What is higher in rare diseases, Odds Ratio (OR) or Relative Risk (RR)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 3, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

In rare diseases, the odds ratio (OR) is typically higher than the relative risk (RR). This occurs because when a disease is rare (low prevalence), the OR tends to overestimate the RR. The mathematical relationship between these two measures shows that as disease prevalence approaches zero, the OR becomes increasingly larger than the RR 1. This distinction is important in epidemiological studies of rare conditions, where ORs from case-control studies might substantially overstate the actual relative risk.

Some key points to consider:

  • The difference between OR and RR becomes more pronounced as the OR increases - for example, an OR of 3 might correspond to an RR of only 1.5 for a rare disease 1.
  • The OR is particularly useful in case-control studies because it can approximate the RR when diseases are rare, providing valuable insights even when direct risk calculations are not feasible 1.
  • Understanding the relationship between OR and RR helps clinicians and researchers properly interpret study results when evaluating risk factors or treatments for rare conditions.

It's worth noting that the most recent and highest quality study on this topic is from 2025, which provides a clear explanation of the relationship between OR and RR in rare diseases 1. This study highlights the importance of considering the difference between OR and RR when interpreting study results, particularly in the context of rare diseases.

In terms of morbidity, mortality, and quality of life, accurately interpreting study results is crucial for making informed decisions about treatment and care. By understanding the relationship between OR and RR, clinicians and researchers can better evaluate the effectiveness of treatments and make more accurate predictions about patient outcomes.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.