@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/uv/ebm/Evidence/47760> a fhir:Evidence ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "47760"] ; # 
  fhir:meta [
     fhir:versionId [ fhir:v "14" ] ;
     fhir:lastUpdated [ fhir:v "2023-12-06T18:55:23.084Z"^^xsd:dateTime ] ;
     fhir:profile ( [
       fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/comparative-evidence"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/uv/ebm/StructureDefinition/comparative-evidence>
     ] [
       fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/single-study-evidence"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/uv/ebm/StructureDefinition/single-study-evidence>
     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Evidence 47760</b></p><a name=\"47760\"> </a><a name=\"hc47760\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 14; Last updated: 2023-12-06 18:55:23+0000; Language: en</p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-comparative-evidence.html\">ComparativeEvidence</a>, <a href=\"StructureDefinition-single-study-evidence.html\">SingleStudyEvidence</a></p></div><p><b>ArtifactPublicationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-status-type active}\">Active</span></p><p><b>url</b>: <a href=\"https://fevir.net/resources/Evidence/47760\">https://fevir.net/resources/Evidence/47760</a></p><p><b>identifier</b>: FEvIR Object Identifier/47760</p><p><b>name</b>: ComparativeEvidence_Mean_difference_in_HbA1c_between_Surgery_and_Medical_Lifestyle_groups_in_Dixon_2008</p><p><b>title</b>: ComparativeEvidence: Mean difference in HbA1c between Surgery and Medical/Lifestyle groups in Dixon 2008</p><p><b>citeAs</b>: </p><div><p>ComparativeEvidence: Mean difference in HbA1c between Surgery and Medical/Lifestyle groups in Dixon 2008 [Evidence]. Contributors: In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 47760. Revised 2022-05-29. Available at: https://fevir.net/resources/Evidence/47760. Computable resource at: https://fevir.net/resources/Evidence/47760.</p>\n</div><p><b>status</b>: Active</p><p><b>date</b>: 2022-05-29 11:01:34+0000</p><p><b>author</b>: Brian S. Alper: </p><p><b>publisher</b>: Computable Publishing LLC</p><p><b>contact</b>: <a href=\"mailto:support@computablepublishing.com\">support@computablepublishing.com</a></p><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"CodeSystem-179423.html#179423-evidence-communication\">Evidence Based Medicine on FHIR Implementation Guide Code System: evidence-communication</a> (Evidence Communication)</td><td><span title=\"Codes:{https://fevir.net/resources/CodeSystem/179423 ComparativeEvidence}\">ComparativeEvidence</span></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"CodeSystem-179423.html#179423-evidence-communication\">Evidence Based Medicine on FHIR Implementation Guide Code System: evidence-communication</a> (Evidence Communication)</td><td><span title=\"Codes:{https://fevir.net/resources/CodeSystem/179423 SingleStudyEvidence}\">SingleStudyEvidence</span></td></tr></table><p><b>copyright</b>: </p><div><p>https://creativecommons.org/licenses/by-nc-sa/4.0/</p>\n</div><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Type</b></td><td><b>Target[x]</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>Derived From</td><td>null @ https://diabetesjournals.org/care/article/39/6/861/29305/Metabolic-Surgery-in-the-Treatment-Algorithm-for</td></tr></table><p><b>description</b>: </p><div><p>Mean HbA1c at 24 months in Dixon 2008 was 6% in Surgery group (n = 30) and 7.2% in Medical/Lifestyle group (n = 30), mean difference -1.20% (95% CI -1.78% to -0.62%)</p>\n</div><blockquote><p><b>variableDefinition</b></p><p><b>description</b>: </p><div><p>60 Patients with BMI&gt;30 and BMI&lt;40 and T2DM diagnosed in the last 2 years</p>\n</div><p><b>variableRole</b>: Population</p><p><b>observed</b>: Dixon 2008 Trial Enrollment Group</p></blockquote><blockquote><p><b>variableDefinition</b></p><p><b>description</b>: </p><div><p>Laparoscopic Adjustable Gastric Banding LAGB gastric bypass vs. medical treatment (Conventional Diabetes Therapy)</p>\n</div><p><b>variableRole</b>: Exposure</p><p><b>comparatorCategory</b>: no bariatric surgery</p><p><b>intended</b>: <a href=\"EvidenceVariable-172427.html\">GroupAssignment: Bariatric Surgery vs. no bariatric surgery</a></p></blockquote><blockquote><p><b>variableDefinition</b></p><p><b>description</b>: </p><div><p>HbA1c at 24 months</p>\n</div><p><b>variableRole</b>: Outcome</p><p><b>observed</b>: <a href=\"EvidenceVariable-173246.html\">OutcomeVariable: HbA1c at 24 months</a></p></blockquote><p><b>synthesisType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/synthesis-type NotApplicable}\">not applicable</span></p><p><b>studyDesign</b>: <span title=\"Codes:{https://fevir.net/sevco SEVCO:01003}\">randomized assignment</span></p><blockquote><p><b>statistic</b></p><p><b>description</b>: </p><div><p>mean difference -1.20% (95% CI -1.78% to -0.62%)</p>\n</div><p><b>note</b>: </p><blockquote><div><p>Mean HbA1c at 24 months in Dixon 2008 was 6% in Surgery group (n = 30) and 7.2% in Medical/Lifestyle group (n = 30)</p>\n</div></blockquote><p><b>statisticType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/statistic-type 0000457}\">Mean Difference</span></p><p><b>quantity</b>: -1.2 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><h3>SampleSizes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>NumberOfParticipants</b></td><td><b>KnownDataCount</b></td></tr><tr><td style=\"display: none\">*</td><td>60</td><td>60</td></tr></table><h3>AttributeEstimates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Type</b></td><td><b>Level</b></td><td><b>Range</b></td></tr><tr><td style=\"display: none\">*</td><td><div><p>95% CI -1.78% to -0.62%</p>\n</div></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/attribute-estimate-type C53324}\">Confidence interval</span></td><td>0.95</td><td>-1.78--0.62 %</td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
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         ] ;
         fhir:code [ fhir:v "active" ] ;
         fhir:display [ fhir:v "Active" ]
       ] )
     ]
  ] ) ; # 
  fhir:url [
     fhir:v "https://fevir.net/resources/Evidence/47760"^^xsd:anyURI ;
     fhir:l <https://fevir.net/resources/Evidence/47760>
  ] ; # 
  fhir:identifier ( [
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     fhir:assigner [
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  fhir:name [ fhir:v "ComparativeEvidence_Mean_difference_in_HbA1c_between_Surgery_and_Medical_Lifestyle_groups_in_Dixon_2008"] ; # 
  fhir:title [ fhir:v "ComparativeEvidence: Mean difference in HbA1c between Surgery and Medical/Lifestyle groups in Dixon 2008"] ; # 
  fhir:citeAs [ fhir:v "ComparativeEvidence: Mean difference in HbA1c between Surgery and Medical/Lifestyle groups in Dixon 2008 [Evidence]. Contributors: In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 47760. Revised 2022-05-29. Available at: https://fevir.net/resources/Evidence/47760. Computable resource at: https://fevir.net/resources/Evidence/47760."] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:date [ fhir:v "2022-05-29T11:01:34.008Z"^^xsd:dateTime] ; # 
  fhir:author ( [
     fhir:name [ fhir:v "Brian S. Alper" ]
  ] ) ; # 
  fhir:publisher [ fhir:v "Computable Publishing LLC"] ; # 
  fhir:contact ( [
     fhir:telecom ( [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "support@computablepublishing.com" ]
     ] )
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  fhir:useContext ( [
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       ] ;
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         fhir:display [ fhir:v "ComparativeEvidence" ]
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       fhir:code [ fhir:v "evidence-communication" ] ;
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         ] ;
         fhir:code [ fhir:v "SingleStudyEvidence" ] ;
         fhir:display [ fhir:v "SingleStudyEvidence" ]
       ] )
     ]
  ] ) ; # 
  fhir:copyright [ fhir:v "https://creativecommons.org/licenses/by-nc-sa/4.0/"] ; # 
  fhir:relatesTo ( [
     fhir:extension ( [
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       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:text [ fhir:v "data source" ]
       ]
     ] ) ;
     fhir:type [ fhir:v "derived-from" ] ;
     fhir:target [
       a fhir:Attachment ;
       fhir:url [
         fhir:v "https://diabetesjournals.org/care/article/39/6/861/29305/Metabolic-Surgery-in-the-Treatment-Algorithm-for"^^xsd:anyURI ;
         fhir:l <https://diabetesjournals.org/care/article/39/6/861/29305/Metabolic-Surgery-in-the-Treatment-Algorithm-for>
       ] ;
       fhir:title [ fhir:v "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/." ]
     ]
  ] ) ; # 
  fhir:description [ fhir:v "Mean HbA1c at 24 months in Dixon 2008 was 6% in Surgery group (n = 30) and 7.2% in Medical/Lifestyle group (n = 30), mean difference -1.20% (95% CI -1.78% to -0.62%)"] ; # 
  fhir:variableDefinition ( [
     fhir:description [ fhir:v "60 Patients with BMI>30 and BMI<40 and T2DM diagnosed in the last 2 years" ] ;
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         fhir:v "Group"^^xsd:anyURI ;
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     fhir:comparatorCategory [ fhir:v "no bariatric surgery" ] ;
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       fhir:type [
         fhir:v "EvidenceVariable"^^xsd:anyURI ;
         fhir:l fhir:EvidenceVariable
       ] ;
       fhir:display [ fhir:v "GroupAssignment: Bariatric Surgery vs. no bariatric surgery" ]
     ]
  ] [
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     fhir:variableRole [ fhir:v "outcome" ] ;
     fhir:observed [
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       fhir:reference [ fhir:v "EvidenceVariable/173246" ] ;
       fhir:type [
         fhir:v "EvidenceVariable"^^xsd:anyURI ;
         fhir:l fhir:EvidenceVariable
       ] ;
       fhir:display [ fhir:v "OutcomeVariable: HbA1c at 24 months" ]
     ]
  ] ) ; # 
  fhir:synthesisType ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/synthesis-type"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/synthesis-type>
       ] ;
       fhir:code [ fhir:v "NotApplicable" ] ;
       fhir:display [ fhir:v "not applicable" ]
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  ] ) ; # 
  fhir:studyDesign ( [
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         fhir:v "https://fevir.net/sevco"^^xsd:anyURI ;
         fhir:l <https://fevir.net/sevco>
       ] ;
       fhir:code [ fhir:v "SEVCO:01003" ] ;
       fhir:display [ fhir:v "randomized assignment" ]
     ] )
  ] ) ; # 
  fhir:statistic ( [
     fhir:description [ fhir:v "mean difference -1.20% (95% CI -1.78% to -0.62%)" ] ;
     fhir:note ( [
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       fhir:value [ fhir:v -1.2 ] ;
       fhir:unit [ fhir:v "%" ] ;
       fhir:system [
         fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
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             fhir:l <http://terminology.hl7.org/CodeSystem/attribute-estimate-type>
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       fhir:level [ fhir:v 0.95 ] ;
       fhir:range [
         fhir:low [
           fhir:value [ fhir:v -1.78 ] ;
           fhir:unit [ fhir:v "%" ] ;
           fhir:system [
             fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
             fhir:l <http://unitsofmeasure.org>
           ] ;
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         fhir:high [
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           fhir:unit [ fhir:v "%" ] ;
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             fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
             fhir:l <http://unitsofmeasure.org>
           ] ;
           fhir:code [ fhir:v "%" ]
         ]
       ]
     ] )
  ] ) . # 

<http://hl7.org/fhir/uv/ebm/EvidenceVariable/172427> a fhir:Uv .

<http://hl7.org/fhir/uv/ebm/EvidenceVariable/173246> a fhir:Uv .

# -------------------------------------------------------------------------------------

