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Letter to the editor: Odds ratio versus risk ratios: Rejuvenating an important debate and an opportunity to learn

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Topic overview

This letter addresses methodological considerations in comparing odds ratios versus risk ratios in systematic reviews, specifically responding to commentary on a meta-analysis of bedside versus operating room surgery in critically ill neonates. The authors clarify statistical interpretation issues and defend their analytical approach to surgical outcomes research.

Key takeaways

  • Odds ratios and risk ratios are distinct effect measures; choosing the appropriate metric depends on study design and outcome prevalence.
  • In neonatal critical care research, effect measure selection impacts clinical interpretation and generalizability of surgical intervention studies.
  • Methodological transparency in systematic reviews requires explicit justification of statistical approaches, especially in meta-analyses.
  • Letters to the editor serve as valuable peer discourse for refining research methodology and advancing evidence-based practice standards.
  • Understanding effect measure properties prevents misinterpretation of treatment effects in high-risk populations like critically ill neonates.

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How to cite: GlobalCastMD. Letter to the editor: Odds ratio versus risk ratios: Rejuvenating an important debate and an opportunity to learn. GlobalCastMD Medical Library. 2025-10-07. https://library.globalcastmd.com/article/11072

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