Subgroup analysis in randomized controlled trials with binary outcomes: dilution and logic-respecting properties

Statistics > Methodology [Submitted on 16 Jun 2026] Title:Subgroup analysis in randomized controlled trials with binary outcomes: dilution and logic-respecting properties View PDF HTML (experimental)Abstract:Subgroup analysis is routinely used in randomized controlled trials to examine whether treatment effects are homogeneous across patient subgroups or differ because of treatment-effect heterogeneity. In this paper, we investigate the properties of the odds ratio and the relative response in subgroup analyses with binary outcomes, extending previous work with new theoretical insights and methodological developments. We establish several new theorems that characterize how the odds ratio for the overall population changes in both magnitude and direction when two subgroups are combined. These results further confirm that the odds ratio is inappropriate as an efficacy measure in this subgroup setting, whereas the relative response is appropriate. We also present the formal relationship between the odds ratio and the relative response, and clarify their differences in terms of the logic-respecting property, that is, whether the overall efficacy lies between the subgroup efficacies, and the dilution property, that is, whether mixing subgroups moves the overall odds ratio toward 1. Although the odds ratio is generally not logic-respecting, it may behave approximately like a logic-respecting efficacy measure under certain conditions. To illustrate our findings, we present an illustrative example based on clinical trial data and discuss its implications for subgroup analysis in randomized controlled trials. References & Citations Loading... Bibliographic and Citation Tools Bibliographic Explorer (What is the Explorer?) Connected Papers (What is Connected Papers?) Litmaps (What is Litmaps?) scite Smart Citations (What are Smart Citations?) Code, Data and Media Associated with this Article alphaXiv (What is alphaXiv?) CatalyzeX Code Finder for Papers (What is CatalyzeX?) DagsHub (What is DagsHub?) Gotit.pub (What is GotitPub?) Hugging Face (What is Huggingface?) ScienceCast (What is ScienceCast?) Demos Recommenders and Search Tools Influence Flower (What are Influence Flowers?) CORE Recommender (What is CORE?) arXivLabs: experimental projects with community collaborators arXivLabs is a framework that allows collaborators to develop and share new arXiv features directly on our website. Both individuals and organizations that work with arXivLabs have embraced and accepted our values of openness, community, excellence, and user data privacy. arXiv is committed to these values and only works with partners that adhere to them. Have an idea for a project that will add value for arXiv's community? Learn more about arXivLabs.