[The statistical literacy of "my" patient].

G Ital Cardiol (Rome)

Già Direttore Cardiologia, Ospedale di Cortona (AR).

Published: August 2023

AI Article Synopsis

  • Patients seek answers from doctors regarding effective treatments and the likelihood of benefits from proposed interventions.
  • Doctors can use seven key parameters to scientifically inform patients: relative and absolute risk reduction, necessary patients treated for benefits or to avoid adverse events, average lifetime gained, and residual risk.
  • A collaboration between doctors and patients is essential for informed consent, requiring both parties to engage culturally and intellectually, while utilizing statistics and risk management for evidence-based decision-making.

Article Abstract

The fundamental questions asked by the patient to the doctor are: "What is the best cure for my disease?"; "How likely am I to benefit from the intervention you propose?". To answer on a scientific basis, the doctor can use seven parameters: 1) the relative reduction of the risk; 2) its absolute reduction; 3) the necessary number of patients to be treated to obtain a benefit; 4) the number of patients to be treated to avoid an adverse event; 5) average life time gained; 6) average life time gained in good health; 7) the residual risk.The doctor, not a statistician or scientist, must explain to the patient the reason for his proposals, to pass from consent to sharing; this requires strong commitment and cultural growth of both the patient and the doctor. To avoid purely declamatory positions, it is necessary to adopt some tools such as the scientific method and risk management but above all statistics. If medicine has been defined as "the science of uncertainty and the art of probability", statistics is the science of probability and the art of uncertainty, that physicians and patients cannot do without to share their important decisions in the field of health.

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Source
http://dx.doi.org/10.1714/4068.40527DOI Listing

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