Hapgood

Mike Caulfield's latest web incarnation. Networked Learning, Open Education, and Online Digital Literacy


Number Needed to Treat!

Number Needed to Treat is an aggregate measure of clinical benefit that medical study geeks love because it has a comprehensibility lacking in odds ratios and relative benefit percentages.

It represents the number of patients that would need to receive a treatment for one of the patients to avoid an adverse outcome (death, stroke, development of diabetes, high cholesterol). For instance, say we want to want to put people on a Mediterranean Diet after a first heart attack. How many heart patients would we have to put on a Mediterranean Diet to save one life? Here’s the answer from thennt.com: 30!

That’s pretty good, especially with no known harm. And it’s easy to conceptualize.

I was reminded of how few people ever come into contact with the NNT when I read the excellent thread in this NPR post.

If you don’t know the NNT metric, click that link and learn about it. It’s a great way of conceptualizing the benefit of interventions, and it may even help you think about your own work in a different way.



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