USMLE purpose: Interpret effect size and drug-ad statistics without getting distracted by abstract formatting.
How to use this page
- Identify the outcome and comparator.
- Check the point estimate and confidence interval.
- Ask whether the CI crosses the no-effect value.
- Translate effect size into clinical meaning.
One-liner
Drug-ad questions usually test whether the result is statistically significant, clinically meaningful, and supported by the actual data.
Drug-ad interpretation table
| Data shown |
No-effect value |
Significance rule |
| Relative risk / odds ratio / hazard ratio |
1 |
CI crossing 1 = not significant |
| Mean difference |
0 |
CI crossing 0 = not significant |
| P value |
0.05 |
p < 0.05 usually significant |
| NNT |
Lower is usually stronger |
NNT = 1 / ARR |
Board-style decision workflow
- Identify the statistic: RR/OR/HR, mean difference, p value, ARR, or NNT.
- Check the no-effect value: 1 for ratios, 0 for differences.
- Check statistical significance: CI must not cross the no-effect value.
- Check clinical meaning: statistically significant does not always mean clinically meaningful.
Anki-style rapid recall
- For RR/OR/HR, what CI value means “no difference”?
- For a mean difference, what CI value means “no difference”?
- What is NNT?