RLO: Confidence Intervals

 

Introduction

In a clinical trial, there is always a possibility that the effect seen may have occurred by chance.  Confidence intervals are a useful approach to assessing the role of chance.

Consider the following scenario.  A trial is being carried out to investigate the effectiveness of drug A in preventing heart attacks.  10 patients receive drug A, and 2 of these patients have a heart attack within the next 12 months. 10 patients receive placebo and 3 of these patients have a heart attack within the next 12 months. 

Drug A has reduced the risk of a heart attack by one third, in other words, a relative risk reduction of 33%. It’s looking good.  On the basis on this trial, would you be happy to recommend this treatment for your patients?

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