Calculate the hazard ratio based on the following data: Niacin group (N=1200) had 380 primary endpoint events, and Placebo group (N=1600) had 275 primary endpoint events.

Understand the Problem
The question is asking to calculate the hazard ratio based on the outcomes of a placebo-controlled study that evaluated the efficacy of niacin in reducing cardiovascular risk. We are given that the number of patients in the Niacin group is 1200, and 380 reached the primary endpoint. The number of patients in the Placebo group is 1600, and 275 reached the primary endpoint. The hazard ratio can be calculated as (events in niacin group / total in niacin group) / (events in placebo group / total in placebo group).
Answer
$1.80$
Answer for screen readers
A. $1.80$
Steps to Solve
- Calculate the event rate in the Niacin group
To find the event rate, divide the number of patients who reached the primary endpoint by the total number of patients in the Niacin group:
$Event\ Rate_{Niacin} = \frac{380}{1200}$
- Calculate the event rate in the Placebo group
To find the event rate, divide the number of patients who reached the primary endpoint by the total number of patients in the Placebo group:
$Event\ Rate_{Placebo} = \frac{275}{1600}$
- Calculate the Hazard Ratio
Divide the event rate in the Niacin group by the event rate in the Placebo group:
$Hazard\ Ratio = \frac{Event\ Rate_{Niacin}}{Event\ Rate_{Placebo}} = \frac{\frac{380}{1200}}{\frac{275}{1600}}$
- Simplify the Hazard Ratio equation
$Hazard\ Ratio = \frac{380}{1200} \cdot \frac{1600}{275} = \frac{380 \cdot 1600}{1200 \cdot 275} = \frac{608000}{330000}$
- Calculate the final Hazard Ratio value
$Hazard\ Ratio = \frac{608000}{330000} \approx 1.8424$
- Choose closest answer
The closest answer to our calculated value is $1.80$.
A. $1.80$
More Information
The hazard ratio is a comparison of the rates at which events occur in a study population. A hazard ratio of 1 means there is no difference between the two groups. In this case, approximately 1.80 suggests an increased risk in the Niacin group.
Tips
A common mistake is to not set up the equation properly. It's important to have the Niacin event rate divided by the Placebo event rate. If one inverts the numerator and denominator, the incorrect value will be arrived at. Another mistake could arise from calculator usage
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