Evidence map›Paper›PMID 23889507›Full record

ArticleArtificial organs2014

Does regular lipid apheresis in patients with isolated elevated lipoprotein(a) levels reduce the incidence of cardiovascular events?

Adrian Rosada, Ursula Kassner, Anja Vogt, Michael Willhauck, Klaus Parhofer, Elisabeth Steinhagen-Thiessen

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Artificial organs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
9.3field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 82 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Apheresis: What Should a Clinician Know?Current atherosclerosis reports · 2023
    Review
  6. Review
  7. Review
  8. Lipoprotein(a) Elevation: A New Diagnostic Code with Relevance to Service Members and Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  9. Review
  10. Current Role of Lipoprotein Apheresis.Current atherosclerosis reports · 2019
    Review
  11. Hyperlipoproteinaemia(a) - apheresis and emerging therapies.Clinical research in cardiology supplements · 2017
    Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. HyperLp(a)lipoproteinaemia: unmet need of diagnosis and treatment?Blood transfusion = Trasfusione del sangue · 2016
    Article
  17. Review
  18. Review
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Adrian RosadaCharité Berlin, Interdisziplinäres Stoffwechsel-Centrum, Lipidambulanz, Berlin, Germany.
Ursula Kassner
Anja Vogt
Michael Willhauck
Klaus Parhofer
Elisabeth Steinhagen-Thiessen
Charité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elevated lipoprotein(a) (Lp(a)) is known as an independent risk factor for atherosclerosis and cardiovascular events. Regular lipid apheresis decreases elevated Lp(a) concentrations. However, there is a lack of reliable data regarding the effect of lipid apheresis on cardiovascular endpoints. To assess the effects of apheresis, we compared the occurrence of cardiovascular events in 37 patients treated regularly with lipid apheresis at the time periods of preinitiation of apheresis and during apheresis treatment. A retrospective analysis of 37 patients (35 men and two women; aged 58 years ± 11 [mean ± standard deviation]; body mass index 26 kg/m(2)  ± 3; low-density lipoprotein (LDL)-cholesterol before apheresis 84 mg/dL ± 21; Lp(a) before apheresis 112 mg/dL ± 34) treated regularly with lipid apheresis was performed. Patients' medical records were screened for cardiovascular events at the preapheresis and during apheresis periods. Apheresis led to a significant reduction of lipid levels (LDL cholesterol -60%; Lp(a) -68%) measured after apheresis. The event-free survival rate after 1 year in the preapheresis period was 38% (22-54%, 95% confidence interval [CI]) vs. 75% (61-89%, 95% CI) in the during-apheresis period with a statistically significant difference (P < 0.0001). Apheresis seems to lower the progression of atherosclerosis leading to a reduced number of cardiovascular events in hyperlipoproteinemia(a). Because prospective and controlled trials are lacking, the therapeutic effectiveness of lipid apheresis can only be estimated.

Indexed as

AgedBlood Component RemovalCardiovascular DiseasesDisease-Free SurvivalFemaleHumansLipoprotein(a)MaleMiddle AgedRetrospective StudiesRisk FactorsTreatment OutcomeLipoprotein(a)Cardiovascular eventsEvent-free survivalLipid apheresisLipoprotein(a)

Identifiers

PMID23889507
OpenAlexW1576310006

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.