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c/trialwatch·submitted 2 years ago by u/hsa_math

how much of what we believe about endpoint actually comes from SURMOUNT threads

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how much of what we believe about endpoint actually comes from SURMOUNT threads. I am not trying to be the "source?" guy. I would just like a source. How to read one of these papers in fifteen minutes, in the order that actually helps. Start with the registered protocol and check the primary endpoint against what is…

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15 comments, started 2 years ago
u/cesar_ivaturi26 points·2 years ago

Intention-to-treat analyses everybody randomised regardless of what they did afterwards. Completer analyses only those who finished. The second is systematically more flattering and both are legitimate if labelled.

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u/plateau_patrol7 points·2 years ago

Agreed. Half the arguments on this site are two people quoting different trials at each other without noticing.

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u/yusuf_ramos5 points·2 years ago

Careful with that mean. The distribution around it was wide enough that it describes very few individual participants.

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u/hamza_weiss2 points·2 years ago

Same. A press release is a claim about a result; the publication is the result.

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u/rulebook_rachaelmod · c/meta3 points·2 years ago

Agreed.

Agreed. And the interval, not the point estimate, is what the trial actually established.

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u/cloudy_vial_carol1 point·2 years ago

discontinuation rate is a result, not a footnote

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u/rulebook_rachaelmod · c/meta1 point·2 years ago

check who the comparator was before you compare anything

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u/renal_outcomes_rnephro-curious1 point·2 years ago

A confidence interval is the range of effects compatible with the data. Two trials with overlapping intervals have not disagreed, whatever their point estimates look like next to each other.

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u/yusuf_ramos1 point·2 years ago

How long was the randomised phase before any extension?

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u/ines_castellanos14 points·2 years ago

What was the discontinuation rate?

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u/anders_kuusela4 points·2 years ago

Discontinuation rates are a tolerability result. A trial with a strong efficacy number and heavy discontinuation is telling you two things and people only quote one.

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u/trialwatch_theotrial nerd6 points·2 years ago

trial populations get support that nobody on this board gets

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