Compare event rates across groups

Build comparable event counts and time at risk, estimate a crude rate ratio, and check whether differences in population composition call for a standardized comparison.

Worked decision

Suppose group A records 12 events over 600 person-years and group B records 9 over 300. The rates are 2 and 3 per 100 person-years. The crude rate ratio is 0.67. Check follow-up definitions, recurrent events and group differences before interpreting the contrast.

Record your decision

Which comparison answers the study question? Use a crude ratio to compare the observed group rates. If composition matters, choose common reference weights for direct standardization or external rates for an observed-to-expected comparison.

Work through the evidence

  1. Define events, time at risk and rate units
  2. Check the assumptions behind a Poisson rate ratio
  3. Calculate the crude rate ratio and approximate interval
  4. Apply reference weights to stratum-specific rates
  5. Compare observed events with an external reference
  6. Download the rate-comparison worksheet (TXT)
  7. Compare interval methods for independent Poisson rates
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