Definition and calculation of odds ratio - Cracking the Odds
- Definition: The odds of an outcome in an exposed group divided by the odds of that outcome in a non-exposed group.
- Primary Use: Case-control studies.
| Disease YES | Disease NO | |
|---|---|---|
| Exposed YES | a | b |
| Exposed NO | c | d |
- $OR = (a/b) / (c/d) = ad/bc$
- 📌 Mnemonic: **'cross-product'** for ad/bc.

- Interpretation:
- $OR > 1$: Exposure ↑ odds of disease.
- $OR < 1$: Exposure ↓ odds of disease (protective effect).
- $OR = 1$: No association between exposure and disease.
⭐ The odds ratio is a good approximation of the relative risk (RR) when the disease prevalence is low (typically <10%).
High-Yield Points - ⚡ Biggest Takeaways
- The Odds Ratio (OR) is the primary measure of association in case-control studies, comparing the odds of exposure in cases vs. controls.
- It is calculated using the cross-product from a 2x2 table: OR = ad/bc.
- OR > 1 suggests an increased odds of disease with exposure, while OR < 1 suggests a protective effect.
- The OR approximates the relative risk (RR) when the disease prevalence is low (e.g., <10%).
- Unlike RR, the OR can overestimate the strength of an association, especially in common diseases.
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