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Binomial Distribution Sample Confidence Intervals Estimation 7. Absolute Risk Reduction and ARR-like Expressions

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CONTRIBUTORS:
  Author Sorana BOLBOACA (Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca)
  Author Andrei ACHIMAS CADARIU
JOURNAL:
  Leonardo Electronic Journal of Practices and Technologies, 3(5), 1 - 25.
YEAR: 2004
PUB TYPE: Journal Article
SUBJECT(S): None
DISCIPLINE: Medicine
HTTP: http://lejpt.academicdirect.org/A05/01_25.pdf
LANGUAGE: English
PUB ID: 103-435-592 (Last edited on 2007/06/28 02:09:02 GMT-6)
SPONSOR(S):
 
ABSTRACT:
Assessments of a controlled clinical trial suppose to interpret some key parameters as the controlled event rate, experimental event date, relative risk, absolute risk reduction, relative risk reduction, number needed to treat when the effect of the treatment are dichotomous variables. Defined as the difference in the event rate between treatment and control groups, the absolute risk reduction is the parameter that allowed computing the number needed to treat. The absolute risk reduction is compute when the experimental treatment reduces the risk for an undesirable outcome/event. In medical literature when the absolute risk reduction is report with its confidence intervals, the method used is the asymptotic one, even if it is well know that may be inadequate. The aim of this paper is to introduce and assess nine methods of computing confidence intervals for absolute risk reduction and absolute risk reduction – like function. Computer implementations of the methods use the PHP language. Methods comparison uses the experimental errors, the standard deviations, and the deviation relative to the imposed significance level for specified sample sizes. Six methods of computing confidence intervals for absolute risk reduction and absolute risk reduction-like functions were assessed using random binomial variables and random sample sizes. The experiments shows that the ADAC, and ADAC1 methods obtains the best overall performance of computing confidence intervals for absolute risk reduction.
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