Cardio-oncology & otherRandomised controlled trial

Hierarchical Composite Outcomes and Win Ratio Methods in Cardiovascular Trials: A Review and Consequent Guidance

CirculationPublished

  • Methodological review of randomised trials

Authors' conclusion

When used wisely, the win ratio is a valuable tool in the analysis of RCTs.

Study context

Population
Cardiovascular randomized clinical trials (RCTs) using the win ratio published January 2022 to July 2024
Participants
36 RCTs

Primary result

As reported in the abstract

Use of the win ratio in cardiovascular RCTs
Eligible RCTs, mainly in HF and ischemic heart disease
36
Pharmaceutical intervention
26
Procedure intervention
7
Treatment strategy intervention
3
Hierarchical composite combining event outcomes and quantitative measures
23

Original publication

Hierarchical Composite Outcomes and Win Ratio Methods in Cardiovascular Trials: A Review and Consequent Guidance. Circulation. Published 2 June 2025. doi:10.1161/circulationaha.124.070251

Summarised from the published abstract; every number is checked against it