The paper by Meyers, et. al., cited in the February 6, 2010 blog, had a correction issued in the Journal of the American College of Cardiology, which had to do with a statistical calculation error. The association between smoking bans and decrease in AMI (heart attack) is still strong but less so; the rate goes down 14%, not 26%, per year after bans are in place
The formal correction published in JACC is:
Meyers DG, Neuberger JS, He J. Cardiovascular Effect of Bans on Smoking in Public Places: A Systematic Review and Meta-Analysis. J Am Coll Cardiol 2009;54:1249 –55.
In this article, the meta-analysis included data from Pueblo, Colorado, which the authors erroneously reported as incidence rate ratio (IRR): 0.30. Actually, the IRR is 0.66 (95% confidence interval [CI]: 0.58 to 0.75). This changes the meta-analysis summary IRR to 0.92 (95% CI: 0.86 to 0.99). The meta-regression of the effect of ban duration also changes. The coefficient of post-ban duration in the meta-regression model is -0.16 (95% CI: -0.20 to-0.11), meaning that the IRR decreases by 14% (95% CI: 11% to 18%) for each year of post-ban observation (e.g., IRR: 0.86 after 1 year, then 0.73, then 0.63 compared with pre-ban).
The authors regret this error.
My book, "Health, Medicine and Justice: Designing a fair and equitable healthcare system", is out and and widely available! Medicine and Social Justice will have periodic postings of my comments on issues related to, well, Medicine, and Social Justice, and Medicine and Social Justice. It will also look at Health, Workforce, health systems, and some national and global priorities
Showing posts with label JACC. Show all posts
Showing posts with label JACC. Show all posts
Monday, February 15, 2010
Subscribe to:
Posts (Atom)