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Figure 4 | BMC Medical Research Methodology

Figure 4

From: Is blood pressure reduction a valid surrogate endpoint for stroke prevention? an analysis incorporating a systematic review of randomised controlled trials, a by-trial weighted errors-in-variables regression, the surrogate threshold effect (STE) and the biomarker-surrogacy (BioSurrogate) evaluation schema (BSES)

Figure 4

Stroke relative risk reduction and diastolic BP difference - no measurement error. Upper graph: Scatterplot of stroke relative risk reduction and diastolic blood pressure difference reduction showing the 18 trials labelled by trial name. Lower graph: scatterplot weighted by trial size and by trial weighted least squares regression of stroke relative risk and systolic blood pressure difference reduction assuming no measurement error (reliability coefficient = 1.0). The upper and lower bold solid lines are the upper and lower 95% prediction limits, the dashed inner lines are the 95% confidence limits, the dot-dash centre line is the mean regression line. The arrow indicates where the lower 95% prediction line intersects with the x axis. This is the Surrogate Threshold Effect (STE) for stroke reduction and is the diastolic blood pressure difference needed to impute a stroke reduction benefit in a new trial.

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