Dictionary of Evidence-based Medicine.pdf
Dictionary of Evidence-based Medicine.pdf
Dictionary of Evidence-based Medicine.pdf
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108 <strong>Dictionary</strong> <strong>of</strong> <strong>Evidence</strong>-<strong>based</strong> <strong>Medicine</strong><br />
National Schedule <strong>of</strong> Reference Costs<br />
The National Schedule <strong>of</strong> Reference Costs are cost data which NHS trusts<br />
are required to publish in a consistent manner so that performance<br />
on efficiency can be bench-marked (DoH (1997) The new NHS. Cmd 3807.<br />
HMSO, London).<br />
NCE<br />
NCE is the abbreviation for new chemical entity in relation to drug licence<br />
applications to the US Food and Drug Administration.<br />
NDA<br />
NDA stands for new drug application in drug licensing terminology. In<br />
evidence-<strong>based</strong> medicine, NDA refers to number <strong>of</strong> deaths avoided. Let<br />
Fj(t) and F 2 (t) be the risk <strong>of</strong> deaths observed in a trial with patients receiving<br />
treatments 1 and 2 respectively. The absolute risk reduction (ARR) is<br />
given by:<br />
The number <strong>of</strong> deaths avoided is given by:<br />
NDA = n x ARR<br />
where n is the number <strong>of</strong> patients receiving treatment 2. In some papers,<br />
the authors take n to mean the whole population to whom the results <strong>of</strong> the<br />
trial are being extrapolated.<br />
Negative likelihood ratio<br />
The negative likelihood ratio (NLR) is defined by the equation:<br />
NLR = (1 ~ sensitivity)<br />
specificity<br />
The negative likelihood ratio indicates how much more (NLR > 1) or less<br />
(NLR < 1) likely a negative result is to be found in a person with the<br />
condition compared to one without (Correction (1998) BMJ. 316: 225).