What do we know about communicating risk? A brief review and suggestion for contextualising serious, but rare, risk, and the example of cox-2 selective and non-selective NSAIDs
2008

Communicating Risk: A Review of Methods

Sample size: 3500 publication 10 minutes Evidence: moderate

Author Information

Author(s): R. Andrew Moore, Sheena Derry, Henry J. McQuay, John Paling

Primary Institution: University of Oxford

Hypothesis

How can we effectively communicate serious but rare risks associated with NSAIDs and coxibs?

Conclusion

Contextualized risk information can be provided for some adverse events, but many potential serious risks remain unaddressed.

Supporting Evidence

  • Patients often want information on all adverse events, even rare ones.
  • People tend to overestimate rare risks and underestimate common risks.
  • Different methods of presenting risk can significantly affect patient understanding and decision-making.

Takeaway

People often misunderstand risks, thinking rare events are more likely than they are, and we need better ways to explain these risks to help them make informed choices.

Methodology

The study reviewed observational studies and meta-analyses regarding NSAID and coxib use and their associated risks.

Potential Biases

Potential biases in how risks are perceived and presented were noted, including emotional responses overshadowing factual information.

Limitations

The literature on risk communication is limited, and many serious adverse events were not included in the analysis.

Participant Demographics

The study involved a diverse group of patients, including those with rheumatological conditions and general public participants.

Digital Object Identifier (DOI)

10.1186/ar2373

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