Table 3

Physicians' assessment of a hypothetical drug (‘neostatin’) by effect formats (number needed to treat [NNT] versus survival gain) and effect level

Survival gain scenariosNNT scenariosBoth scenarios combinedDifferences
Proportions recommending ‘neostatin’, % (95% CI)% (95% CI) χ2 statistics
Level 1, NNT = 34, survival gain = 9 months39.5 (28.7 to 50.3)25.6 (15.8 to 35.4)32.7 (25.4 to 40.0)13.9 (-0.5 to 28.3) χ2 = 3.5, P = 0.062
Level 2, NNT = 17, survival gain = 17 months49.3 (37.9 to 60.8)31.3 (21.0 to 41.5)40.0 (32.2 to 47.8)18.1 (2.9 to 33.3) χ2 = 5.3, P = 0.022
Level 3, NNT = 9, survival gain = 32 months52.4 (41.5 to 63.3)43.2 (32.3 to 54.1)47.9(40.1 to 55.6)9.2 (-6.0 to 24.5) χ2= 1.4, P= 0.238
Trend analysisa
Odds ratio per level (95% CI)1.3 (1.0 to 1.8)1.5 (1.1 to 2.1)
Odds ratio for interaction term format × level (95% CI)1.2 (0.7 to 1.8)
Evaluation of ‘neostatin’ on a 0-10 scale,b score (95% CI)Mean (95% CI), rank sum statistics
Level 1, NNT = 34, survival gain = 9 months5.2 (4.6 to 5.8)4.7 (4.1 to 5.3)5.0 (4.6 to 5.4)0.5 (-0.3 to 1.4) |z| = 1.3, P= 0.189c
Level 2, NNT = 17, survival gain = 17 months6.2 (5.7 to 6.8)5.0 (4.4 to 5.6)5.6 (5.2 to 6.0)1.2 (0.4 to 2.0) |z| =3.1, P= 0.002c
Level 3, NNT = 9, survival gain = 32 months6.1 (5.6 to 6.6)5.5 (4.9 to 6.2)5.8 (5.4 to 6.2)0.6 (-0.3 to 1.4) |z| = 1.1, P= 0.264c
Trend analysisd
Regression coefficient per level0.42 (0.03 to 0.81)0.41 (-0.03 to 0.85)
Regression coefficient for interaction term format x level (95% CI)-0.01 (-0.59 to 0.58)
  • a Logistic regression analysis of trend across the three levels of effect size.

  • b 0 = ‘a very poor choice’, 10 = ‘a very good choice’.

  • c Mann-Whitney rank sum test.

  • d Ordinary least squares regression analysis with robust variances.