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How do you interpret odds ratios in a case control study?

4 min read

Asked by: Sandra Feldman

Greater than 1.0 indicates that the odds of exposure among case-patients are greater than the odds of exposure among controls. The exposure might be a risk factor for the disease. Less than 1.0 indicates that the odds of exposure among case-patients are lower than the odds of exposure among controls.

Why is odds ratio used in case-control studies?

In these case-control studies, the odds ratio provides a valid estimate of the risk ratio without assuming that the disease is rare in the source population.

How do you interpret and odds ratio?

Odds Ratio is a measure of the strength of association with an exposure and an outcome.

  1. OR > 1 means greater odds of association with the exposure and outcome.
  2. OR = 1 means there is no association between exposure and outcome.
  3. OR < 1 means there is a lower odds of association between the exposure and outcome.


Can odd ratio used in Cohort Study?

In an RCT or cohort study, the odds ratio can be calculated as well. The odds ratio is then defined as the odds of the outcome in the treated patients divided by the odds of the outcome in the untreated patients.

Do case-control studies always estimate odds ratios?

We demonstrate that not all case-control study designs estimate odds ratios. On the contrary, case-control studies in the literature often report odds ratios as their main parameter even when using designs that do not estimate odds ratios.

How do you write odds ratio results?

Odds of an event happening is defined as the likelihood that an event will occur, expressed as a proportion of the likelihood that the event will not occur. Therefore, if A is the probability of subjects affected and B is the probability of subjects not affected, then odds = A /B.

What does an odds ratio of 1.5 mean?

You interpret an odds ratio the same way you interpret a risk ratio. An odds ratio of 1.5 means the odds of the outcome in group A happening are one and a half times the odds of the outcome happening in group B.

How do you interpret odds ratios less than 1?

“When you are interpreting an odds ratio (or any ratio for that matter), it is often helpful to look at how much it deviates from 1. So, for example, an odds ratio of 0.75 means that in one group the outcome is 25% less likely. An odds ratio of 1.33 means that in one group the outcome is 33% more likely.”

How do you interpret odds ratio in SPSS?

And relative risk the top row is the odds ratio. We see that the odds of developing cancer are eighteen point five six times greater for smokers compared to non-smokers.

What is the difference between relative risk and odds ratio?

The relative risk (also known as risk ratio [RR]) is the ratio of risk of an event in one group (e.g., exposed group) versus the risk of the event in the other group (e.g., nonexposed group). The odds ratio (OR) is the ratio of odds of an event in one group versus the odds of the event in the other group.

Is case-control study prospective or retrospective?

retrospective

Case-control studies are retrospective and cannot therefore be used to calculate the relative risk; this a prospective cohort study.

How do you select controls in a case-control study?

Selection of the Controls

  1. The comparison group (“controls”) should be representative of the source population that produced the cases.
  2. The “controls” must be sampled in a way that is independent of the exposure, meaning that their selection should not be more (or less) likely if they have the exposure of interest.


What is the difference between a case study and a case-control study?

A case report is the description of the clinical story of a single patient, whereas a case-control study compares 2 groups of participants differing in outcome in order to determine if a suspected exposure in their past caused that difference.

How many controls are in a case-control study?

Investigators planning case-control studies are usual- ly advised to include no more than four or five controls per case because little statistical power is gained by fur- ther increasing this ratio (1,2).

What is the ideal ratio of cases to controls for a case-control study?

The most optimum case-to-control ratio is 1:1. Jewell (2004) has suggested that for a fixed sample size, the chi square test for independence is most powerful if the number of cases is same as the number of controls.

Can you calculate relative risk in a case-control study?

In a case-control study, you cannot measure incidence, because you start with diseased people and non-diseased people, so you cannot calculate relative risk.