Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot2 - STU 1 ballot International flag

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 1.0.0-ballot2 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

Example Evidence: MAGIC-derived Evidence: Heart failure with GLP-1 RA vs. Standard care in Adults with type 2 diabetes with moderate CV risk

Generated Narrative: Evidence 236555

version: 65; Last updated: 2025-03-20 18:40:09+0000

Profile: ComparativeEvidence

RelatesTo

  • type: part-of
  • targetReference: MAGICapp Conversion Report: SGLT2 inhibitors and GLP-1 RA for type 2 diabetes (Identifier: FEvIR Linking Identifier/MAGIC-5288-j1Wqrn-conversion-report)

url: https://fevir.net/resources/Evidence/236555

identifier: FEvIR Object Identifier/https://fevir.net/FOI/236555, outcomeId/313881, picoId/85789, sectionId/73212

name: Heart_failure_from_MAGICapp_313881

title: MAGIC-derived Evidence: Heart failure with GLP-1 RA vs. Standard care in Adults with type 2 diabetes with moderate CV risk

status: Active

publisher: Computable Publishing LLC

contact: support@computablepublishing.com

author: Computable Publishing®: MAGIC-to-FEvIR Converter:

UseContexts

-CodeValue[x]
*Evidence Based Medicine on FHIR Implementation Guide Code System evidence-communication: Evidence CommunicationComparativeEvidence

copyright:

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

description:

This Evidence Resource is referenced in an example for the EBMonFHIR Implementation Guide.

assertion:

GLP-1 receptor agonists probably reduce the risk of heart failure compared with standard care.

variableDefinition

description:

Adults with type 2 diabetes with moderate CV risk

variableRole: Population

observed: Adults with type 2 diabetes and established CVD (but no CKD)

variableDefinition

description:

GroupAssignment: GLP-1 RA vs. Standard care

variableRole: Exposure

comparatorCategory: Standard care

observed: GroupAssignment: GLP-1 RA vs. Standard care

variableDefinition

description:

Heart failure

variableRole: Outcome

observed: Hospital admission for heart failure

synthesisType: SYSTEMATIC_REVIEW

studyDesign: randomized assignment

statistic

description:

Risk Difference -0.4% (CI95 -1.1% to 0.2%)

statisticType: Risk Difference

quantity: -0.004

SampleSizes

-NumberOfStudiesNumberOfParticipants
*1346696

AttributeEstimates

-TypeRange
*CI95-0.011-0.002

statistic

description:

OR 0.94 (CI95 0.85 to 1.03)

statisticType: Odds Ratio

quantity: 0.94

SampleSizes

-NumberOfStudiesNumberOfParticipants
*1346696

AttributeEstimates

-TypeRange
*CI950.85-1.03

certainty

description:

Due to serious imprecision

type: Overall certainty

rating: Moderate certainty

Subcomponents

-TypeRating
*Risk of BiasNOTSET
*InconsistencyNOTSET
*IndirectnessNOTSET
*ImprecisionNOTSET
*Publication BiasNOTSET