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Evidence-Based Medicine

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M<br />

Meta-analysis<br />

A type of systematic review that uses rigorous statistical methods to<br />

quantitatively, summarize o synthesize the results of multiple similar studies. A<br />

statistical technique that summarises the results of several studies in a single<br />

weighted estimate, in which more weight is given to results of studies with<br />

more events and sometimes to studies of higher quality.<br />

We use meta-analysis to refer to the quantitative methods (usually involving<br />

weighting) used to integrate data from trials. This is logically distinct from a<br />

systematic review, which is defined by an explicitly systematic search and<br />

appraisal of the literature. It is also distinct from data pooling, which is based<br />

purely on the raw data.<br />

Morbidity<br />

Rate of illness but not death.<br />

Mortality<br />

Rate of death.<br />

N<br />

Negative likelihood ratio (NLR)<br />

The ratio of the probability that an individual with the target condition has<br />

a negative test result to the probability that an individual without the target<br />

condition has a negative test result. This is the same as the ratio (1-sensitivity/<br />

specificity).<br />

Negative predictive value (NPV)<br />

The chance of not having a disease given a negative test result (not to be<br />

confused with specificity, which is the other way round). NPV is the proportion<br />

of people with a negative test who are free of disease. See also SpPins and<br />

SnNouts.<br />

N-of-1 Trials<br />

The patient undergoes pairs of treatment periods organized so that one period<br />

involved the use of the experimental treatment and one period involves the use<br />

of an alternate or placebo therapy. The patients and physician are blinded,<br />

if possible, and outcomes are monitored. Treatment periods are replicated<br />

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