{
  "completed": true,
  "status": "completed_original_source_reconciliation",
  "provider_mode": "Consensus Pro signed-in browser; observed output and citation link mappings",
  "queries": [
    "https://consensus.app/search/sauna-bathing-cardiovascular-prevention/DOntbbaER8enM_bQgg__zg/"
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  "query_record_note": "Exact provider question/response retained privately in its retrieval receipt.",
  "primary_comparison_count": 10,
  "primary_comparisons": [
    {
      "pmid": "25705824",
      "doi": "10.1001/jamainternmed.2014.8187",
      "source_type": "primary study report",
      "study_group": "KIHD-original-men",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Finnish cohort hard endpoints and causal wording",
      "result_comparison": "Consensus accurately reports the2315-men cohort,190 sudden deaths,407 fatal cardiovascular events and the adjusted frequent-use SCD association. These are prospective observed events, not randomized sauna prevention. Reference groups are predominantly different sauna frequencies, rather than a representative no-sauna population; repeated papers cannot multiply independent exposure allocation.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/25705824/",
      "source_examination_receipts": [
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      ],
      "body_receipts": []
    },
    {
      "pmid": "28972808",
      "doi": "10.1080/07853890.2017.1387927",
      "source_type": "primary study report",
      "study_group": "KIHD-original-men",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Fitness adjustment and study independence",
      "result_comparison": "Consensus correctly highlights measured fitness and cohort overlap. The original joint-analysis associations strengthen a confounder-specific check but reuse the KIHD male cohort family. Baseline gas-analyzed fitness and statistical adjustment do not make sauna exposure randomized or eliminate every health/social selection process.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/28972808/",
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    },
    {
      "pmid": "27001189",
      "doi": "10.1253/circj.CJ-16-0051",
      "source_type": "primary study report",
      "study_group": "PMID27001189",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "WAON-CHF endpoint hierarchy",
      "result_comparison": "Consensus summarizes review-mediated BNP decreases and function gains without visibly retaining the requested original trial primary-null distinction. The original149-person randomized report designates pre/postBNP ratio as primary; its between-group BNP change did not reach significance while selectedNYHA/6MWD/cardiothoracic secondary outcomes improved. Primary and secondary results remain separately reported, and no broad event prevention follows.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/27001189/",
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    },
    {
      "pmid": "35785965",
      "doi": "10.1152/ajpregu.00076.2022",
      "source_type": "primary study report",
      "study_group": "PMID35785965",
      "access_depth": "full_text_partial",
      "consensus_aspect": "Added sauna effect and fitness measurement",
      "result_comparison": "Consensus correctly identifies an eight-week added-sauna systolic-pressure and fitness estimate over exercise alone. Original Methods show48 enrolled/47 analyzed, most participants women, and estimatedVO2max from a submaximal heart-rate test. Thus the real positive is retained, with estimated rather than directly gas-measured fitness and no hard-event endpoint.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/35785965/",
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      ],
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        "deliverables\\hsef_v53_traffic_ranks_11_15_2026-10-13\\sauna-cardiovascular-prevention\\body-presentation-receipts\\35785965-s2-p3-6.json"
      ]
    },
    {
      "pmid": "37650138",
      "doi": "10.1152/japplphysiol.00322.2023",
      "source_type": "primary study report",
      "study_group": "PMID37650138",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "CAD acclimation versus vascular outcomes",
      "result_comparison": "Consensus accurately notes the41-person CAD randomized null for FMD, stiffness andBP despite acclimation. The result constrains vascular mechanism generalization; it does not directly demonstrate zero mortality benefit. A separate review-mediated93percent ischemia claim was not verified against an original and is excluded from our numeric evidence cards.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/37650138/",
      "source_examination_receipts": [
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    {
      "pmid": "27631616",
      "doi": "10.1371/journal.pone.0161749",
      "source_type": "primary study report",
      "study_group": "PMID27631616",
      "access_depth": "full_text_partial",
      "consensus_aspect": "Sickness absence versus illness days, control and correction",
      "result_comparison": "Consensus describes reduced absence despite zero change in actual illness days. Original Methods establish unblinded self-reported outcomes and unverified compliance; Results report no significant overall illness-day group effect, rather than exact zero or objective infection surveillance. Sickness absenceIRR0.71 is retained. The examined original correction adds omitted underlyingTable2 data, not a revised outcome or retraction.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/27631616/",
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    },
    {
      "pmid": "26174323",
      "doi": "10.1113/JP270570",
      "source_type": "primary study report",
      "study_group": "PMID26174323",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Acute recovery versus chronic training adaptation",
      "result_comparison": "Consensus notes attenuated resistance adaptation after cold recovery. The original reports a21-man twelve-week training experiment and a separate nine-man acute biopsy experiment. Smaller strength/mass gains with repeated cold are a genuine training-context boundary; a separate acute submaximal recovery positive25121612 is not discarded or converted into durable health.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/26174323/",
      "source_examination_receipts": [
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    {
      "pmid": "32192678",
      "doi": "10.1016/j.jacep.2019.11.008",
      "source_type": "primary study report",
      "study_group": "PMID32192678",
      "access_depth": "full_text_partial",
      "consensus_aspect": "Auricular consumer-style devices and genuine controlled evidence",
      "result_comparison": "Consensus categorically contrasts validated clinical cervical/implanted paths with consumer auricular devices lacking comparable sham-controlled evidence. OriginalTREAT-AF Methods name a home Parasym device, stimulated tragus versus stimulated earlobe, blinded outcome assessors and ECG-patch AF-burden primary measurement. Its53-person positive contradicts a blanket no-evidence assertion for every auricular/home device, while not establishing all-brand or implanted-equivalence claims.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/32192678/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_11_15_2026-10-13\\sauna-cardiovascular-prevention\\examinations\\original-40-48-10000.json"
      ],
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      ]
    },
    {
      "pmid": "38546822",
      "doi": "10.1007/s00125-024-06129-0",
      "source_type": "primary study report",
      "study_group": "NCT04143269",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Disease-specific null and secondary report overlap",
      "result_comparison": "Consensus coverage cells report no vagal literature in several domains; such retrieval gaps are not literature absence. The original multicenter cervical-diabetes trial had no active-sham gastrointestinal symptom superiority, and cytokine-null39251831 is a secondaryNCT04143269 analysis. Defined negative and positive trials should coexist rather than be generalized by device label.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/38546822/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_11_15_2026-10-13\\sauna-cardiovascular-prevention\\examinations\\original-48-56-10000.json"
      ],
      "body_receipts": []
    },
    {
      "pmid": "19304125",
      "doi": "10.1016/j.jjcc.2008.11.005",
      "source_type": "primary study report",
      "study_group": "PMID19304125",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Five-year Waon hard events and absolute versus relative effect",
      "result_comparison": "Consensus cites a review-mediated 38% reduction in cardiac events over five years. The verified original reports HF/cardiac-death composite rates 68.7% in 65 matched traditional-care controls versus 31.3% in 64 Waon recipients: a 37.4 percentage-point difference, not an unambiguously stated 38% relative reduction. The study reports matching, without stated random allocation, in NYHA III/IV heart failure; deaths were twelve versus eight. We retain this clinically important event association without treating it as a mortality-prevention RCT or ordinary-sauna primary prevention.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/19304125/",
      "source_examination_receipts": [
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      ],
      "body_receipts": []
    }
  ],
  "grade_changed": false,
  "grade_change_note": "Source-based adjudication; no independent blinded regrade claimed.",
  "raw_receipts": [
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  "independent_blinded_audit": false,
  "cutoff": "2026-10-13",
  "completed_utc": "2026-10-13T17:02:53.527325+00:00",
  "conclusion": "Endpoint hierarchy, experimental scope and original-source limits determine the evidence cards; provider wording does not override them."
}