george ntaios md, msc (eso stroke medicine), phd, feso university of thessaly, larissa, greece nice...

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George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke Conference / Stroke Guidelines

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Page 1: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO

University of Thessaly, Larissa, Greece

Nice 08/05/2014

A short introduction on

European Stroke Conference / Stroke Guidelines

Page 2: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

Disclosures

Scholarships: European Stroke Organization; Hellenic Society of Atherosclerosis.Honoraria: Medtronic; Quintiles.Speaker fees: Sanofi; Boehringer-Ingelheim.Consultant fees: Boehringer-Ingelheim.Support to attend conferences: Bayer; Sanofi-Aventis; Pfizer; Lundbeck; Boehringer-Ingelheim; Galenica; Elpen; Bristol Myers Squibb. Participation in trials:

ENOS / National co-ordinator (Greece). BPREVISE / Principal investigator. FOURIER / Sub-investigator. GLORIA / Sub-investigator.

Page 3: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

Grading of

Recommendations,

Assessment,

Development and

Evaluation

GRADE

Page 4: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke
Page 5: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

Population In children during summertime

Intervention chocolate ice-cream

Comparator studying mathematics

Outcome* happiness

Specify the PICO question(s)

Page 6: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

Assessment of quality of studies

RCTs start high

Observational studies start low

Page 7: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

Assessment of quality of studies (downgrade)

Study design and execution (bias)

Inconsistency (heterogeneity, I2)

Indirectness

Imprecision (number of events, confidence intervals)

Publication bias (funnel plot)

Page 8: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

Assessment of quality of studies (upgrade)

Large magnitude of the effect

Dose – response relation

Page 9: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

Grade of evidence

Page 10: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

Summary of Findings (SoF) tables

Page 11: George Ntaios MD, MSc (ESO Stroke Medicine), PhD, FESO University of Thessaly, Larissa, Greece Nice 08/05/2014 A short introduction on European Stroke

Panel discussionOverview