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Evidence-Based Medicine

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GLOSSARY OF TERMS<br />

IN EVIDENCE-BASED MEDICINE<br />

This glossary in intended to provide explanation and guidance as to the<br />

meanings of EBM term (a simple definition).<br />

A<br />

Absolute risk (AR)<br />

The probability that an individual will experience the specified outcome during<br />

a specified period. It lies in the range 0 to 1, or is expressed as a percentage.<br />

In contrast to common usage, the word “risk” may refer to adverse events (such<br />

as myocardial infarction) or desirable events (such as cure).<br />

Absolute risk increase (ARI)<br />

The absolute difference in risk between the experimental and control groups<br />

in a trial. It is used when the risk in the experimental group exceeds the risk in<br />

the control group, and is calculated by subtracting the AR in the control group<br />

from the AR in the experimental group. This figure does not give any idea of<br />

the proportional increase between the two groups: for this, relative risk (RR) is<br />

needed.<br />

Absolute risk reduction (ARR)<br />

The absolute difference in risk between the experimental and control groups<br />

in a trial. It is used when the risk in the control group exceeds the risk in the<br />

experimental group, and is calculated by subtracting the AR in the experimental<br />

group from the AR in the control group. The arithmetic difference in risk or<br />

outcomes between treatment and control groups,. Example: if mortality is 30<br />

percent in controls and 20 percent with treatment, ARR is 30-20=10 percent.<br />

This figure does not give any idea of the proportional reduction between the<br />

two groups: for this, relative risk (RR) is needed.<br />

Allocation concealment<br />

A method used to prevent selection bias by concealing the allocation sequence<br />

from those assigning participants to intervention groups. Allocation concealment<br />

prevents researchers from (unconsciously or otherwise) influencing which<br />

intervention group each participant is assigned to.<br />

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