Evidence map›Paper›PMID 24648804›Full record

ArticleThe Korean journal of internal medicine2014

Efficacy and safety of antiplatelet-combination therapy after drug-eluting stent implantation.

Yun-Kyeong Cho, Chang-Wook Nam, Hyoung-Seob Park, Hyuck-Jun Yoon, Hyungseop Kim, Seung-Ho Hur, Yoon-Nyun Kim, Jang-Hoon Lee, Dong-Heon Yang, Bong-Ryeol Lee and 6 more

Open access · goldAbstract read
In one paragraph

Article in The Korean journal of internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Yun-Kyeong ChoDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Chang-Wook NamDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Hyoung-Seob ParkDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Hyuck-Jun YoonDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Hyungseop KimDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Seung-Ho HurDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Yoon-Nyun KimDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Jang-Hoon LeeDivision of Cardiology, Kyungpook National University Hospital, Daegu, Korea.
Dong-Heon YangDivision of Cardiology, Kyungpook National University Hospital, Daegu, Korea.
Bong-Ryeol LeeDivision of Cardiology, Daegu Fatima Hospital, Daegu, Korea.
Byung-Chun JungDivision of Cardiology, Daegu Fatima Hospital, Daegu, Korea.
Woong KimDivision of Cardiology, Yeungnam University Hospital, Daegu, Korea.
Jong-Seon ParkDivision of Cardiology, Yeungnam University Hospital, Daegu, Korea.
Jin-Bae LeeDivision of Cardiology, Daegu Catholic University Hospital, Daegu, Korea.
Kee-Sik KimDivision of Cardiology, Daegu Catholic University Hospital, Daegu, Korea.
Kwon-Bae KimDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea.
Keimyung University Dongsan Medical Center · KRKyungpook National University Hospital · KRDaegu Catholic University Medical Center · KRDaegu Fatima Hospital · KRYeungnam University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsCombination single-pill therapy can improve cost-effectiveness in a typical medical therapy. However, there is a little evidence about the efficacy and tolerability of combination single-pill antiplatelet therapy after percutaneous coronary intervention (PCI) with drug-eluting stents (DES).

methodsFrom June to November 2012, in total, 142 patients who met the following criteria were enrolled: at least 18 years old; successful PCI with DES at least 3 months earlier; and regular medication of aspirin and clopidogrel with no side effects. After VerifyNow P2Y12 and aspirin assays, the combination single pill of aspirin and clopidogrel was given and laboratory tests were repeated 6 weeks later.

resultsAt baseline, the incidence of aspirin resistance, defined as aspirin reaction unit (ARU) ≥ 550, was 9.2%, that of clopidogrel resistance, defined as P2Y12 reaction unit (PRU) ≥ 230, was 46.5%, and that of percent inhibition of PRU < 20% was 32.4%. At follow-up, the incidence of resistance by ARU value was 7.0%, 50.0% by PRU value, and 35.9% by percentage inhibition of PRU, respectively. The mean values of ARU (431.5 ± 63.6 vs. 439.8 ± 55.2; p = 0.216) and PRU (227.5 ± 71.4 vs. 223.3 ± 76.0; p = 0.350) were not significantly different before versus after antiplatelet-combination single-pill therapy. Five adverse events (3.5%) were observed during the study period.

conclusionsCombination single-pill antiplatelet therapy, which may reduce daily pill burden for patients after PCI with DES, demonstrated similar efficacy to separate dual-pill antiplatelet therapy.

Indexed as

Drug-Eluting StentsAgedAntiplatyhelmintic AgentsAspirinClopidogrelDrug CombinationsDrug ResistanceFemaleHumansIntention to Treat AnalysisMaleMiddle AgedMyocardial IschemiaPercutaneous Coronary InterventionPlatelet Function TestsProspective StudiesAntiplatyhelmintic AgentsAspirinClopidogrelDrug CombinationsTabletsTiclopidineAspirinClopidogrelDrug combinations

Identifiers

PMID24648804
PMCPMC3956991
OpenAlexW2164925099

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.