8.4 Choosing between the methods

Direct

Indirect

Needs

stratum rates of each study population; a standard population

total deaths in each study population; standard rates

Weights

the standard’s structure

each study population’s own structure

Comparable between study populations

yes

only if rate ratios are constant across strata

Stability with small numbers

poor

good

Both summaries are adequate when the stratum ratios are roughly constant, and both hide something important when they are not. In that case the proper report is the stratum-specific comparison, with a summary only as a supplement. The Mantel–Haenszel methods of the next sections give pooled estimates with better statistical properties under the assumption of a common ratio, and Section 13 sets them side by side with standardisation on one set of data.

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