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Interpretation of odds and risk ratios
1Veterinary Diagnostic and Production Animal Medicine, College of Veterinary Medicine, Iowa State University, Ames, IA 50010, USA. oconnor@iastate.edu
Journal of Veterinary Internal Medicine
|March 23, 2013
Summary
Interpreting odds ratios as risk ratios can mislead clinicians and researchers, potentially overestimating intervention efficacy. Always use appropriate measures for disease frequency to avoid misinterpretation.
Area of Science:
- Epidemiology
- Biostatistics
Background:
- Odds ratio and risk ratio are crucial measures of association in medical research.
- These measures are often used to assess intervention efficacy and disease determinants.
- However, odds ratio and risk ratio are not interchangeable and can lead to different interpretations.
Purpose of the Study:
- To demonstrate how interpreting odds ratios as risk-based measures can be misleading.
- To highlight the potential for overestimation of efficacy when odds ratios are misinterpreted.
Main Methods:
- A meta-analysis was conducted to compare odds ratio and risk ratio as measures of vaccine effect.
- Data from a meta-analysis on Tritrichomonas fetus infection risk in beef heifers were used as an example.
- Both risk and odds were used as measures of disease frequency for comparison.
Main Results:
- When risk was the measure, the summary risk ratio was 0.82, indicating an 18% decrease in infection risk.
- When odds were the measure, the summary odds ratio was 0.41, indicating a 59% decrease in infection odds.
- The disparity in results highlights the non-interchangeability of the two measures.
Conclusions:
- Misinterpreting odds ratios as risk ratios can lead to an overestimation of intervention efficacy.
- This misinterpretation can also occur when assessing disease determinants.
- It is critical to use the correct terminology and measures (risk vs. odds) to avoid reporting inaccuracies.
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