Disease Present (Cases)Disease Absent (Controls)Row Total
Exposedaba + b
Not Exposedcdc + d
Column Totala + cb + dGrand Total
  • Relative Risk (RR) compares PROBABILITY.
    • (a/a+c) is the probability of exposure in one group.
    • It’s a ratio of two probabilities.
    • Use Relative Risk (RR) when:
      • The study measures incidence (new cases over time).
      • Study design is a Cohort Study or RCT. c
  • Odds Ratio (OR) compares ODDS.
    • Odds = (Number of times an event happens) / (Number of times it doesn’t).
    • (a/c) are the odds of exposure in the disease group (cases).
    • (b/d) are the odds of exposure in the control group.
    • The OR is the ratio of these two odds.
    • Use Odds Ratio (OR) when:
      • The study design is a Case-Control Study.
      • True incidence/prevalence cannot be determined because the investigator chooses the number of cases and controls.
  • When the incidence is sufficiently low (rare disease), OR ≈ RR. c