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

Example Evidence: MAGIC-derived Evidence: Severe gastrointestinal events with SGLT2 inhibitors vs. GLP-1 RA in Adults with type 2 diabetes

Generated Narrative: Evidence 236981

version: 61; Last updated: 2024-10-03 13:11:20+0000

Profile: ComparativeEvidence

url: https://fevir.net/resources/Evidence/236981

identifier: FEvIR Object Identifier/236981, outcomeId/313965, picoId/85798, sectionId/73215

name: Severe_gastrointestinal_eventsfrom_MAGICapp_313965

title: MAGIC-derived Evidence: Severe gastrointestinal events with SGLT2 inhibitors vs. GLP-1 RA in Adults with type 2 diabetes

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/

RelatedArtifacts

-TypeResourceReference
*Part OfMAGICapp Conversion Report: SGLT2 inhibitors and GLP-1 RA for type 2 diabetes (Identifier: FEvIR Linking Identifier/MAGIC-5288-j1Wqrn-conversion-report)

description:

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

assertion:

GLP-1 receptor agonists may increase the risk of severe gastrointestinal events compared with SGLT2 inhibitors.

variableDefinition

description:

Adults with type 2 diabetes

variableRole: Population

observed: Adults with type 2 diabetes and CVD and CKD

variableDefinition

description:

GroupAssignment: SGLT2 inhibitors vs. GLP-1 RA

variableRole: Exposure

comparatorCategory: GLP-1 RA

observed: GroupAssignment: SGLT2 inhibitors vs. GLP-1 RA

variableDefinition

description:

Severe gastrointestinal events

variableRole: Outcome

observed: Severe gastrointestinal events

synthesisType: SYSTEMATIC_REVIEW

studyDesign: NOTSET

statistic

description:

Risk Difference 5.8% (CI95 0.9% to 14.2%)

statisticType: Risk Difference

quantity: 0.058

SampleSizes

-NumberOfStudiesNumberOfParticipants
*724638

AttributeEstimates

-TypeRange
*CI950.009-0.142

statistic

description:

OR 2.46 (CI95 1.22 to 4.97)

statisticType: Odds Ratio

quantity: 2.46

SampleSizes

-NumberOfStudiesNumberOfParticipants
*724638

AttributeEstimates

-TypeRange
*CI951.22-4.97

certainty

description:

Due to serious inconsistency, Due to very serious indirectness, Due to very serious imprecision

type: Overall certainty

rating: Very low certainty

Subcomponents

-TypeRating
*Risk of BiasNOTSET
*InconsistencySERIOUS
*IndirectnessVERY_SERIOUS
*ImprecisionVERY_SERIOUS
*Publication BiasNOTSET