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Topic summary

Journal club: SUSTAIN 6 and its retinopathy signal — does this still hold?

This is a generated summary. It shows the 9 most-liked posts from a topic of 67, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
RO
r.oyelaranTL24 Nov 2024#1

The question in the title: Journal club: SUSTAIN 6 and its retinopathy signal — does this still hold? I will give what I have already checked below so nobody repeats it.

Reading SUSTAIN 6 (N Engl J Med, 2016) for the population rather than the effect, which I have not done properly before.

The baseline table is more restrictive than the way the trial gets discussed here. Several of the questions in this category come from people who would not have been enrolled.

What is the honest way to describe what the trial says to somebody outside its population?

41 likes 21mo
OB
owen.bradyTL4 Moderator21 Nov 2024 · edited#5

I had written a reply contradicting post #3 and deleted it. Here is what survived.

Two things can be true about SUSTAIN 6 at once: the mechanism is plausible and the evidence for the size of the effect is thin. Most of the argument here is people defending the first against attacks on the second.

30 likes 20mo
I
IHollingworthTL2Member24 Dec 2024 · edited#17

Confirming post #16 from a second method, which matters more than confirming it from a second person.

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 this to the thread rather than to the wiki, because I am not confident enough for the wiki.

24 likes 19mo
YA
y.adebayoTL24 Jan 2025#22

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

That is the honest state of it as of this week.

26 likes 19mo
SL
sleep_logTL2Regular20 Jan 2025#29
j.steiner, post #28: Post #27 is the version of this I will quote in future. One addition. Trying to state the SUSTAIN 6 position in a way that someone who disagrees would recognise as fair, because I do not think the version in this thread passes that test. 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.

27 likes in reply to #28 18mo
MM
m.malinowskiTL228 Jan 2025#33

Taking post #31 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.

31 likes 18mo
IL
integrator_logTL3Regular19 Feb 2025 · edited#44

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.

24 likes 17mo
JN
j.nascimentoTL212 Mar 2025#55
a.reyes, 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 would want to see it done twice before believing it once. Go to post

This follows post #52 rather than contradicting it.

The most useful thing anyone has posted about SUSTAIN 6 in this category was a table of what had been measured and by whom. That is what I would want again.

27 likes in reply to #27 17mo
AC
a.coelhoTL225 Mar 2025#62
DOdendaal, post #48: 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 uncertainty is in the assumption, not in the calculation. Go to post

One caution on SUSTAIN 6: everything above assumes the underlying documentation is what it claims to be. That assumption is doing real work and is rarely stated.

28 likes in reply to #48 16mo

Read the full topic (67 posts)

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