↓ Skip to main content

Simpson's paradox and calculation of number needed to treat from meta-analysis

Overview of attention for article published in BMC Medical Research Methodology, January 2002
Altmetric Badge

Mentioned by

twitter
1 X user

Citations

dimensions_citation
158 Dimensions

Readers on

mendeley
69 Mendeley
citeulike
1 CiteULike
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Title
Simpson's paradox and calculation of number needed to treat from meta-analysis
Published in
BMC Medical Research Methodology, January 2002
DOI 10.1186/1471-2288-2-1
Pubmed ID
Authors

Christopher J Cates

Abstract

Calculation of numbers needed to treat (NNT) is more complex from meta-analysis than from single trials. Treating the data as if it all came from one trial may lead to misleading results when the trial arms are imbalanced. An example is shown from a published Cochrane review in which the benefit of nursing intervention for smoking cessation is shown by formal meta-analysis of the individual trial results. However if these patients were added together as if they all came from one trial the direction of the effect appears to be reversed (due to Simpson's paradox). Whilst NNT from meta-analysis can be calculated from pooled Risk Differences, this is unlikely to be a stable method unless the event rates in the control groups are very similar. Since in practice event rates vary considerably, the use a relative measure, such as Odds Ratio or Relative Risk is advocated. These can be applied to different levels of baseline risk to generate a risk specific NNT for the treatment. The method used to calculate NNT from meta-analysis should be clearly stated, and adding the patients from separate trials as if they all came from one trial should be avoided.

X Demographics

X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 69 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 3 4%
France 2 3%
Brazil 1 1%
Canada 1 1%
Spain 1 1%
United States 1 1%
Unknown 60 87%

Demographic breakdown

Readers by professional status Count As %
Researcher 15 22%
Student > Ph. D. Student 13 19%
Other 9 13%
Professor 6 9%
Professor > Associate Professor 6 9%
Other 16 23%
Unknown 4 6%
Readers by discipline Count As %
Medicine and Dentistry 34 49%
Mathematics 6 9%
Social Sciences 4 6%
Pharmacology, Toxicology and Pharmaceutical Science 4 6%
Agricultural and Biological Sciences 4 6%
Other 8 12%
Unknown 9 13%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 November 2017.
All research outputs
#17,285,668
of 25,373,627 outputs
Outputs from BMC Medical Research Methodology
#1,703
of 2,273 outputs
Outputs of similar age
#113,588
of 132,941 outputs
Outputs of similar age from BMC Medical Research Methodology
#3
of 4 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,273 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.5. This one is in the 16th percentile – i.e., 16% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 132,941 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 3rd percentile – i.e., 3% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 4 others from the same source and published within six weeks on either side of this one.