Evidence Based Medicine on FHIR Implementation Guide
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Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

: ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study - JSON Representation

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{
  "resourceType" : "Evidence",
  "id" : "104397",
  "meta" : {
    "versionId" : "9",
    "lastUpdated" : "2024-12-13T21:10:25.161Z",
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/ebm/StructureDefinition/comparator-only-evidence"🔗 ,
      "http://hl7.org/fhir/uv/ebm/StructureDefinition/single-study-evidence"
    ]
  },
  "text" : {
    "status" : "empty",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"
  },
  "url" : "https://fevir.net/resources/Evidence/104397",
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "ACSN",
            "display" : "Accession ID"
          }
        ],
        "text" : "FEvIR Object Identifier"
      },
      "system" : "urn:ietf:rfc:3986",
      "value" : "https://fevir.net/FOI/104397",
      "assigner" : {
        "display" : "Computable Publishing LLC"
      }
    }
  ],
  "name" : "ComparatorOnlyEvidence_Myocardial_infarction_or_stroke_without_bariatric_surgery_Control_Group_in_Swedish_Obese_Subjects_SOS_study",
  "title" : "ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study",
  "status" : "active",
  "date" : "2022-09-19T21:17:21.515Z",
  "publisher" : "Computable Publishing LLC",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "email",
          "value" : "support@computablepublishing.com"
        }
      ]
    }
  ],
  "author" : [
    {
      "name" : "Brian S. Alper"
    }
  ],
  "copyright" : "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "relatedArtifact" : [
    {
      "type" : "derived-from",
      "document" : {
        "url" : "https://jamanetwork.com/journals/jama/fullarticle/1103994"
      }
    },
    {
      "type" : "cite-as",
      "citation" : "ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study [Database Entry: FHIR Evidence Resource]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104397. Revised 2022-09-19. Available at: https://fevir.net/resources/Evidence/104397. Computable resource at: https://fevir.net/resources/Evidence/104397#json."
    }
  ],
  "description" : "Bariatric surgery was associated with 49 cardiovascular deaths among 2037 patients in the control group. The number of total first time (fatal or nonfatal) cardiovascular events (myocardial infarction or stroke, whichever came first) in the control group  was 234 events among 2037 patients. Extrapolated from this data the outcome of Nonfatal myocardial infarction or stroke occurred in 188 out of 2037 patients in the control group.",
  "variableDefinition" : [
    {
      "description" : "Inclusion criteria were age 37 to 60 years and a body mass index of at least 34 in men and at least 38 in women.  All in Sweden. Comparator Cohort are those who received usual care without bariatric surgery",
      "variableRole" : "population"
    },
    {
      "description" : "Nonfatal myocardial infarction or stroke",
      "variableRole" : "outcome",
      "observed" : {
        🔗 "reference" : "EvidenceVariable/104097",
        "type" : "EvidenceVariable",
        "display" : "OutcomeVariable: Nonfatal myocardial infarction or stroke"
      }
    }
  ],
  "synthesisType" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/synthesis-type",
        "code" : "NotApplicable",
        "display" : "not applicable"
      }
    ]
  },
  "studyDesign" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/study-design",
          "code" : "SEVCO:01002",
          "display" : "Observational research"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/study-design",
          "code" : "SEVCO:01011",
          "display" : "Parallel cohort design"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/study-design",
          "code" : "SEVCO:01014",
          "display" : "Matching for comparison"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/study-design",
          "code" : "SEVCO:01028",
          "display" : "Longitudinal data collection"
        }
      ]
    }
  ],
  "statistic" : [
    {
      "description" : "188 out of 2,037 observed with percentage of: 9.2%",
      "statisticType" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/181513",
            "code" : "STATO:0000607",
            "display" : "Proportion"
          }
        ]
      },
      "quantity" : {
        "value" : 0.092
      },
      "numberAffected" : 188,
      "sampleSize" : {
        "numberOfParticipants" : 2037,
        "knownDataCount" : 2037
      }
    }
  ]
}