Evidence map›Paper›PMID 17085528›Full record

ArticleHeart (British Cardiac Society)2007

Gender differences in management and outcome in non-ST-elevation acute coronary syndrome.

Joakim Alfredsson, Ulf Stenestrand, Lars Wallentin, Eva Swahn

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Heart (British Cardiac Society), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 153 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Review
  12. Disparities in Cardiac Care of Women: Current Data and Possible Solutions.Current treatment options in cardiovascular medicine · 2018
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Acute coronary syndrome in young women under 55 years of age: clinical characteristics, treatment, and outcomes.Clinical research in cardiology : official journal of the German Cardiac Society · 2015
    Observational
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Joakim AlfredssonDepartment of Medicine and Care, Division of Cardiology, Linköping University Hospital, SE 581 85 Linköping, Sweden. joakim.alfredsson@imv.liu.se
Ulf Stenestrand
Lars Wallentin
Eva Swahn
Linköping University · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study gender differences in management and outcome in patients with non-ST-elevation acute coronary syndrome. DESIGN, SETTING AND PATIENTS: Cohort study of 53 781 consecutive patients (37% women) from the Register of Information and Knowledge about Swedish Heart Intensive care Admissions (RIKS-HIA), with a diagnosis of either unstable angina pectoris or non-ST-elevation myocardial infarction. All patients were admitted to intensive coronary care units in Sweden, between 1998 and 2002, and followed for 1 year.

main outcome measuresTreatment intensity and in-hospital, 30-day and 1-year mortality.

resultsWomen were older (73 vs 69 years, p<0.001) and more likely to have a history of hypertension and diabetes, but less likely to have a history of myocardial infarction or revascularisation. After adjustment, there were no major differences in acute pharmacological treatment or prophylactic medication at discharge. Revascularisation was, however, even after adjustment, performed more often in men (OR 1.15; 95% CI, 1.09 to 1.21). After adjustment, there was no significant difference in in-hospital (OR 1.03; 95% CI, 0.94 to 1.13) or 30-days (OR 1.07; 95% CI, 0.99 to 1.15) mortality, but at 1 year being male was associated with higher mortality (OR 1.12; 95% CI, 1.06 to 1.19).

conclusionAlthough women are somewhat less intensively treated, especially regarding invasive procedures, after adjustment for differences in background characteristics, they have better long-term outcomes than men.

Indexed as

Sex FactorsAcute Coronary SyndromeAgedAged, 80 and overAge FactorsElectrocardiographyEpidemiologic MethodsFemaleHumansMaleMiddle AgedPrognosisSwedenTreatment Outcome

Identifiers

PMID17085528
PMCPMC2016903
OpenAlexW2162330273

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.