Interpreting Hazard Ratios

This video wil help students and clinicians understand how to interpret hazard ratios.

Пікірлер: 171

  • @Carlitoboyhey
    @Carlitoboyhey3 жыл бұрын

    When i so easily learn new stuff through internet like this i cant help to wonder how the other generations learned the same through complex books or fast speaking live teachers... What a time to be alive

  • @feurigerStern

    @feurigerStern

    3 жыл бұрын

    I got my 1st bachelor's back in the day before calculators and internet. Because it took longer to gather, calculate and analyze information, much less was expected. I would not trade the convenience and efficiency of today's technology for what we had back then. But I do miss the adrenalin rush of solving a problem or finding information after weeks of research. No one could take away that accomplishment. It is nice to have the information at our fingertips, but the thrill of the hunt is gone.

  • @tmpcox

    @tmpcox

    3 жыл бұрын

    @@feurigerStern It's definitely another world than before 2000! (just saying as a current student who doesn't even know how the Western world looked like back then)

  • @21johnja

    @21johnja

    2 жыл бұрын

    I graduated from Johns Hopkins back in 1999 and LET ME TELL YOU students are so LUCKY now. Now I work with Med Students and these here internets and youtube are saving my life!

  • @printinghouseimp6739

    @printinghouseimp6739

    Жыл бұрын

    @@feurigerStern The thrill now is in hunting for the wheat amidst all the chaff.

  • @LiviaBerenguel
    @LiviaBerenguel5 ай бұрын

    10 years later and this video is still incredibly helpful for us students. Thank you so much!

  • @v8pilot
    @v8pilot3 жыл бұрын

    "Intended for beginners". That's great; I'm a total beginner. And the sound quality is great - I can hear and understand every single word.

  • @cfuenza4106
    @cfuenza41062 жыл бұрын

    Thanks proffesor, especially grateful about the last comment regarding the difference between HR and RR.

  • @trushnambhatt
    @trushnambhatt9 жыл бұрын

    A really crisp, concise and understandable video. Thanks a lot !!

  • @samanthabryant2017
    @samanthabryant20178 жыл бұрын

    Thank you for aiding in the saving of my Clin Epi grade!!!

  • @AKPiryani
    @AKPiryani9 жыл бұрын

    This is an excellent and simple tutorial, thank you.

  • @Okiimiru
    @Okiimiru9 жыл бұрын

    Thank you. I shared this video with family members who are not medical researchers to help them understand a journal article on gastric cancer survival with and without chemotherapy. This video really helps, a lot of non-medical people don't like words. They prefer videos. Thank you.

  • @beaglesrfun5896
    @beaglesrfun58968 жыл бұрын

    Thank you, Dr. Shaneyfelt for this easy-to-understand explanation!

  • @cathrinelien8549
    @cathrinelien85495 жыл бұрын

    Thank you! Very helpful

  • @soumyadiproy2446
    @soumyadiproy2446 Жыл бұрын

    Excellent, Sir.. thank you

  • @sallyleigh-won4995
    @sallyleigh-won49952 жыл бұрын

    Fantastic explanation so well presented thank you

  • @praburajkumar1506
    @praburajkumar1506 Жыл бұрын

    Excellent video explanation. Thanks Terry

  • @ezzyt
    @ezzyt8 жыл бұрын

    Thanks Terry Your videos are so easy to understand. They have really helped me to understand in a much easier way compared to text books. Cheers from Australia

  • @divatheriva
    @divatheriva8 жыл бұрын

    Thank you!!! This was an excellent explanation. Very thankful I found I this video.

  • @billstevetchachito2093
    @billstevetchachito20932 жыл бұрын

    Thank you for this simplicity on the explanation

  • @Khalil-bg8sj
    @Khalil-bg8sj9 жыл бұрын

    Bro, you are a true hero.

  • @Hotchanna
    @Hotchanna Жыл бұрын

    Great explanation!

  • @breakouss42
    @breakouss423 жыл бұрын

    Couldn't be any clearer thank youuuuuu !

  • @alexeydeyneko9693
    @alexeydeyneko96939 жыл бұрын

    Thank you! Really great and simple explanation.

  • @MrLofey
    @MrLofey2 жыл бұрын

    Thank you Dr. Terry for the clear explanation

  • @kumarsvc4334
    @kumarsvc433410 жыл бұрын

    simple and very clear. Thanks for the video.

  • @thanh684
    @thanh6848 жыл бұрын

    So clear. Thank you so much!

  • @meghasaraswat8373
    @meghasaraswat83738 жыл бұрын

    Thanks for the simple explanation and having the video uploaded!

  • @mmady8
    @mmady810 жыл бұрын

    Thank you so much! I have a journal club presentation tomorrow and this tutorial was very helpful

  • @jamesfernando1
    @jamesfernando1 Жыл бұрын

    Very good explanation! Thanks.

  • @MrAlcidas
    @MrAlcidas6 жыл бұрын

    Excellent video, thank you for uploading it!

  • @SebastianGaticaMoris
    @SebastianGaticaMoris10 жыл бұрын

    Great video, thanks for the time you took explaining these concepts

  • @xuangao2208
    @xuangao22084 жыл бұрын

    Thank you! Good material and perfect example

  • @ZakiZaili
    @ZakiZaili6 жыл бұрын

    Thank you very much. You made me understand it in 5 minutes.

  • @AhmedBashendi
    @AhmedBashendi5 жыл бұрын

    Thanks for explaining it beautifully

  • @manuandflaq
    @manuandflaq8 жыл бұрын

    Terrific Terry, excelent explanation. Thanks a lot.

  • @ashakrishna3947
    @ashakrishna39479 жыл бұрын

    Thank you Dr Shaneyfelt this tape is great i am using it in my preparation for USMLE step 3 watching your tapes again and again gives me hope about the exam .

  • @vareshn
    @vareshn9 жыл бұрын

    Thanks .Great clarity in expression. thanks again

  • @vincentmarotta9800
    @vincentmarotta980027 күн бұрын

    I'm trying to interpret a HR (Hazard Ratio) study done on smoking tobacco. The study looked at non-smokers vs. pipe tobacco smokers over the course of, like, 30 something years. For non-smokers, the HR was 1.0 (control group) For pipe smokers, the HR was 1.2 I'm interpreting this as "A pipe smoker is 20% more likely to get _some_ kind of cancer or complication due to pipe smoking, versus a non-smoker for that same cancer." But my question becomes: Is there a reliable HR study that shows non-smokers, pipe tobacco smokers, cigarette smokers, cigar smokers, and vape users? Thank you. Very easy to follow.

  • @ChengVincentckf
    @ChengVincentckf2 жыл бұрын

    wow, what a brilliant way to explain it!

  • @dhandapani9870
    @dhandapani98703 жыл бұрын

    Thank you so much sir. God bless you

  • @aliakramqureshi2753
    @aliakramqureshi27534 ай бұрын

    what a great video!

  • @lauranewmanjourno
    @lauranewmanjourno7 жыл бұрын

    very helpful refresher on hazard ratios. Do you have one on Kaplan-Meier curves?

  • @brittanysears2217
    @brittanysears221711 жыл бұрын

    Great explanation! A useful addition would be how to interpret the statistical significance of a hazard ratio. Too often, I see HR's reported with no accompanying P value.

  • @walidsarwary

    @walidsarwary

    Жыл бұрын

    Results Individuals with ADHD had an increased risk for dementia and MCI. After adjusting for sex and birth year, a hazard ratio (HR) was 2.92 (95% confidence interval 2.40-3.57) for dementia, Can you please explain that to me In a very simple words since my English is not good please .

  • @chukwuemekaonwuchekwa730
    @chukwuemekaonwuchekwa7307 жыл бұрын

    great video, very very helpful

  • @dheerajraina2133
    @dheerajraina213310 жыл бұрын

    Thank you Dr. Shaneyfelt for the video.

  • @salam7905
    @salam7905 Жыл бұрын

    thank you so much now I understand it alhumdillallah ^-^

  • @pozone2
    @pozone29 жыл бұрын

    thank you for this simple and effective video

  • @ideatrack777
    @ideatrack77711 жыл бұрын

    Clear, succinct, and useful! Thanks!

  • @nishengokal9352
    @nishengokal935211 жыл бұрын

    Very helpful presentation. Thank you.

  • @abdullahafridi4863
    @abdullahafridi48633 жыл бұрын

    very brief but spot on.

  • @alexnajduch12
    @alexnajduch125 жыл бұрын

    Such a great video! Thanks for sharing that!

  • @dr.aravindcsa2703
    @dr.aravindcsa27034 жыл бұрын

    very easy to understand

  • @user-qi12fh-124sfc
    @user-qi12fh-124sfc4 жыл бұрын

    thank you for your video, it is easy to understand!

  • @vamp3
    @vamp33 жыл бұрын

    Thank you so much Doctor !! You just saved me ♥️♥️!

  • @doczak69
    @doczak698 жыл бұрын

    Great video ...helped to understand RR and HR better.RR is at any particular point only but the HR take the time to event into the equation ,so HR is during the period not at the end point. So can we calculate absolute HR like ARR? if so how?

  • @BouhnizOmElez
    @BouhnizOmElez4 ай бұрын

    How Could I interpret or optimize a high value of HR in survival analysis (Exp : HR= 3.12e2, p=0.003)?

  • @prodigygaming6136
    @prodigygaming61362 жыл бұрын

    so do you do 1-hazard ratio and this gives you the percenatge if you times by 100? and this tell you the relative risk compared to the placebo?

  • @JamesDinkel
    @JamesDinkel9 жыл бұрын

    Thanks from a second-year med student!

  • @teklubahta2029
    @teklubahta202910 жыл бұрын

    very helpful video. thank you

  • @christopherlauw1570
    @christopherlauw15702 жыл бұрын

    so amazing!

  • @165erny
    @165erny6 жыл бұрын

    love you man

  • @sanketshah1989
    @sanketshah198910 жыл бұрын

    Thank you for this video Dr.Shaneyfelt

  • @allonadler3335
    @allonadler33354 жыл бұрын

    Excellent explanation

  • @dianaromanchuk7769
    @dianaromanchuk776910 жыл бұрын

    This is great! I finally understand hazard ratios!

  • @drkarthikm8738
    @drkarthikm87384 жыл бұрын

    Super simple

  • @Nadasistschoen
    @Nadasistschoen9 жыл бұрын

    Awesome video, thanks a lot

  • @seattlecathy
    @seattlecathy3 жыл бұрын

    The hazard ratio number seems to distort the implications of the study. Total events are 100 for the statin and 150 for the placebo. Divide each by 3200 - the number at the end - and you get 4.8% event for the placebo and 4.68% for the statin. So the real difference is very very small. It’s even smaller when you view the total picture. Yet the study could be hailed as reducing death rate from 150 to 100 or 33% or that skipping the statin increased rates by 50%.

  • @ef2b

    @ef2b

    2 жыл бұрын

    Please double check your math. If you work relative to 3200, then 150/3200=0.047 and 100/3200=0.031 and 0.031/0.047=0.66, similar to the HR. In any case, why divide by the survivors (3200) rather than by the initial population (5137 and 5168)? This calculation would be more meaningful as it would be the integrated probability of an event occurring over the initial populations of subjects. If you work this through, you'll again get a ratio that is close to the HR. It seems to me the data _do_ show a reduction from 150 (placebo) to 100 (treatment) in the integrated events over 3.5 years. I'm new to this subject, so perhaps I'm confused, but it does seem like you have an arithmetic error in your comment.

  • @seattlecathy

    @seattlecathy

    2 жыл бұрын

    @@ef2b My math may be off but why divide the percentages? It looks like the statin reduces your risk from .047 to .031. The. percentage difference might seem large but it doesn't seem worth taking a statin , with all its side effects, to reduce risk by .016 or 1.6%. RRR numbers are often misleading. It exaggerates differences. See kzread.info/dash/bejne/aX9nkq-AprLZZdY.html and google "relative vs absolute risk."

  • @lukebanks1
    @lukebanks110 жыл бұрын

    Useful and succinct - thanks

  • @rizwanalam7761
    @rizwanalam77613 жыл бұрын

    Well Explained - Thank you

  • @nathanliles5610
    @nathanliles561010 жыл бұрын

    Great video, thanks.

  • @Vudar
    @Vudar10 жыл бұрын

    Great Video. Thank you!

  • @MrLalit99
    @MrLalit994 жыл бұрын

    It was very clear

  • @MovieClipsB
    @MovieClipsB6 жыл бұрын

    Very good explanation!

  • @pharmamin
    @pharmamin11 жыл бұрын

    Extremely helpful! Thank you so much for posting Dr. Shaneyfelt!

  • @israaoday9438
    @israaoday94386 жыл бұрын

    you are awesome , u made it very easy and simple , plz make more statistic videos

  • @keyti77
    @keyti778 жыл бұрын

    Thank you Terry ! it helps a lot !

  • @eviljedi84
    @eviljedi8411 жыл бұрын

    Very Nice Presentation.

  • @freshnesss7043
    @freshnesss70439 ай бұрын

    Thank you! Step 3 tomorrow. Hopefully I get all question correct. :(

  • @johnspain449
    @johnspain4497 жыл бұрын

    clear and concise. Thank you.

  • @YaMahaWorld
    @YaMahaWorld10 жыл бұрын

    Thank you! To the point in 5min!

  • @kimmonkhorst
    @kimmonkhorst8 жыл бұрын

    Very clear explanation

  • @danielromero-alvarez5392
    @danielromero-alvarez53925 жыл бұрын

    Cool explanation, I have a quick question. Here, in the final example you have a HR of 0.64 which is the probability of having the event (death), thus, you have a 36% probability of not having the event (surviving). How do you interpret a HR of 1.95 in terms of probability?

  • @UABEBMcourse

    @UABEBMcourse

    5 жыл бұрын

    95% or 1.95 times more likely of having an event than someone in the other group. If it was 2.95 it would be 195% more likely.

  • @danielromero-alvarez5392

    @danielromero-alvarez5392

    5 жыл бұрын

    @@UABEBMcourse Thank you very much for your answer!

  • @franciscomedrano2835
    @franciscomedrano28359 жыл бұрын

    Thank you so much, extremely helpful video !

  • @mehdihjamadi3225
    @mehdihjamadi3225 Жыл бұрын

    great video. I got confused at the end when I was thinking to say: 64% as many of the patients in the treatment group will have an event at any time compared to the placebo group. But you talk about 34% so I got lost...

  • @dr.satyabratasahoo5644
    @dr.satyabratasahoo5644Ай бұрын

    Nice

  • @jamalbracken1557
    @jamalbracken15579 жыл бұрын

    Great video!!! Thank you!

  • @syazwanfadeli4725
    @syazwanfadeli4725 Жыл бұрын

    Thank you sir!

  • @tonydrj8655
    @tonydrj86555 жыл бұрын

    great video

  • @chrisroecker
    @chrisroecker9 жыл бұрын

    Great explanation; thanks!

  • @gaoyutailang
    @gaoyutailang6 жыл бұрын

    when the professor gave example of hazard ratio at 2:00 why did he emphasize proportionally for 2 and 0.5 HR?

  • @geLicious008HAHA
    @geLicious008HAHA3 жыл бұрын

    Very helpful thank you!!

  • @luismanuelguterres4114
    @luismanuelguterres41149 ай бұрын

    Thank you so much!

  • @SSReactions
    @SSReactions5 жыл бұрын

    Thanks sir it is of great help to me

  • @mehediforever
    @mehediforever5 жыл бұрын

    Got relived. Thank you👍

  • @swish1onu
    @swish1onu6 жыл бұрын

    Nice and concise !

  • @Af.frederich
    @Af.frederich4 жыл бұрын

    Thanks alot ! I finally understand

  • @m.c.degroffdavis9885
    @m.c.degroffdavis98854 жыл бұрын

    You mention other videos you've made that address certain topics more in depth: could you please either link to them IN the video or BELOW the video (or both). Please.

  • @emaadmohammad6444
    @emaadmohammad64448 жыл бұрын

    great video!

  • @amilapathumadhikarie2833
    @amilapathumadhikarie28334 жыл бұрын

    thank you very much! it really helps

  • @erhoskins1
    @erhoskins110 жыл бұрын

    Great video, thank you!!!

  • @mahaenazy
    @mahaenazy2 жыл бұрын

    amazing post! i have a question though if i may....i noticed that the p value is very significant at the end though the HR is included within the CI...is that ok? i mean we only worry about including the value 1 in the interval correct? just confirming things here:)

  • @joefran1234
    @joefran12347 жыл бұрын

    Very helpful, thank you!

  • @drcsaravind
    @drcsaravind6 жыл бұрын

    thanks a lot .. It was crystal clear .