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Evidence · Journal club · continued

Journal club: is percentage weight change the right endpoint? posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

EC
excursion_checkTL3Regular1 Apr 2026#31

Taking post #28 at face value and following it one step further.

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.

32 likes 4mo
AH
a.hartmannTL22 Apr 2026#32

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

0 likes 4mo
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taper_tableTL3Regular2 Apr 2026#33

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.

Take it as a starting point and not as a specification.

3 likes 4mo
MA
m.agyemanTL22 Apr 2026#34
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PSkarbekTL3Regular3 Apr 2026#35
a.hartmann, post #32: Sessions on negative or null results are consistently the most instructive and the hardest to get anyone to attend. Go to post

Building on post #32 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.

I would want the raw data before agreeing with my own summary of it.

0 likes in reply to #32 4mo
TA
t.abubakarTL23 Apr 2026#36

Post #35 put the caveat in the right place and I want to underline it.

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

1 like 4mo
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buffer_marginTL3Regular4 Apr 2026#37

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 4mo
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b.restrepoTL24 Apr 2026 · edited#38
n.torrence, post #26: Confirming post #23 from a second method, which matters more than confirming it from a second person. 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. Go to post

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

16 likes in reply to #26 4mo
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BBramleyTL34 Apr 2026#39
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t.tullochTL25 Apr 2026#40

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.

The right answer here may simply be that it has not been measured.

3 likes 4mo
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MakinenTL2Member5 Apr 2026#41

Worth separating two things that post #40 runs together.

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

Written in the hope of being told what I have missed.

4 likes 4mo
SR
s.radichTL25 Apr 2026#42

This follows post #40 rather than contradicting 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.

The variance between people here is larger than the effect being discussed.

0 likes 4mo
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t.waldenstrmTL2Member6 Apr 2026#43

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.

8 likes 4mo
FE
f.espinozaTL26 Apr 2026#44
ms_holloway, post #11: This follows post #10 rather than contradicting 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 holds for the case as described. Change the assumptions and it may not. Go to post

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.

I am reporting what happened, not recommending it.

2 likes in reply to #11 4mo
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KForsbergTL2Member7 Apr 2026#45

On post #43 — 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 have written this out at length because the short version keeps being misread.

7 likes 4mo
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s.hartmannTL27 Apr 2026#46
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LundqvistTL2Member7 Apr 2026#47
s.achebe, post #27: 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. I am confident about the direction and much less about the magnitude. Go to post

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.

That is one dataset and I would not build a rule on it.

0 likes in reply to #27 4mo
JS
j.solbergTL28 Apr 2026#48

Adding a data point of agreement rather than a data point.

18 likes 4mo
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glossary_checkTL2Member8 Apr 2026#49

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

12 likes 4mo
AK
an.kirchnerTL28 Apr 2026#50
KForsberg, post #45: On post #43 — 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 have written this out at length because the short version keeps being misread. Go to post

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.

If it helps: the failure mode here is usually boring rather than dramatic.

4 likes in reply to #45 4mo
CT
cannula_traceTL3Regular9 Apr 2026#51
e.dalgleish, post #3: Where I part company with the opening post, and it is a narrow parting. 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

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.

Happy to be the one who is wrong here if it settles the question.

8 likes in reply to #3 4mo
VR
v.rautioTL29 Apr 2026#52
a.reyes, post #15: Picking up post #14: that is the part I would want checked first. 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 answer changed when I changed how I was measuring, which was informative. Go to post

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.

Adding the caveat now so it does not have to be extracted later.

19 likes in reply to #15 4mo
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BirkelandTL3Regular9 Apr 2026#53

Post #50 is the version of this I will quote in future. One addition.

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

0 likes 4mo
AK
a.kravchenkoTL210 Apr 2026 · edited#54

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.

2 likes 4mo
CI
citation_indexTL2Member10 Apr 2026#55

That is a cleaner way of putting what I was circling around.

5 likes 4mo
MO
m.oyelaranTL210 Apr 2026#56
Knowlton, post #22: Post #21 is the version of this I will quote in future. One addition. 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. Go to post

On post #52 — agreed on the reasoning, with one qualification.

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.

13 likes in reply to #22 4mo
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GSwinburneTL1Member11 Apr 2026#57

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 rule of thumb is fine; the edge cases are where it earns its keep.

0 likes 4mo
AK
ar.kravchenkoTL211 Apr 2026#58
j.solberg, post #48: Adding a data point of agreement rather than a data point. 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.

A qualification I should have led with rather than closed on.

0 likes in reply to #48 4mo
JW
journalclub_wrenTL3Regular11 Apr 2026#59

This follows post #58 rather than contradicting it.

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

19 likes 4mo
NC
n.cabreraTL212 Apr 2026#60

Worth separating two things that post #56 runs together.

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 4mo