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Evidence · Journal club · continued

[2026 update] Journal club: is percentage weight change the right endpoint? posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

HK
h.koodziejTL2Member18 Aug 2025#61

The arithmetic in post #58 is right; the assumption feeding it is the part to check.

The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to.

5 likes 11mo
LF
l.ferreiraTL218 Aug 2025#62

Answering the question post #60 raises rather than the one it answers.

Sessions on negative or null results are consistently the most instructive and the hardest to get anyone to attend.

The short version is the first sentence; the rest is why.

15 likes 11mo
VK
v.klausenTL3Regular19 Aug 2025 · edited#63
c.chowdhury, post #12: Sessions on negative or null results are consistently the most instructive and the hardest to get anyone to attend. The honest answer is that it depends, and here is what it depends on. Go to post

That is clearer than the version I had in my head. Thank you.

0 likes in reply to #12 11mo
SS
s.solbergTL219 Aug 2025#64
vial_desk, post #27: Building on post #26 rather than restating it. The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to. That is my reading. Someone else read the same page differently and was reasonable. Go to post

SURMOUNT-OSA (N Engl J Med 2024): Tirzepatide in obstructive sleep apnoea, using an objective physiological endpoint. Notable because soft endpoints are avoided. Two parallel trials addressed the confounder directly.

The strength of my opinion here exceeds the strength of my evidence.

0 likes in reply to #27 11mo
ID
integrator_draftTL3Regular19 Aug 2025#65

The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions.

3 likes 11mo
HF
h.fonsecaTL219 Aug 2025#66

Post #64 describes the usual case. This is about the unusual one.

Reading order that works for these sessions: registry entry, methods, baseline table, primary result, then abstract last. Reading the abstract first anchors everything that follows.

10 likes 11mo
VM
v.milanoviTL3Regular19 Aug 2025#67
e.almeida, post #6: Second this, and I would have said it less carefully. Go to post

Confirming post #66 from a second method, which matters more than confirming it from a second person.

The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions.

The disagreement above is smaller than it looks once the terms are fixed.

29 likes in reply to #6 11mo
PF
p.friskTL219 Aug 2025#68

The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to.

Reading it again, the caveat matters more than the finding.

0 likes 11mo
AS
a.stephanopoulosTL3Regular19 Aug 2025 · edited#69

Where the group cannot agree, record the disagreement rather than resolving it by seniority. The recorded disagreement is more honest and more useful later.

Posting it because the silence on this was starting to look like agreement.

14 likes 11mo
FP
f.petrovTL220 Aug 2025#70

The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping.

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RO
r.oyelaranTL220 Aug 2025#71

On post #67 — agreed on the reasoning, with one qualification.

Sessions on negative or null results are consistently the most instructive and the hardest to get anyone to attend.

I would hold that lightly until someone with a larger sample weighs in.

2 likes 11mo
KF
k.farrugiaTL3Regular20 Aug 2025#72
BBramley, post #21: The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to. Someone will know this better than I do and I hope they say so. Go to post

Picking up post #71: that is the part I would want checked first.

SURMOUNT-1 (N Engl J Med 2022): Tirzepatide obesity trial. The largest mean weight reduction for a pharmacological intervention at publication. Read the categorical thresholds carefully — they can exaggerate separation.

0 likes in reply to #21 11mo
ZN
z.nakamuraTL220 Aug 2025#73
f.petrov, post #70: The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping. Go to post

Reading order that works for these sessions: registry entry, methods, baseline table, primary result, then abstract last. Reading the abstract first anchors everything that follows.

20 likes in reply to #70 11mo
RT
r.torrenceTL2Member20 Aug 2025#74

The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions.

Two sources, same conclusion, and I could not rule out that one copied the other.

9 likes 11mo
ET
e.tammTL220 Aug 2025#75

Worth separating two things that post #71 runs together.

STEP 1 (N Engl J Med 2021): The pivotal obesity trial for semaglutide and the reference point for most subsequent comparison. Mean weight reduction was substantially larger than anything previously achieved pharmacologically.

5 likes 11mo
EM
e.mikkelsenTL2Member20 Aug 2025#76

The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping.

0 likes 11mo
EK
e.krastevTL221 Aug 2025#77
r.sobczak, post #5: Building on post #4 rather than restating it. The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions. That is all the detail I have. Someone else will have more. Go to post

Where the group cannot agree, record the disagreement rather than resolving it by seniority. The recorded disagreement is more honest and more useful later.

I would want to see it done twice before believing it once.

28 likes in reply to #5 11mo
CN
cannula_notesTL2Member21 Aug 2025 · edited#78

Agreed on all of that, and I have nothing to add to it.

13 likes 11mo
TL
t.lindqvistTL221 Aug 2025#79
c.serrano, post #24: Where I part company with post #20, and it is a narrow parting. The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions. The claim is narrower than it sounds, and deliberately so. Go to post

The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to.

Posted with less confidence than the sentence structure implies.

8 likes in reply to #24 11mo
M
MSaarinenTL3Regular21 Aug 2025#80
n.ramos, post #7: Reading order that works for these sessions: registry entry, methods, baseline table, primary result, then abstract last. Reading the abstract first anchors everything that follows. Go to post

Sessions on negative or null results are consistently the most instructive and the hardest to get anyone to attend.

A partial answer, offered because a partial answer beats none.

2 likes in reply to #7 11mo
PB
p.boatengTL221 Aug 2025#81

This follows post #80 rather than contradicting it.

The most common failure mode is spending fifty minutes on the effect size and ten on the population. Reversing that ratio would improve most sessions.

16 likes 11mo
CD
cohort_driftTL3Regular21 Aug 2025#82
g.danquah, post #56: The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping. Go to post

Reading order that works for these sessions: registry entry, methods, baseline table, primary result, then abstract last. Reading the abstract first anchors everything that follows.

32 likes in reply to #56 11mo
RC
r.chukwuTL221 Aug 2025#83

The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping.

The part I am sure of is shorter than the part I have written.

0 likes 11mo
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BramleyTL2Member22 Aug 2025#84

Coming back to post #82, because the follow-up matters more than the original answer.

The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to.

If this contradicts something upthread, the upthread version may well be the better one.

3 likes 11mo
TB
t.batistaTL222 Aug 2025#85
r.mensah, post #48: Worth separating two things that post #46 runs together. Reading order that works for these sessions: registry entry, methods, baseline table, primary result, then abstract last. Reading the abstract first anchors everything that follows. Go to post

Useful. I had the fact and not the reason, which turns out to be the important half.

23 likes in reply to #48 11mo
BP
bench_peakTL3Regular22 Aug 2025#86
p.frisk, post #68: The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to. Reading it again, the caveat matters more than the finding. Go to post

Where the group cannot agree, record the disagreement rather than resolving it by seniority. The recorded disagreement is more honest and more useful later.

I would rather be precise about what I do not know than vague about what I do.

0 likes in reply to #68 11mo
MN
m.ndiayeTL222 Aug 2025 · edited#87

Post #84 answers the question as asked. The question underneath it is different.

The baseline characteristics table is the single most useful page for the questions that get asked here, because it tells you who the result applies to.

Filing this under things that are true until someone shows me otherwise.

1 like 11mo
LC
l.chevalierTL3Regular22 Aug 2025#88

I read post #86 twice before replying, because I had assumed the opposite.

The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping.

6 likes 11mo
HC
h.castellanosTL222 Aug 2025#89

Sessions on negative or null results are consistently the most instructive and the hardest to get anyone to attend.

On balance I think that is right, and I would not bet much on it.

7 likes 11mo
K
KStephanopoulosTL3Regular22 Aug 2025#90

SURMOUNT-OSA (N Engl J Med 2024): Tirzepatide in obstructive sleep apnoea, using an objective physiological endpoint. Notable because soft endpoints are avoided. Two parallel trials addressed the confounder directly.

I would treat that as a working assumption and revisit it.

17 likes 11mo