Claim

Model ledger-default@0.1.0 ledger-strict@0.1.0 ledger-default@0.2.0 ledger-strict@0.2.0 ledger-default@0.3.0 (default) ledger-strict@0.3.0 Snapshot seq

Topics

Medicine · 1efd24fe Public health · 1efd24fe

Assessment

Why?

Strongest counted support: Intensive blood-pressure lowering had lower event rates across metabolic-syndrome tertiles, with the largest primary-outcome reduction in the middle tertile. weight 2.000000 evidence

Suppressed as dependent: The passage reports lower intensive-treatment event rates across metabolic-syndrome tertiles over 3.32 years and the largest middle-tertile reduction, HR 0.66, 95% CI 0.44–0.99.

Review gaps: qualifiers reviewed, opposing search done, independence reviewed

What would most change this: One independent, direct measurement that contradicts this claim would move it from Supported to Unresolved.

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Checked as part of

Statements this claim was broken out of. The claim is scored on its own; a statement's reading only counts its claims.

• “A 2026 post hoc analysis of the STEP randomized trial examined whether metabolic-syndrome severity modified intensive systolic blood-pressure lowering’s...” · 3 claims · 29 September 2026

Evidence for

• Intensive blood-pressure lowering had lower event rates across metabolic-syndrome tertiles, with the largest primary-outcome reduction in the middle tertile.

  From Metabolic syndrome severity and the effects of intensive blood pressure lowering: Results from the STEP randomized trial Read 2026-09-29 Relevance DIRECT Steps 0 Counted

• The passage reports lower intensive-treatment event rates across metabolic-syndrome tertiles over 3.32 years and the largest middle-tertile reduction, HR 0.66, 95% CI 0.44–0.99.

  From Metabolic syndrome severity and the effects of intensive blood pressure lowering: Results from the STEP randomized trial Read 2026-09-29 Relevance DIRECT Steps 0 Counted

  Follow-up, cross-tertile direction, middle-tertile maximum, hazard ratio, and interval match.

Evidence against

None.

Qualifications

None.

Suppressed as dependent

Evidence	Group	Kept instead
beb09842		39a50f45

Inferences

Concluded from

None.

Used as a premise in

None.

An inference is interpretation, not evidence: it never changes the assessment of its conclusion. Each premise is a claim with its own evidence.

Threads

None. Threads are for disagreements about how a determination was made — a statement whose figures are not in the passage it rests on, two sources that may share an origin. Something about the world belongs in the evidence above.

Claim edges

None. Edges are stored and displayed; v0.1 does not propagate probability across them.

Review checklist

Review checks: 1 of 4

1 check by this claim's own author, alongside the independent review above. 1 EVIDENCE VERIFICATION. A check by the person who recorded a claim does not raise its review coverage.

Check	Done	By
qualifiers reviewed	no
opposing search done	no
independence reviewed	no
primary source reviewed	yes	af9c5458, 39a50f45

Summary

Contribution history

seq	event	detail
23630	APPENDED
23631	ACCEPT	AUTOMATIC_AFTER_VALIDATION
23646	LINK_EVIDENCE	by 1efd24fe (accepted)
24919	TASK_RESULT	by 1efd24fe (accepted)

Score trace

{
  "claim": "f0fc8238-65b4-8157-8754-8085d5f0e492",
  "links": [
    {
      "kept": "e9ab9c80-d5ba-8282-9c2c-113239a50f45",
      "link": "bede249d-4466-8c9f-a2ed-ff80af9c5458",
      "group": null,
      "reason": "dependent_strongest_only",
      "edition": "NAMED_OR_UNRELATED",
      "evidence": "7785047b-e0ce-87a6-92dc-d84cbeb09842",
      "direction": "SUPPORT",
      "magnitude": "1.800000",
      "relevance": "DIRECT",
      "extraction": "UNVERIFIED",
      "provenance": "INDEPENDENT",
      "observation": "DIRECT_TEXT",
      "source_type": "PRIMARY_TEXT",
      "authenticity": "UNVERIFIED",
      "audit_confirmed": false,
      "effective_weight": "0.000000",
      "interpretive_steps": 0
    },
    {
      "link": "e9ab9c80-d5ba-8282-9c2c-113239a50f45",
      "group": null,
      "edition": "NAMED_OR_UNRELATED",
      "evidence": "567f3bf3-2841-83fb-b7ef-ce4e51eb9f3e",
      "direction": "SUPPORT",
      "magnitude": "2.000000",
      "relevance": "DIRECT",
      "extraction": "UNVERIFIED",
      "provenance": "INDEPENDENT",
      "observation": "MEASUREMENT",
      "source_type": "PRIMARY_TEXT",
      "authenticity": "UNVERIFIED",
      "audit_confirmed": false,
      "effective_weight": "2.000000",
      "interpretive_steps": 0
    }
  ],
  "model": "ledger-default@0.3.0",
  "prior": "0.50",
  "variants": {
    "spread": "0.1287",
    "permissive": "0.9309",
    "conservative": "0.8022"
  },
  "code_hash": "sha256:c61a6fdf35a754a0d7e958df149036a083c0eaeb7d2d2e52704ec32b0c36def7",
  "contested": false,
  "stability": "MEDIUM",
  "claim_type": "QUANTITATIVE",
  "config_hash": "sha256:86768038080b8ab5233f1e4b7aba10af05b5bb44caa432095150b90e81209809",
  "probability": "0.8808",
  "provisional": true,
  "evidence_sum": "2.000000",
  "snapshot_seq": 24920,
  "prior_log_odds": "0.000000",
  "support_groups": 1,
  "model_dependent": false,
  "review_coverage": "0.25",
  "truth_evaluable": true,
  "assessment_state": "SUPPORTED",
  "review_checklist": {
    "qualifiers_reviewed": {
      "by": [],
      "ok": false
    },
    "opposing_search_done": {
      "by": [],
      "ok": false
    },
    "independence_reviewed": {
      "by": [],
      "ok": false
    },
    "primary_source_reviewed": {
      "by": [
        "bede249d-4466-8c9f-a2ed-ff80af9c5458",
        "e9ab9c80-d5ba-8282-9c2c-113239a50f45"
      ],
      "ok": true
    }
  },
  "contradict_groups": 0,
  "rounding_boundary": false,
  "posterior_log_odds": "2.000000",
  "not_applicable_reason": null,
  "independence_unreviewed": 2
}