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Sample Journal Club Your Name Here
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Paper Catheters into Clots for Strokes, Authors et al, 2015 Type of paper: Treatment Trial (or diagnostic test trial, meta-analysis, etc)
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Author’s Hypotheses At the study conclusion, what did the authors hope to prove Statement of purpose for the study: Within patients with some disease, is this treatment superior to something else in regards to an outcome we care about.
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Background Why has this question remained unsettled or controversial
Keep it brief, 1-2 slides Does not have to be exhaustive, just summarize major developments
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Patients Inclusion Criteria Exclusion Criteria
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Discussion Are these criteria reasonable in reference to the underlying hypothesis?
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Study design Randomized? Placebo controlled Blinded Parallel arm
Cross-over Change from baseline Mean differences between arms Meta-analysis Etc.
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Discussion Slide What are the advantages and disadvantages of the chosen design for answering the hypothesis? Would you choose anything different?
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Intervention What is the intervention? What is the comparator?
Any additional considerations for blinding?
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Preplanned Outcomes Primary Secondary Tertiary
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Discussion Are these outcomes relevant and clinically significant?
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Were Patients Similar at the Start of the Trial:
Patients were randomized: Yes/No Analysis according to randomization: Yes/No Treatment groups similar: Yes/No Table 1 Reasonable?
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Did patients stay similar throughout the trial?
Participants were blinded to group allocation: Yes/No Clinicians were blinded to group allocation: Yes/No Outcome assessors were blinded to group allocation: Yes/No Follow-up was/was not complete: Yes/No CONSORT Diagram
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Analyses What statistical methods were used?
How did the authors determine power and sample size? Intention to treat Were discontinuations followed until study end
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Discussion Are these analyses appropriate for the hypothesis
What are the alternative ways to analyze Was the trial powered to be definitive
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Results: How large and precise were the treatment effects:
Present confidence intervals RRR/ARR/NNT: Primary Outcomes Secondary Outcomes Other Outcomes Were the outcomes kept consistent with a priori hypotheses
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Adverse Events
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Discussion: Clinical Relevance for Us
The patients were similar to our patients: Yes/No Outcome was clinically relevant: Yes/No Benefits of the trial are worth the harms/costs: Yes/No
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Subset Analyses Results What are the take away points?
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What did the author’s conclude
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Recapitulate the hypotheses
Did the authors answer their hypothesis
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What do you conclude? Endovascular therapies + tPA are good
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Summarize and Discuss Limitations
Consider presenting in PICO format (patients, intervention, comparison, and outcome)
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Discussion Other thoughts on how to apply or study further
Would you accept the manuscript if reviewing?
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