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Computational notes

The odds ratio (OR), its standard error and 95% confidence interval are calculated according to Altman, 1991.

The odds ratio is given by

with the standard error of the log odds ratio being

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and 95% confidence interval

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Where zeros cause problems with computation of the odds ratio or its standard error, 0.5 is added to all cells (a, b, c, d) (Pagano & Gauvreau, 2000; Deeks & Higgins, 2010).

Test of significance: the P-value is calculated according to Sheskin, 2004 (p. 542). A standard normal deviate (z-value) is calculated as ln(OR)/SE{ln(OR)}, and the P-value is the area of the normal distribution that falls outside ±z (see Values of the Normal distribution table).

Literature

  • Altman DG (1991) Practical statistics for medical research. London: Chapman and Hall.
  • Altman DG, Deeks JJ, Sackett DL. Odds ratios should be avoided when events are common [letter]. BMJ 1998;317:1318.
  • Deeks JJ, Higgins JPT (2010) Statistical algorithms in Review Manager 5. Retrieved from https://training.cochrane.org/handbook/statistical-methods-revman5
  • Kirkwood BR, Sterne JAC (2003) Essential medical statistics, 2nd ed. Oxford: Blackwell Science.
  • Pagano M, Gauvreau K (2000) Principles of biostatistics. 2nd ed. Belmont, CA: Brooks/Cole.
  • Parshall MB (2013) Unpacking the 2 x 2 table. Heart & Lung 42:221-226.
  • Sheskin DJ (2004) Handbook of parametric and nonparametric statistical procedures. 3rd ed. Boca Raton: Chapman & Hall /CRC.