TY - JOUR
T1 - The number needed to treat for net effect (NNTnet) as a metric for measuring combined benefits and harms
AU - Li, Guowei
AU - Lip, Gregory Y.H.
AU - Marcucci, Maura
AU - Thabane, Lehana
AU - Tian, Junzhang
AU - Levine, Mitchell A.H.
N1 - Copyright © 2020 Elsevier Inc. All rights reserved.
PY - 2020/9
Y1 - 2020/9
N2 - Calculating the number needed to treat (NNT) has been widely used to help understand treatment effect results of randomized controlled trials (RCTs). Combined benefit and harm profiles from RCT results have to be taken into account to maximize benefits and minimize harms. Unfortunately, in the biomedical community, there is no easy and acceptable way to incorporate both benefit and harm information of treatments in a single summary statistic similar to an NNT. In this study, we propose a new metric, the “NNT for net effect” or NNTnet to present the combined benefit and harm effects of an intervention or therapy based on NNT-type information with the intention that it will advance decision-making for health professionals, researchers, and resource managers in real-world practice. Examples are provided to illustrate the calculation and application of the NNTnet in practice. An NNTnet is specifically applicable to the physicians and resource managers who interpret the data published in the literature to help with their decision-making and the researchers who present the trial data to the audiences in their studies and presentations, all of whom used to use NNT information to show and interpret beneficial and harmful effects separately.
AB - Calculating the number needed to treat (NNT) has been widely used to help understand treatment effect results of randomized controlled trials (RCTs). Combined benefit and harm profiles from RCT results have to be taken into account to maximize benefits and minimize harms. Unfortunately, in the biomedical community, there is no easy and acceptable way to incorporate both benefit and harm information of treatments in a single summary statistic similar to an NNT. In this study, we propose a new metric, the “NNT for net effect” or NNTnet to present the combined benefit and harm effects of an intervention or therapy based on NNT-type information with the intention that it will advance decision-making for health professionals, researchers, and resource managers in real-world practice. Examples are provided to illustrate the calculation and application of the NNTnet in practice. An NNTnet is specifically applicable to the physicians and resource managers who interpret the data published in the literature to help with their decision-making and the researchers who present the trial data to the audiences in their studies and presentations, all of whom used to use NNT information to show and interpret beneficial and harmful effects separately.
KW - Benefit
KW - Decision-making
KW - Harm
KW - Number needed to treat
KW - Number needed to treat for net effect
KW - Randomized controlled trial
UR - http://www.scopus.com/inward/record.url?scp=85087280389&partnerID=8YFLogxK
U2 - 10.1016/j.jclinepi.2020.05.031
DO - 10.1016/j.jclinepi.2020.05.031
M3 - Journal article
C2 - 32512185
AN - SCOPUS:85087280389
SN - 0895-4356
VL - 125
SP - 100
EP - 107
JO - Journal of Clinical Epidemiology
JF - Journal of Clinical Epidemiology
ER -