()30% N/A
> 0: absolute risk increaseARI N/A0.1, or 10%
(EER CER) / CER< 0: relative risk reductionRRR()0.75, or ()75% N/A
> 0: relative risk increaseRRI N/A0.25, or 25%
1 / (EER CER)< 0: number needed to treatNNT()3.33 N/A
> 0: number needed to harmNNH N/A10
EER / CERrelative riskRR0.251.25
(EE / EN) / (CE / CN)odds ratioOR0.1671.5
EER CERattributable riskAR()0.30, or ()30%0.1, or 10%
(RR 1) / RRattributable risk percentARP N/A20%
1 RR (or 1 OR)preventive fractionPF0.75, or 75% N/A

See also

References

  1. "Experimental event rate (EER)". www.medicine.ox.ac.uk. Archived from the original on 20 August 2010. Retrieved 22 May 2022.
  2. "Control event rate (CER)". www.medicine.ox.ac.uk. Archived from the original on 20 August 2010. Retrieved 22 May 2022.


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