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Medical Conservatism, the ELAN Trial, and Residents Striking

Sensible Medicine

CHAPTER

The Positives and Negatives of the GDMT Trial

The absolute risk reduction in this study is modest at like 1.2%. But when you calculate a relative risk reduction, the point estimate is 0.70. So this is a 30% reduction. The conference intervals go from as low as 0.44, so more than a 50% reduction in really bad outcome to as high as a 14% higher, 1.14. "I hate these guideline documents that just put things in boxes and tell us do this," he says.

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