Cardiovascular specialist referral

Intervention1 paper3 findings

C · W · M · H: cells, worms or flies, mice, humans. Dark: independent labs found the same change there. Light: one lab or one study. Outline: nothing yet.

Labs are independent when their papers share no last author and no institution.

Against: findings that point the other way from most findings on the same outcome.

No results posted: trials that ended more than a year ago with no results on ClinicalTrials.gov and no paper in ARN’s record.

Company ties: findings with an author at a company, or from a paper that declares the maker’s interest.

1 lab in 8 countries

Funders: Canadian Institutes of Health Research and 4 more3 of 3 findings with company ties

  • Human trial1

Outcomes

3

Cardiovascular events

no changein humans1

1 study
  1. Cardiovascular specialist referral has no effect on cardiovascular events in humans (subdistribution hazard ratio, 1.08 (95% CI, 0.79-1.49)).

    Human trialprostate cancermedian 5.8 yearsmalesn = 2,487

    Specialist Referral for Cardiovascular Risk in Patients With Prostate Cancer: A Randomized Clinical Trial · JAMA internal medicine · 30 Aug 2026

Cholesterol

downin humans1

1 study
  1. Cardiovascular specialist referral decreases cholesterol in humans (mean difference, 12 mg/dL (95% CI, 9-15 mg/dL)).

    Human trialprostate cancermedian 5.8 yearsmalesn = 2,487

    Specialist Referral for Cardiovascular Risk in Patients With Prostate Cancer: A Randomized Clinical Trial · JAMA internal medicine · 30 Aug 2026

Cholesterol →

Hierarchical composite of cardiovascular outcomes and risk factors

upin humans1

1 study
  1. Cardiovascular specialist referral improves hierarchical composite of cardiovascular outcomes and risk factors in humans (win ratio 1.60 (95% CI, 1.42-1.81)).

    Human trialprostate cancermedian 5.8 yearsmalesn = 2,487

    Specialist Referral for Cardiovascular Risk in Patients With Prostate Cancer: A Randomized Clinical Trial · JAMA internal medicine · 30 Aug 2026

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