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The relationship between treatment effect and the hazard ratio is given as . A statistically important, but practically insignificant effect can produce a large hazard ratio, e.g. a treatment increasing the number of one-year survivors in a population from one in 10,000 to one in 1,000 has a hazard ratio of 10.
In a proportional hazards model, the unique effect of a unit increase in a covariate is multiplicative with respect to the hazard rate. The hazard rate at time is the probability per short time dt that an event will occur between and + given that up to time no event has occurred yet. For example, taking a drug may halve one's hazard rate for a ...
In epidemiology, a rate ratio, sometimes called an incidence density ratio or incidence rate ratio, is a relative difference measure used to compare the incidence rates of events occurring at any given point in time. It is defined as:
It is computed as , where is the incidence in the exposed group, and is the incidence in the unexposed group. If the risk of an outcome is increased by the exposure, the term absolute risk increase (ARI) is used, and computed as I e − I u {\displaystyle I_{e}-I_{u}} .
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 absolute risk reduction (ARR), however, was much smaller, because the study group did not have a very high rate of cardiovascular events over the study period: 2.67% in the control group, compared to 1.65% in the treatment group. [15] Taking atorvastatin for 3.3 years, therefore, would lead to an ARR of only 1.02% (2.67% minus 1.65%).
If the hazard ratio is , there are total subjects, is the probability a subject in either group will eventually have an event (so that is the expected number of events at the time of the analysis), and the proportion of subjects randomized to each group is 50%, then the logrank statistic is approximately normal with mean () and variance 1. [4]
This approach performs well for certain measures and can approximate arbitrary hazard functions relatively well, while not imposing stringent computational requirements. [5] When the covariates are omitted from the analysis, the maximum likelihood boils down to the Kaplan-Meier estimator of the survivor function.