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Glossary of EBM Terms > More on NNT
Number Needed to Treat (NNT)

Definition
The NNT is the number of patients who need to be treated in order to prevent one additional bad outcome. It is the inverse of the Absolute Risk Reduction (ARR).

At a Glance


Definition


How to Calculate NNTs


Sample Calculation


Practice Calculation


Table of Examples


Nominate Additional NNTs


Download NNT Tables for
your palm device


How to Calculate NNTs
NNT = 1/ARR
ARR = |CER - EER|
where
CER = control group event rate
EER = experimental group event rate

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Sample Calculation
The results of the Diabetes Control and Complications Trial* into the effect of intensive diabetes therapy on the development and progression of neuropathy indicated that neuropathy occurred in 9.6% of patients randomised to usual care and 2.8% of patients randomised to intensive therapy. The number of patients we need to treat with the intensive diabetes therapy to prevent one additional occurrence of neuropathy can be determined by calculating the absolute risk reduction as follows:
ARR = |CER - EER| = |9.6% - 2.8%| = 6.8%
NNT = 1/ARR = 1/6.8% = 14.7 or 15
We therefore need to treat 15 diabetic patients with intensive therapy to prevent one from developing neuropathy.

*(Ann Intern Med 1995; 122:561-8)

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Practice Calculation
In a randomised controlled trial* looking into the long-term outcome for stroke patients treated in stroke units (SU) compared with patients treated in general wards (GW), the mortality rate 5 years after the onset of stroke was 59.1% in the patients treated in SU and 70.9% in those treated in the GW. How many patients need to be treated in stroke units to prevent one additional death?

NNT = _______
(If you want to compare your answer with ours, click here.)

*(Stroke 1997; 28:1861-6)

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Table of Examples (Click here to see the Criteria for Inclusion of Examples.)

Please choose the discipline you want to read:

or search the NNT bank:

Nominate Additional nnts
If you'd like to nominate any additions to the databank of NNTs, click here.

*Download NNT Tables for your palm device

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