Author's Reply to: "Comment on: Colchicine for the Secondary Prevention of Cardiovascular Diseases: A Cumulative-Dose Meta-analysis of Randomized Controlled Trials Including 31,397 Subjects Worldwide"...Konipineni S, Valecha J, Meme CD, et al. Am J Cardiovasc Drugs 26, 507–509 (2026).

This letter addresses the use of trial sequential analysis (TSA) in evaluating colchicine for secondary prevention of cardiovascular disease (CVD), responding to comments by Konipineni et al. The authors acknowledge TSA’s benefits but highlight its limitations, including sensitivity to assumptions a...

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Publicado en:American Journal of Cardiovascular Drugs Vol. 26; no. 4; pp. 511 - 513
Autores principales: Li, Hoi-Ying, Cheriyan, Joseph, Chan, Tsz-Kwan, Yiu, Kai-Hang, Tse, Hung-Fat, Wilkinson, Ian B., Chan, Yap-Hang
Formato: letter response Journal Article
Publicado: Springer Nature Jul2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Author's Reply to: "Comment on: Colchicine for the Secondary Prevention of Cardiovascular Diseases: A Cumulative-Dose Meta-analysis of Randomized Controlled Trials Including 31,397 Subjects Worldwide"...Konipineni S, Valecha J, Meme CD, et al. Am J Cardiovasc Drugs 26, 507–509 (2026).
      aug:
        au:
          Li, Hoi-Ying
          Cheriyan, Joseph
          Chan, Tsz-Kwan
          Yiu, Kai-Hang
          Tse, Hung-Fat
          Wilkinson, Ian B.
          Chan, Yap-Hang
        affil: https://ror.org/02zhqgq86 Department of Medicine, School of Clinical Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China
      sug:
        subj:
          Cardiovascular Diseases Prevention and Control
          Colchicine Therapeutic Use
          Major Adverse Cardiac Events Prevention and Control
          Colchicine Adverse Effects
          Study Design
          Recurrence Prevention and Control
          Dose-Response Relationship, Drug
      ab: This letter addresses the use of trial sequential analysis (TSA) in evaluating colchicine for secondary prevention of cardiovascular disease (CVD), responding to comments by Konipineni et al. The authors acknowledge TSA’s benefits but highlight its limitations, including sensitivity to assumptions and recommendations against its use for updated meta-analyses by the Cochrane Scientific Committee. They note that TSA results generally support colchicine’s protective effect in CVD, particularly at cumulative exposures ≥90 mg-days, and emphasize that findings from the COLCOT trial reinforce colchicine’s benefit in acute atherothrombotic CVD. The letter underscores the importance of integrating statistical methods with clinical context when interpreting evidence in cardiovascular medicine.
      pubtype: Academic Journal
      doctype:
        letter
        response
        Journal Article
      ougenre: Unknown
    language: English
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