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Absolute risk difference
See risk difference.
Absolute risk reduction
See risk
difference.
Additive model
A statistical model in which the
combined effect of several factors is the sum of the effects produced
by each of the factors in the absence of the others. For example, if
one factor increases risk by a% and a second factor by b%, the additive
combined effect of the two factors is (a + b)%. See also multiplicative model.
Adjusted
analysis
An analysis that controls (adjusts)
for baseline imbalances in important patient characteristics.
Adverse event
An adverse outcome that occurs during
or after the use of a drug or other intervention but is not necessarily
caused by it.
Adverse effect
An adverse
event for which the causal
relation between the drug/intervention and the event is at least a
reasonable possibility. The term ‘adverse effect’
applies to all interventions, while ‘adverse drug
reaction’ (ADR) is used only with drugs. In the case of drugs
an adverse effect tends to be seen from the point of view of the drug
and an adverse reaction is seen from the point of view of the patient.
Adverse reaction
See adverse
effect.
Aggregate data
Data summarised by groups, for
example summary outcome data for treatment and control groups in
a controlled trial.
Allocation concealment
See concealment
of allocation.
Applicability (synonyms:
external validity,
generalisability, relevance, transferability)
The degree to which the results of an
observation,
trial or review hold true in other settings.
Arm
[In a controlled
trial.] Refers to a
group of participants allocated a particular treatment. In a randomised controlled trial,
allocation to different arms is determined by the randomisation
procedure. Many controlled trials have two arms, a group of
participants assigned to an experimental
intervention (sometimes called
the treatment arm) and a group of participants assigned to a control
(the control arm). Trials may have more than two arms, with more than
one experimental arm and/or more than one control arm.
Association
A relationship between two characteristics, such that as one changes,
the other changes in a predictable way. For example, statistics
demonstrate that there is an association between smoking and lung
cancer. In a positive association, one quantity increases as the other
one increases (as with smoking and lung cancer). In a
negative
association, an increase in one quantity corresponds to a decrease in
the other. Association does not necessarily imply a causal
effect. (Also called correlation.)
Attrrition
The loss of participants during the course
of a study. (Also called loss to follow up.) Participants that are lost
during the study are often call dropouts.
Attrition
bias
Systematic differences between comparison groups in withdrawals
or exclusions of participants from the results of a trial. For example, patients may drop out of a trial because of side effects
of the intervention.Excluding
these patients from
the analysis could result in an overestimate of the effectiveness of
the intervention.