Using the number needed to treat in clinical practice
Abstract
The number needed to treat (NNT) is gaining attention as a method of reporting the results of clinical trails with dichotomous outcome measures. The NNT is defined as the number of patients who would need to be treated, on average, with a specific intervention to prevent 1 additional bad outcome or to achieve 1 desirable outcome in a given time period. Because it reports outcomes in terms of patient numbers, it is extremely useful to clinicians for making decisions about the effort expended with a particular intervention to achieve a single positive outcome. This special communication describes the NNT statistic and its utility for choosing clinical interventions.
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The acceptable number needed to treat depends on the context of the study.
“The acceptable NNT depends on the context of the study; 47”
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- Authors
- Weeks, D. L., & Noteboom, J. T.
- Affiliations
- Inland Northwest Health Services (US)
- Regis University (US)
- Corresponding author
- Weeks, Douglas L.
- ORCID
- Weeks, Douglas L.
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2004-10
- Volume
- 85
- Issue
- 10
- Pages
- 1729-1731
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W2137227357
- Cited by
- 29
- References
- 22
- Citations by year
- 2026: 2 · 2025: 3 · 2023: 5 · 2022: 2 · 2021: 3 · 2018: 1 · 2017: 1 · 2016: 1 · 2013: 1 · 2012: 1
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- ePublications at Regis University (Regis University) (submittedVersion)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Keywords
- number needed to treat, clinical trial reporting, binary outcomes, treatment decision-making, clinical intervention, patient numbers
- MeSH terms
- Clinical Trials as Topic, Data Interpretation, Statistical, Humans, Research Design, Confidence Intervals, Sample Size, Risk Assessment
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