DECISION SUPPORT
Understanding risk
A risk is the chance that something (usually something bad) will happen because of something else. For example, if you smoke a pack of cigarettes a day for 30 years, you have a 10 percent risk of dying from lung cancer.
 
 
 
 
 
Source:
Paling J.
Up to your armpits in alligators? : how to sort out what risks are worth worrying about!

 
 
 
 
 
1 Doctors use numbers from research studies to tell them what treatments are likely to work for you. These numbers also tell them about the risk of side effects. If you're a man and your surgeon says you need your prostate removed, there's a risk you'll have problems with erections. Your surgeon may think the risk is too low to worry about. But you may think any chance is too high. This is why you need to understand what risk means - so you can take part in treatment decisions.Imagine you're flipping a coin. It has two sides: heads and tails. So you have a 1 in 2 chance that it'll come up heads, and a 1 in 2 chance that it'll come up tails. It's the same chance every time, however many times you flip it. That's a 50 percent chance."Percent" just means "out of a hundred," so 50 percent looks like this:
Here's a medical example. Imagine your doctor says "There is a 50 percent chance you will be cured by this drug." If 100 people like you were treated, chances are that 50 of them (the red dots above) would not be cured, while 50 (the white dots) would recover. Here are two more examples:
The thing to remember is that, in both cases, the white dots show your chance of being fine.If you see numbers like 0.8 percent, this means the risk is less than 1 in 100. The more zeros there are after the decimal point, the lower the chances. For example:
  • 0.008 percent risk is 8 in 100,000
  • 0.0008 percent risk is 8 in 1 million.

Those are the basics of the chance that something will happen to you. Don't worry if it seems difficult. Everyone has trouble with it. Just keep in mind that a low chance of something happening does not mean that there is no chance. Remember that 1 person out of 100 (one of the pink dots in our diagrams), still means one person will have that side effect.In the next section, we'll explain ways that you can use chance or risk to understand the effects of treatments. Read about how do I use risk to choose treatments?
Sources for the information on this page:
  1. Paling J.Up to your armpits in alligators? : how to sort out what risks are worth worrying about!
This site is for your information only. For medical advice, consult a health professional.
© BMJ Publishing Group Ltd 2010. Last updated JUN 29, 2002