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Comment & Response
August 2015

Changes in Hospitalizations, Treatment Patterns, and Outcomes During Major Cardiovascular Meetings

Author Affiliations
  • 1Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
JAMA Intern Med. 2015;175(8):1419. doi:10.1001/jamainternmed.2015.1633

To the Editor We read with interest the article by Jena et al,1 and we commend them for their thoughtful analyses. Many readers will undoubtedly cite decreased mortality during cardiovascular meetings as the study’s key finding, but we favor a more conservative conclusion. The investigators set out to test the reasonable hypothesis that mortality would increase during meetings. For this reason, we believe a 1-sided statistical test would have been more appropriate for the primary analysis rather than the 2-sided test employed.2 By negating their primary hypothesis, the authors showed that mortality did not increase during meetings, which we view as the study’s key finding.