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Evidence · Journal club · continued

Revisiting: Journal club: SURMOUNT-OSA and a hard endpoint in a soft field posts 91–120

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

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VPoulsenTL3Regular8 Jul 2026#91

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.

16 likes 19d
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v.bergstromTL29 Jul 2026#92
crossover_review, post #40: The most useful reply I ever got about SURMOUNT-OSA was a request to state my units. It sounds like pedantry and it has saved me twice. Go to post

On SURMOUNT-OSA I would separate what is worth knowing from what is worth acting on. The first list is long and the second is short, and conflating them is how threads get heated.

32 likes in reply to #40 19d
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crossref_checkTL3Wiki editor9 Jul 2026#93

Fair, and the limits you put on it are the part I will remember.

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n.duarteTL210 Jul 2026#94
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c.okaforTL3Regular10 Jul 2026#95

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.

Reporting the observation and leaving the explanation open deliberately.

11 likes 18d
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f.danquahTL210 Jul 2026#96
j.solberg, post #52: Everything in post #50 holds. The case it does not cover is the one I have. Where the SURMOUNT-OSA reasoning breaks down for me is the step from the group result to the individual case. That step is almost never argued for. Go to post

Where I part company with post #95, and it is a narrow parting.

The failure mode on SURMOUNT-OSA is boring rather than dramatic. It is almost always the step everyone assumes was done correctly because it is too simple to get wrong.

24 likes in reply to #52 17d
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logbook_erinTL3Regular11 Jul 2026#97

Adding the measurement that post #96 says would settle it.

Practical answer on SURMOUNT-OSA, since the theoretical one is upthread: do the simplest check first, write down the result, and only then decide whether the complicated explanation is needed. It usually is not.

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s.girardTL211 Jul 2026 · edited#98

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 17d
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BDraganovTL2Member12 Jul 2026#99
f.pires, post #1: Revisiting: Journal club: SURMOUNT-OSA and a hard endpoint in a soft field — setting out what I have, and where I think it stops being reliable. Collecting what is known about SURMOUNT-OSA in one place, because it is currently spread across a category, two tag pages and a thread that is hard to find. This is a summary rather than new… Go to post

Confirming post #96 from a second method, which matters more than confirming it from a second person.

The version of SURMOUNT-OSA that circulates here is a simplification of a simplification. It is not wrong, but it has lost the conditions under which it holds, and those conditions are where the interesting cases live.

30 likes in reply to #1 16d
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h.kimaniTL212 Jul 2026#100

Quietly grateful for the plain phrasing. Not every thread gets that.

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l.aaltonenTL3Regular12 Jul 2026#101
h.nwosu, post #10: 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

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.

0 likes in reply to #10 15d
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so.mbekiTL213 Jul 2026#102

Before the thread moves on from SURMOUNT-OSA — what is the sample size behind the claim? I am not being difficult; I have seen the same figure quoted from an n of four and from an n of four hundred.

0 likes 15d
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IMainwaringTL3Regular13 Jul 2026#103

Post #102 answers the question as asked. The question underneath it is different.

For anyone finding this later: the short answer on SURMOUNT-OSA is that it depends on one thing, and the rest of the thread is people identifying which thing.

7 likes 15d
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b.adeyemiTL214 Jul 2026#104

I read post #101 twice before replying, because I had assumed the opposite.

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 have no interest in any supplier named above.

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taper_shiftTL3Regular14 Jul 2026#105
n.vogel, post #21: The useful distinction on SURMOUNT-OSA is between what was measured and what was inferred from it. Both end up in the same sentence and only one of them has error bars. Go to post

I came in to disagree and I am leaving without a disagreement.

26 likes in reply to #21 14d
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h.nwosuTL214 Jul 2026 · edited#106

Worth separating SURMOUNT-OSA as a question about the compound from SURMOUNT-OSA as a question about the documentation. They get answered by different people and only one of them is answerable here.

0 likes 14d
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FFaulknerTL3Regular15 Jul 2026#107

Narrowing post #106, because the general version has more than one answer.

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.

4 likes 13d
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w.moreauTL215 Jul 2026#108
crossref_check, post #93: Fair, and the limits you put on it are the part I will remember. Go to post

The confident answers on SURMOUNT-OSA and the well-sourced answers are not the same answers, which is the most useful thing I have learned reading this category.

12 likes in reply to #93 13d
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l.parkinsonTL2Member15 Jul 2026#109

I would put moderate confidence on the mainstream reading of SURMOUNT-OSA and no more. That is not scepticism for its own sake; it is where the sourcing actually stops.

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n.hartmannTL216 Jul 2026#110
s.hartmann, post #58: Agreed, and I will stop repeating the version of this I had been repeating. Go to post

Post #108 describes the usual case. This is about the unusual one.

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

The uncertainty is in the assumption, not in the calculation.

0 likes in reply to #58 12d
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f.fonsecaTL216 Jul 2026#111

Post #107 put the caveat in the right place and I want to underline it.

Checked the SURMOUNT-OSA claim against the primary source this morning. It survives, with a narrower scope than the version quoted here. Posting the narrower scope.

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f.wojcikTL217 Jul 2026#112

SURMOUNT-OSA came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction.

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a.aguirreTL217 Jul 2026#113
s.hartmann, post #58: Agreed, and I will stop repeating the version of this I had been repeating. 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 looked this up rather than remembered it, which is the right order.

1 like in reply to #58 11d
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b.okonkwoTL217 Jul 2026#114

Narrowing post #111, because the general version has more than one answer.

A note on how SURMOUNT-OSA gets discussed rather than on SURMOUNT-OSA itself: the confident posts get the replies and the careful ones get ignored, and the careful ones have been right more often.

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e.okaforTL218 Jul 2026#115
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a.sorensenTL218 Jul 2026 · edited#116

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.

If that reads as pedantic, it is, and it has saved me twice.

17 likes 10d
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s.rasmussenTL219 Jul 2026#117
f.fonseca, post #73: What I want from this SURMOUNT-OSA thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it. Go to post

Answering the question post #116 raises rather than the one it answers.

My position on SURMOUNT-OSA is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly.

3 likes in reply to #73 9d
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l.trevinoTL219 Jul 2026#118

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

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JFitzgibbonTL2Member19 Jul 2026#119

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

The interesting part of this is the exception, and I do not understand the exception.

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n.dziedzicTL220 Jul 2026#120

The arithmetic on SURMOUNT-OSA is the easy part and it is where the errors are, which is an uncomfortable combination. Show your working and someone will catch it.

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