Evidence-appraisal glossary

Baseline risk

Baseline risk is how often an outcome occurs without the treatment or exposure being studied, usually measured in the control or comparison group. It is the starting point against which any effect is judged. The same relative change means far more when baseline risk is high than when it is low.

Also called: control event rate, baseline rate, control risk.

Baseline risk, sometimes called the control event rate, is the probability of the outcome in the absence of the intervention. It anchors every other risk measure, because relative figures only become meaningful once you know what they are relative to. A person's baseline risk depends on age, sex, existing conditions, and other factors, so a trial's average may not match any individual reader. When reading a study, find the event rate in the control group and use it to translate relative results into absolute terms. For example, a drug that lowers relative risk by 30 percent removes 3 events per 100 people when baseline risk is 10 percent, but only 0.3 per 100 when baseline risk is 1 percent. Look for whether the study population's baseline risk resembles the group the results are being applied to; borrowed conclusions from high-risk trials often overstate benefit in lower-risk settings.

This is a plain-language methodology definition for reading research. It is general education, not medical advice.

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