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FHIR IG analytics

Packagehl7.fhir.uv.ebm
Resource TypeEvidence
IdEvidence-47749.json
FHIR VersionR6

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Evidence 47749

version: 12; Last updated: 2023-12-06 18:55:32+0000; Language: en

Profiles: ComparativeEvidence, SingleStudyEvidence

ArtifactPublicationStatus: Active

url: https://fevir.net/resources/Evidence/47749

identifier: FEvIR Object Identifier/47749

name: ComparativeEvidence_Mean_difference_in_HbA1c_between_Surgery_and_Medical_Lifestyle_groups_in_Halperin_2014

title: ComparativeEvidence: Mean difference in HbA1c between Surgery and Medical/Lifestyle groups in Halperin 2014

citeAs:

ComparativeEvidence: Mean difference in HbA1c between Surgery and Medical/Lifestyle groups in Halperin 2014 [Evidence]. Contributors: In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 47749. Revised 2022-05-29. Available at: https://fevir.net/resources/Evidence/47749. Computable resource at: https://fevir.net/resources/Evidence/47749.

status: Active

date: 2022-05-29 11:03:46+0000

author: Brian S. Alper:

publisher: Computable Publishing LLC

contact: support@computablepublishing.com

UseContexts

-CodeValue[x]
*Evidence Based Medicine on FHIR Implementation Guide Code System: evidence-communication (Evidence Communication)ComparativeEvidence
*Evidence Based Medicine on FHIR Implementation Guide Code System: evidence-communication (Evidence Communication)SingleStudyEvidence

copyright:

https://creativecommons.org/licenses/by-nc-sa/4.0/

RelatesTos

-ExtensionTypeTarget[x]
*Derived Fromnull @ https://diabetesjournals.org/care/article/39/6/861/29305/Metabolic-Surgery-in-the-Treatment-Algorithm-for

description:

Mean HbA1c at 12 months in Halperin 2014 was 6.2 % in Surgery group (n = 19) and 8.8% in Medical/Lifestyle group (n = 19), mean difference -2.60% (95% CI -3.37% to -1.83%)

variableDefinition

description:

38 patients aged 21 to 65 with T2DM and BMI 30 to 42 and HbA1c >= 6.5

variableRole: Population

observed: Halperin 2014 Trial Enrollment Group

variableDefinition

description:

Roux-en-Y Gastric Bypass vs. medical treatment (Weight Achievement and Intensive Treatment-Why WAIT)

variableRole: Exposure

comparatorCategory: medical treatment

observed: GroupAssignment: Roux-en-Y gastric bypass vs. medical treatment

variableDefinition

description:

HbA1c at 12 months

variableRole: Outcome

observed: HbA1c at 12 months

intended: OutcomeVariable: HbA1c at 12 months

synthesisType: not applicable

studyDesign: randomized assignment

statistic

description:

mean difference -2.60% (95% CI -3.37% to -1.83%)

note:

Mean HbA1c at 12 months in Halperin 2014 was 6.2 % in Surgery group (n = 19) and 8.8% in Medical/Lifestyle group (n = 19)

statisticType: Mean Difference

quantity: -2.6 % (Details: UCUM code% = '%')

SampleSizes

-NumberOfParticipantsKnownDataCount
*3838

AttributeEstimates

-DescriptionTypeLevelRange
*

95% CI -3.37% to -1.83%

Confidence interval0.95-3.37--1.83 %

Source1

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  "id": "47749",
  "meta": {
    "versionId": "12",
    "lastUpdated": "2023-12-06T18:55:32.319Z",
    "profile": [
      "http://hl7.org/fhir/uv/ebm/StructureDefinition/comparative-evidence",
      "http://hl7.org/fhir/uv/ebm/StructureDefinition/single-study-evidence"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status",
      "valueCodeableConcept": {
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            "code": "active",
            "display": "Active"
          }
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      }
    }
  ],
  "url": "https://fevir.net/resources/Evidence/47749",
  "identifier": [
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        ],
        "text": "FEvIR Object Identifier"
      },
      "system": "https://fevir.net/FOI",
      "value": "47749",
      "assigner": {
        "display": "Computable Publishing LLC"
      }
    }
  ],
  "name": "ComparativeEvidence_Mean_difference_in_HbA1c_between_Surgery_and_Medical_Lifestyle_groups_in_Halperin_2014",
  "title": "ComparativeEvidence: Mean difference in HbA1c between Surgery and Medical/Lifestyle groups in Halperin 2014",
  "citeAs": "ComparativeEvidence: Mean difference in HbA1c between Surgery and Medical/Lifestyle groups in Halperin 2014 [Evidence]. Contributors: In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 47749. Revised 2022-05-29. Available at: https://fevir.net/resources/Evidence/47749. Computable resource at: https://fevir.net/resources/Evidence/47749.",
  "status": "active",
  "date": "2022-05-29T11:03:46.304Z",
  "author": [
    {
      "name": "Brian S. Alper"
    }
  ],
  "publisher": "Computable Publishing LLC",
  "contact": [
    {
      "telecom": [
        {
          "system": "email",
          "value": "support@computablepublishing.com"
        }
      ]
    }
  ],
  "useContext": [
    {
      "code": {
        "system": "https://fevir.net/resources/CodeSystem/179423",
        "code": "evidence-communication",
        "display": "Evidence Communication"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fevir.net/resources/CodeSystem/179423",
            "code": "ComparativeEvidence",
            "display": "ComparativeEvidence"
          }
        ]
      }
    },
    {
      "code": {
        "system": "https://fevir.net/resources/CodeSystem/179423",
        "code": "evidence-communication",
        "display": "Evidence Communication"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fevir.net/resources/CodeSystem/179423",
            "code": "SingleStudyEvidence",
            "display": "SingleStudyEvidence"
          }
        ]
      }
    }
  ],
  "copyright": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "relatesTo": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/ebm/StructureDefinition/relatesto-classifier",
          "valueCodeableConcept": {
            "text": "data source"
          }
        }
      ],
      "type": "derived-from",
      "targetAttachment": {
        "url": "https://diabetesjournals.org/care/article/39/6/861/29305/Metabolic-Surgery-in-the-Treatment-Algorithm-for",
        "title": "Figure 2C Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations [Journal Article]. Contributors: Francesco Rubino, David M Nathan, Robert H Eckel, Philip R Schauer, K George M M Alberti, Paul Z Zimmet, Stefano Del Prato, Linong Ji, Shaukat M Sadikot, William H Herman, Stephanie A Amiel, Lee M Kaplan, Gaspar Taroncher-Oldenburg, David E Cummings, Delegates of the 2nd Diabetes Surgery Summit. In: Diabetes care, PMID 27222544. Published June 2016. Available at: https://pubmed.ncbi.nlm.nih.gov/27222544/."
      }
    }
  ],
  "description": "Mean HbA1c at 12 months in Halperin 2014 was 6.2 % in Surgery group (n = 19) and 8.8% in Medical/Lifestyle group (n = 19), mean difference -2.60% (95% CI -3.37% to -1.83%)",
  "variableDefinition": [
    {
      "description": "38 patients aged 21 to 65 with T2DM and BMI 30 to 42 and HbA1c >= 6.5",
      "variableRole": "population",
      "observed": {
        "type": "Group",
        "display": "Halperin 2014 Trial Enrollment Group"
      }
    },
    {
      "description": "Roux-en-Y Gastric Bypass vs. medical treatment (Weight Achievement and Intensive Treatment-Why WAIT)",
      "variableRole": "exposure",
      "comparatorCategory": "medical treatment",
      "observed": {
        "reference": "EvidenceVariable/172478",
        "type": "EvidenceVariable",
        "display": "GroupAssignment: Roux-en-Y gastric bypass vs. medical treatment"
      }
    },
    {
      "description": "HbA1c at 12 months",
      "variableRole": "outcome",
      "observed": {
        "display": "HbA1c at 12 months"
      },
      "intended": {
        "reference": "EvidenceVariable/173243",
        "type": "EvidenceVariable",
        "display": "OutcomeVariable: HbA1c at 12 months"
      }
    }
  ],
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          "code": "NotApplicable",
          "display": "not applicable"
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  "studyDesign": [
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          "code": "SEVCO:01003",
          "display": "randomized assignment"
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  ],
  "statistic": [
    {
      "description": "mean difference -2.60% (95% CI -3.37% to -1.83%)",
      "note": [
        {
          "text": "Mean HbA1c at 12 months in Halperin 2014 was 6.2 % in Surgery group (n = 19) and 8.8% in Medical/Lifestyle group (n = 19)"
        }
      ],
      "statisticType": {
        "coding": [
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            "code": "0000457",
            "display": "Mean Difference"
          }
        ]
      },
      "quantity": {
        "value": -2.6,
        "unit": "%",
        "system": "http://unitsofmeasure.org",
        "code": "%"
      },
      "sampleSize": {
        "numberOfParticipants": 38,
        "knownDataCount": 38
      },
      "attributeEstimate": [
        {
          "description": "95% CI  -3.37% to -1.83%",
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/attribute-estimate-type",
                "code": "C53324",
                "display": "Confidence interval"
              }
            ]
          },
          "level": 0.95,
          "range": {
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              "value": -3.37,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "high": {
              "value": -1.83,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            }
          }
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      ]
    }
  ]
}