It is time that the Cardiology Literature stopped using composite endpoints like “death, MI or need for revascularisation”

Yet another review highlighting the skew that incorporating revascularisation into primary endpoints gives to cardiology research using these composites (instead of sticking to the two that really matter to patients: dying and having a big heart attack). When are they going to realise that the world (at least the Emergency Medicine world) has woken up to this ploy’s (ab)use in peddling useless and even harmful interventions? It angers me that many of our accepted interventions are advocated using this sneaky big pharma/industry tactic. Instead of “first do no harm” it should be “first check that you aren’t being conned into doing harm by the “evidence” http://emlitofnote.blogspot.com/2011/07/ccta-only-predicts-revascularizations.html

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About dreapadoir

Emergency Physician, author of http://underneathEM.com Emergency Medicine blog, photographer at http://www.dreapadoir.com
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