Evidence map›Paper›PMID 25023071›Full record

ArticleJournal of the American Heart Association2014

Use of aspirin for primary and secondary cardiovascular disease prevention in the United States, 2011-2012.

Arch G Mainous, Rebecca J Tanner, Ronald I Shorr, Marian C Limacher

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Ticagrelor or Clopidogrel as Antiplatelet Agents in Patients with Chronic Kidney Disease and Cardiovascular Disease: A Meta-analysis.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2023
    Pooled it
  2. Aspirin and the Primary Prevention of Cardiovascular Diseases: An Approach Based on Individualized, Integrated Estimation of Risk.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2017
    Guideline
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Aspirin for Primary Prevention of Cardiovascular Disease.Journal of lipid and atherosclerosis · 2019
    Review
  13. Article
  14. Article
  15. Flavonolignans inhibit the arachidonic acid pathway in blood platelets.BMC complementary and alternative medicine · 2017
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Aspirin for primary prevention: a challenging decision.Journal of the American Heart Association · 2014
    Article
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

4 authors at 1 institution in 1 country.

Arch G MainousDepartment of Health Services Research Management, and Policy, University of Florida, Gainesville, FL (A.G.M., R.J.T.) Department of Community Health and Family Medicine, University of Florida, Gainesville, FL (A.G.M.).
Rebecca J TannerDepartment of Health Services Research Management, and Policy, University of Florida, Gainesville, FL (A.G.M., R.J.T.).
Ronald I ShorrGeriatric Research Education & Clinical Center, Malcom Randall VAMC and Department of Epidemiology, University of Florida, Gainesville, FL (R.I.S.).
Marian C LimacherDivision of Cardiology, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL (M.C.L.).
University of Florida · US

Funding

UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
NCATS NIH HHS UL1 TR000064
6 · The paper itself

Abstract

backgroundAspirin use has been shown to be an effective tool in cardiovascular disease (CVD) prevention among high-risk patients. The patient-reported physician recommendation for aspirin as preventive therapy among high- and low-risk patients is unknown. METHODS AND

resultsWe conducted an analysis of the National Health and Nutrition Examination Survey 2011-2012 to examine the use of aspirin for CVD prevention. Patients without previously diagnosed CVD were classified into high and low risk based on their Framingham Risk Score (10-year coronary heart disease risk). Among patients without previously diagnosed CVD, 22.5% were classified as high risk. Of the high-risk individuals, 40.9% reported being told by their physician to take aspirin, with 79.0% complying. Among those who were at low risk, 26.0% were told by their physician to take aspirin, with 76.5% complying. Logistic regression analysis indicated that age, access to a regular source of care, education, and insurance status were significant predictors of patient-reported physician recommendations for aspirin use for primary prevention. Among high-risk patients, age, race, and insurance status were significant predictors of reported recommendations for aspirin use. Among low-risk patients, age, education, obesity, and insurance status were significant predictors of reported recommendations for aspirin use.

conclusionsPatient reports indicate nonideal rates of being told to take aspirin, for both high- and low-risk patients for primary prevention. Clinical decision support tools that could assist physicians in identifying patients at risk may increase patient reports of physician recommendations for aspirin use.

Indexed as

Drug MonitoringPrimary PreventionSecondary PreventionAdultAgedAspirinCardiovascular DiseasesFemaleHumansMaleMiddle AgedPlatelet Aggregation InhibitorsPractice Patterns, Physicians'Risk AssessmentSelf ReportUnited StatesAspirinPlatelet Aggregation Inhibitorsaspirincardiovascular diseasesprevention

Identifiers

PMID25023071
PMCPMC4310388
OpenAlexW2160833037

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.