Date of download: 7/10/2016 From: β-Blockers in Congestive Heart Failure: A Bayesian Meta-Analysis Ann Intern Med. 2001;134(7):550-560. doi:10.7326/0003-4819-134-7-200104030-00008.

Slides:



Advertisements
Similar presentations
Date of download: 5/28/2016 From: When to Start Antiretroviral Therapy in Resource-Limited Settings Ann Intern Med. 2009;151(3): doi: /
Advertisements

Date of download: 5/28/2016 Copyright © The American College of Cardiology. All rights reserved. From: Omega-3 Polyunsaturated Fatty Acids and Cardiovascular.
Date of download: 5/28/2016 From: High-Dose Acyclovir Compared with Short-Course Preemptive Ganciclovir Therapy To Prevent Cytomegalovirus Disease in Liver.
Date of download: 5/29/2016 From: The Effect of a Lower Target Blood Pressure on the Progression of Kidney Disease: Long-Term Follow- up of the Modification.
Date of download: 5/31/2016 From: Cost-Effectiveness of HIV Screening in Patients Older than 55 Years of Age Ann Intern Med. 2008;148(12): doi: /
Date of download: 6/1/2016 From: Systematic Review: Cardiac Resynchronization in Patients with Symptomatic Heart Failure Ann Intern Med. 2004;141(5):
Date of download: 6/2/2016 From: Quantitative Synthesis in Systematic Reviews Ann Intern Med. 1997;127(9): doi: /
Date of download: 6/3/2016 From: Mortality Rates in Elderly Patients Who Take Different Angiotensin-Converting Enzyme Inhibitors after Acute Myocardial.
Date of download: 6/3/2016 From: Chest Pain Relief by Nitroglycerin Does Not Predict Active Coronary Artery Disease Ann Intern Med. 2003;139(12):
Date of download: 6/3/2016 From: Sex, Age, and Birth Cohort Effects in Colorectal Neoplasms: A Cohort Analysis Ann Intern Med. 2010;152(11): doi: /
Date of download: 6/3/2016 From: Surgery Versus Nonsurgical Treatment of Lumbar Spinal Stenosis: A Randomized Trial Ann Intern Med. 2015;162(7):
Date of download: 6/3/2016 From: Elevated Plasma Homocysteine Level Is an Independent Predictor of Coronary Heart Disease Events in Patients with Type.
Date of download: 6/6/2016 From: Comparative Effectiveness of Pain Management Interventions for Hip Fracture: A Systematic Review Ann Intern Med. 2011;155(4):
Date of download: 6/18/2016 From: Treatment of Anemia in Patients With Heart Disease: A Systematic Review Ann Intern Med. 2013;159(11): doi: /
Date of download: 6/21/2016 From: Psychological and Behavioral Interventions for Managing Insomnia Disorder: An Evidence Report for a Clinical Practice.
Date of download: 6/22/2016 From: The Efficacy of Influenza Vaccine in Elderly Persons: A Meta-Analysis and Review of the Literature Ann Intern Med. 1995;123(7):
Date of download: 6/22/2016 From: Systematic Review: Anti–Epidermal Growth Factor Receptor Treatment Effect Modification by KRAS Mutations in Advanced.
Date of download: 6/22/2016 From: Biomarkers of Inflammation and Thrombosis as Predictors of Near-Term Mortality in Patients with Peripheral Arterial Disease:
Date of download: 6/23/2016 From: Meta-Analysis: Acupuncture for Low Back Pain Ann Intern Med. 2005;142(8): doi: /
Date of download: 6/24/2016 From: Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee: A Randomized, Controlled Trial Ann.
Date of download: 6/24/2016 From: Systematic Review: Benefits and Harms of In-Hospital Use of Recombinant Factor VIIa for Off-Label Indications Ann Intern.
Date of download: 6/24/2016 From: Sodium–Glucose Cotransporter 2 Inhibitors for Type 2 Diabetes: A Systematic Review and Meta-analysis Ann Intern Med.
Date of download: 6/25/2016 From: Interferon Therapy Reduces the Risk for Hepatocellular Carcinoma: National Surveillance Program of Cirrhotic and Noncirrhotic.
Date of download: 6/25/2016 From: Cognitive Behavioral Therapy for Chronic Insomnia: A Systematic Review and Meta-analysis Ann Intern Med. 2015;163(3):
Date of download: 6/26/2016 Copyright © The American College of Cardiology. All rights reserved. From: Assessing the Risk of Progression From Asymptomatic.
Date of download: 6/26/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Impact of QRS Duration on Clinical Event Reduction.
Date of download: 6/26/2016 From: Lipid-Lowering Therapy in Persons With Chronic Kidney Disease: A Systematic Review and Meta- analysis Ann Intern Med.
Date of download: 6/26/2016 From: Cost-Effectiveness of Adding Cardiac Resynchronization Therapy to an Implantable Cardioverter- Defibrillator Among Patients.
Date of download: 6/26/2016 From: Variations in Mortality and Length of Stay in Intensive Care Units Ann Intern Med. 1993;118(10): doi: /
Date of download: 6/27/2016 From: Population Strategies to Decrease Sodium Intake and the Burden of Cardiovascular Disease: A Cost- Effectiveness Analysis.
Date of download: 6/28/2016 From: Meta-Analysis: Low-Dose Dopamine Increases Urine Output but Does Not Prevent Renal Dysfunction or Death Ann Intern Med.
Date of download: 6/28/2016 From: Drug Treatment of Hypertension in the Elderly: A Meta-Analysis Ann Intern Med. 1994;121(5): doi: /
Date of download: 6/28/2016 Copyright © The American College of Cardiology. All rights reserved. From: Utility of B-type natriuretic peptide in the diagnosis.
Date of download: 6/29/2016 From: Predicting Future Functional Status for Seriously Ill Hospitalized Adults: The SUPPORT Prognostic Model Ann Intern Med.
Date of download: 7/1/2016 From: Does Utilization of Screening Mammography Explain Racial and Ethnic Differences in Breast Cancer? Ann Intern Med. 2006;144(8):
Date of download: 7/2/2016 From: An Acute Change in Lung Allocation Score and Survival After Lung Transplantation: A Cohort Study Ann Intern Med. 2013;158(9):
Date of download: 7/5/2016 Copyright © The American College of Cardiology. All rights reserved. From: Early Aldosterone Blockade in Acute Myocardial Infarction:
Date of download: 7/5/2016 From: Validation of the Appropriate Use Criteria for Coronary Angiography: A Cohort Study Ann Intern Med. 2015;162(8):
Date of download: 7/5/2016 From: Sunscreen and Prevention of Skin Aging: A Randomized Trial Ann Intern Med. 2013;158(11): doi: /
Date of download: 7/6/2016 From: Can Inexpensive Signs Encourage the Use of Stairs? Results from a Community Intervention Ann Intern Med. 1998;129(5):
Date of download: 7/8/2016 Copyright © The American College of Cardiology. All rights reserved. From: Tolerability and efficacy of carvedilol in patients.
Date of download: 7/9/2016 From: Long-Term Weight Loss and Changes in Blood Pressure: Results of the Trials of Hypertension Prevention, Phase II Ann Intern.
Date of download: 7/10/2016 From: Potential Cost-Effectiveness of Prophylactic Use of the Implantable Cardioverter Defibrillator or Amiodarone after Myocardial.
Date of download: 7/11/2016 From: Safety of Herpes Zoster Vaccine in the Shingles Prevention Study: A Randomized Trial Ann Intern Med. 2010;152(9):
Date of download: 9/16/2016 From: Fluorouracil plus Levamisole as Effective Adjuvant Therapy after Resection of Stage III Colon Carcinoma: A Final Report.
Date of download: 9/17/2016 From: Behavioral Therapy to Enable Women with Urge Incontinence to Discontinue Drug Treatment: A Randomized Trial Ann Intern.
Date of download: 9/17/2016 From: Topical Treatment of Pressure Ulcers with Nerve Growth Factor: A Randomized Clinical Trial Ann Intern Med. 2003;139(8):
Date of download: 9/17/2016 From: Dose Response to Vitamin D Supplementation in Postmenopausal Women: A Randomized Trial Ann Intern Med. 2012;156(6):
Date of download: 9/17/2016 From: Polymerase Chain Reaction for the Diagnosis of HIV Infection in Adults: A Meta-Analysis with Recommendations for Clinical.
Date of download: 9/19/2016 Copyright © The American College of Cardiology. All rights reserved. From: What resting heart rate should one aim for when.
Date of download: 9/19/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Effects of Controlled-Release Metoprolol on Total.
Date of download: 9/19/2016 From: The Implications of Regional Variations in Medicare Spending. Part 2: Health Outcomes and Satisfaction with Care Ann.
Date of download: 11/12/2016 From: Continuous Intravenous Epoprostenol for Pulmonary Hypertension Due to the Scleroderma Spectrum of DiseaseA Randomized,
From: Benefits and Harms of Statin Therapy for Persons With Chronic Kidney DiseaseA Systematic Review and Meta-analysis Ann Intern Med. 2012;157(4):
Copyright © 2011 American Medical Association. All rights reserved.
Copyright © 2007 American Medical Association. All rights reserved.
From: High-Dose Melphalan and Autologous Stem-Cell Transplantation in Patients with AL Amyloidosis: An 8-Year Study Ann Intern Med. 2004;140(2):85-93.
From: Effects of Low-Carbohydrate and Low-Fat DietsA Randomized Trial
Ann Intern Med. 1999;130(6): doi: / Figure Legend:
Ann Intern Med. 1995;123(2): doi: / Figure Legend:
From: Systematic Review: Strategies for Using Exercise Therapy To Improve Outcomes in Chronic Low Back Pain Ann Intern Med. 2005;142(9): doi: /
From: Long-Term Outcome of Anti–Glomerular Basement Membrane Antibody Disease Treated with Plasma Exchange and Immunosuppression Ann Intern Med. 2001;134(11):
From: The In-Training Examination in Internal Medicine: An Analysis of Resident Performance over Time Ann Intern Med. 2002;137(6): doi: /
Ann Intern Med. 2009;150(11): doi: / Figure Legend:
Copyright © 2006 American Medical Association. All rights reserved.
From: Routine Echocardiography Screening for Asymptomatic Left Ventricular Dysfunction in Childhood Cancer Survivors: A Model-Based Estimation of the Clinical.
From: Low-Molecular-Weight Heparins Compared with Unfractionated Heparin for Treatment of Acute Deep Venous Thrombosis: A Cost-Effectiveness Analysis Ann.
From: Clinic-Based Treatment of Opioid-Dependent HIV-Infected Patients Versus Referral to an Opioid Treatment ProgramA Randomized Trial Ann Intern Med.
CIBIS II: Cardiac Insufficiency Bisoprolol Study II
Marrick L. Kukin, MD  Mayo Clinic Proceedings 
Presentation transcript:

Date of download: 7/10/2016 From: β-Blockers in Congestive Heart Failure: A Bayesian Meta-Analysis Ann Intern Med. 2001;134(7): doi: / Mortality in the placebo and β-blocker groups of 22 studies.Arrows indicate that the credible interval exceeds the scale; circles indicate point estimates; the bottom circle (in the “Total” row) indicates the overall best estimate of the effect. Aust/NZ = Australia/New Zealand Heart Failure Research Collaborative Group; CIBIS = Cardiac Insufficiency Bisoprolol Study; MERIT-HF = Metoprolol CR/XL Randomized Intervention Trial in Congestive Heart Failure; RESOLVD = Randomized Evaluation of Strategies for Left Ventricular Dysfunction Pilot Study. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/10/2016 From: β-Blockers in Congestive Heart Failure: A Bayesian Meta-Analysis Ann Intern Med. 2001;134(7): doi: / Hospital admission for congestive heart failure in the placebo and β-blocker groups of 22 studies.Arrows indicate that the credible interval exceeds the scale; circles indicate point estimates; the bottom circle (in the “Total” row) indicates the overall best estimate of the effect. Aust/NZ = Australia/New Zealand Heart Failure Research Collaborative Group; CIBIS = Cardiac Insufficiency Bisoprolol Study; MERIT-HF = Metoprolol CR/XL Randomized Intervention Trial in Congestive Heart Failure; n/a = not available; RESOLVD = Randomized Evaluation of Strategies for Left Ventricular Dysfunction Pilot Study. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/10/2016 From: β-Blockers in Congestive Heart Failure: A Bayesian Meta-Analysis Ann Intern Med. 2001;134(7): doi: / Probability density curves for improvement in mortality rate (solid line) and hospital admission (dotted line) due to congestive heart failure among patients taking β-blockers.The probability density functions for the number of lives saved and hospitalizations for congestive heart failure were calculated assuming a baseline annual mortality rate of 12% and a hospitalization rate of 14%. The area under the curve and to the right of any specified point on the abscissa is proportional to the probability of that event. For example, the probability of saving at least 2 lives per 100 patients treated is approximately 99% (almost the entire area to the right); the probability of saving 3 or more lives is 85%. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/10/2016 From: β-Blockers in Congestive Heart Failure: A Bayesian Meta-Analysis Ann Intern Med. 2001;134(7): doi: / Probability density curves for improvement in survival with β-blocker therapy, according to sequential accumulation of data from trials published before 1999 (dotted line) and including those published in 1999 and 2000 (solid line).[17][18][34]The probability density functions for the number of lives saved on the basis of data available before 1999 (at the time of previous meta-analyses) and by the end of 2000 (after publication of the Cardiac Insufficiency Bisoprolol Study II, the Metoprolol CR/XL Randomized Intervention Trial in Congestive Heart Failure trial, and the Randomized Evaluation of Strategies for Left Ventricular Dysfunction Pilot Study ) were calculated assuming a baseline annual mortality rate of 12%. The progressive narrowing of the curves shows the improved precision in estimation of the benefit of β-blocker therapy. This benefit is not only statistically but also clinically significant, as indicated by the virtual lack of an area under the curve to the left of 0.02 (that is, at least 2 lives saved per 100 persons). Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians