Matthews (2024)

Myocardial infarction

Cardiology • Registry Data • Sweden

Study Metrics
Total Sample 10926
Treatment Group 9728
Control Group 1198
Covariates 40
PICO Comparisons 1
Quality Indicators
Transparency High
DAG Usage No
QBA Performed No

Study Information

First Author: Matthews
Publication Year: 2024
DOI: https://doi.org/10.1007/s10654-024-01119-3
Preprint: No preprint

Institution & Funding

Institution Type: Academic
Institutions: Karolinska Institutet, Harvard T.H. Chan School of Public Health, Uppsala University, Lund University
Funding: Declared: Research institute, NGO
Funding Institutions: Open access funding provided by Karolinska Institute. This research was also supported in part by Patient-Centered Outcomes Research Institute (PCORI) Methods Research Award ME-2021C2-22365 (the manuscript does not reflect the views of PCORI, PCORI’s Board of Governors, or the PCORI Methodology Committee).

Study Context

Disease: Myocardial infarction
Disease Category: Cardiology
Data Type: Registry
Number of Data Sources: 5
Geography: Sweden
Eligible Sample: 10926.0
Number of Emulations: 1
Number of Treatments: 2

Analytical Methods

Missing Data Method: Median
Matching Method: IPTW
Analysis Method: Logistic regression
Estimand: ITT, PP

Quality Methods

Directed Acyclic Graph (DAG) Not Used
Quantitative Bias Analysis (QBA) Not Performed

Target Trial Information

Target Trial Name: REDUCE-AMI
Registration Number: NCT03278509
Target Trial DOI: https://doi.org/10.1093/ehjcvp/pvac070

TTE vs RCT Comparisons

Detailed comparison between Target Trial Emulation results and corresponding Randomized Controlled Trial outcomes.

death or recurrent myocardial infarction
REDUCE-AMI
HR Efficacy
Population

Adults ≥18 years with type 1 myocardial infarction

Intervention

Long-term oral beta blockers

Comparison

No beta blockers

Outcome

death or recurrent myocardial infarction

RCT Result

0.96

95% CI: [0.79, 1.16]


vs
TTE Result

0.78

95% CI: [0.59, 1.12]

Concordance Assessment
Confidence Interval Overlap: Yes
CIs overlap, suggesting concordance
Direction Agreement: Same Direction
Both point to similar conclusion

Transparency Indicators

Protocol Registration Available
Data Sharing Not Available
Code Sharing Available
Overall Transparency Score:
High Transparency - This study meets good transparency standards.

Conflicts & Funding

Conflicts of Interest: Declared: Financial
COI Institutions: Bristol Myers Squibb/Pfizer, Cytel, ProPublica, ADIA Lab, Flatiron and Foundation Medicine
Funding Source: Declared: Research institute, NGO
Funding Institutions: Open access funding provided by Karolinska Institute. This research was also supported in part by Patient-Centered Outcomes Research Institute (PCORI) Methods Research Award ME-2021C2-22365 (the manuscript does not reflect the views of PCORI, PCORI’s Board of Governors, or the PCORI Methodology Committee).