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      Reduction in saturated fat intake for cardiovascular disease

      1 , 2 , 1 , 1 , 1 , 1
      Cochrane Heart Group
      Cochrane Database of Systematic Reviews
      Wiley

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          Abstract

          Reducing saturated fat reduces serum cholesterol, but effects on other intermediate outcomes may be less clear. Additionally, it is unclear whether the energy from saturated fats eliminated from the diet are more helpfully replaced by polyunsaturated fats, monounsaturated fats, carbohydrate or protein.

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          Most cited references746

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          Measuring inconsistency in meta-analyses.

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            Bias in meta-analysis detected by a simple, graphical test

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              Grading quality of evidence and strength of recommendations.

              Users of clinical practice guidelines and other recommendations need to know how much confidence they can place in the recommendations. Systematic and explicit methods of making judgments can reduce errors and improve communication. We have developed a system for grading the quality of evidence and the strength of recommendations that can be applied across a wide range of interventions and contexts. In this article we present a summary of our approach from the perspective of a guideline user. Judgments about the strength of a recommendation require consideration of the balance between benefits and harms, the quality of the evidence, translation of the evidence into specific circumstances, and the certainty of the baseline risk. It is also important to consider costs (resource utilisation) before making a recommendation. Inconsistencies among systems for grading the quality of evidence and the strength of recommendations reduce their potential to facilitate critical appraisal and improve communication of these judgments. Our system for guiding these complex judgments balances the need for simplicity with the need for full and transparent consideration of all important issues.
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                Author and article information

                Journal
                146518
                Cochrane Database of Systematic Reviews
                Wiley
                14651858
                August 2020
                August 21 2020
                : 2020
                : 8
                Affiliations
                [1 ]Norwich Medical School; University of East Anglia; Norwich UK
                [2 ]Institute of Health Informatics Research; University College London; London UK
                Article
                10.1002/14651858.CD011737.pub3
                8092457
                32827219
                2efdb085-2091-4650-958d-602bfb21bbb7
                © 2020
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