Percentagewise, it’s a common error

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If a price doubles, is it 200 per cent higher? No, it’s 100 per cent higher.

That’s a rule worth remembering, as it’s frequently ignored. I was reminded of it by an interesting paper in the latest issue of Pharmacotherapy comparing the cost of statin prescribing in the US and the UK.

The authors conclude that the US healthcare system paid four times as much for these widely-prescribed drugs as the NHS, a difference only partially accounted for by the difference in prescribing rates between the two countries. Total costs for matched groups of 280,000 people aged 55-64 in each country in 2005 were $64.9 million in the US and $15.7 m in the UK.

That’s a factor of four but is it, as the authors say, “approximately 400 per cent higher”? No. In cash terms it’s $49.2m higher, and that is 319 per cent of $15.7m. So it’s approximately 300 per cent higher.

This is a common error – see, for example, this handy guide - and a good reason for not using for percentages for increases of more than 100 per cent. A host of websites picked this story up and without exception repeated the error, usually in the headline.

If the authors had said US costs were 400 per cent of UK costs, they would have been right. But 400 per cent higher? I’m afraid not.

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