Evidence map›Paper›PMID 25969546›Full record

ArticleCirculation. Cardiovascular interventions2015

Association of smoking status with health-related outcomes after percutaneous coronary intervention.

Jae-Sik Jang, Donna M Buchanan, Kensey L Gosch, Philip G Jones, Praneet K Sharma, Ali Shafiq, Anna Grodzinsky, Timothy J Fendler, Garth Graham, John A Spertus

Abstract readMulticenter Study
In one paragraph

Article in Circulation. Cardiovascular interventions, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
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  8. Observational
  9. Observational
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  11. Observational
  12. Review
  13. Article
  14. Prediction of residual angina after percutaneous coronary intervention.European heart journal. Quality of care & clinical outcomes · 2015
    Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Jae-Sik JangFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.).
Donna M BuchananFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.).
Kensey L GoschFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.).
Philip G JonesFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.).
Praneet K SharmaFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.).
Ali ShafiqFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.).
Anna GrodzinskyFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.).
Timothy J FendlerFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.).
Garth GrahamFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.).
John A SpertusFrom the Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute, Kansas City, MO (J.-S.J., D.M.B., K.L.G., P.G.J., P.K.S., A.S., A.G., T.J.F., J.A.S.); University of Missouri-Kansas City (J.-S.J., D.M.B., P.K.S., A.S., A.G., T.J.F., J.A.S.); Department of Cardiology, Busan Paik Hospital, University of Inje College of Medicine, Busan, Korea (J.-S.J.); The Aetna Foundation, Hartford, CT (G.G.); and Division of Cardiology, Department of Medicine, University of Connecticut, Farmington (G.G.). spertusj@umkc.edu.

Funding

CARDIOVASCULAR OUTCOMES RESEARCH TRAINING PROGRAMT32HL110837 · NHLBI · UNIVERSITY OF MISSOURI KANSAS CITY · PI JOHN A SPERTUS · 2012 to 2026
$5.0M
Transforming PCI Informed Consent into an Evidence-based Decision-making ToolR01HL096624 · NHLBI · SAINT LUKE'S HOSPITAL · PI SPERTUS, JOHN A · 2009 to 2010
$4.2M
NHLBI NIH HHS R01 HL096624NHLBI NIH HHS R01-HL096624NHLBI NIH HHS T32 HL110837NHLBI NIH HHS T32HL110837
6 · The paper itself

Abstract

backgroundPatients who smoke at the time of percutaneous coronary intervention (PCI) would ideally have a strong incentive to quit, but most do not. We sought to compare the health status outcomes of those who did and did not quit smoking after PCI with those who were not smoking before PCI. METHODS AND

resultsA cohort of 2765 PCI patients from 10 US centers were categorized into never, past (smoked in the past but had quit before PCI), quitters (smoked at time of PCI but then quit), and persistent smokers. Health status was measured with the disease-specific Seattle Angina Questionnaire and the EuroQol 5 dimensions, adjusted for baseline characteristics. In unadjusted analyses, persistent smokers had worse disease-specific and overall health status when compared with other groups. In fully adjusted analyses, persistent smokers showed significantly worse health-related quality of life when compared with never smokers. Importantly, of those who smoked at the time of PCI, quitters had significantly better adjusted Seattle Angina Questionnaire angina frequency scores (mean difference, 2.73; 95% confidence interval, 0.13-5.33) and trends toward higher disease specific (Seattle Angina Questionnaire quality of life mean difference, 1.97; 95% confidence interval, -1.24 to 5.18), and overall (EuroQol 5 dimension visual analog scale scores mean difference, 2.45; 95% confidence interval, -0.58 to 5.49) quality of life when compared with persistent smokers at 12 months.

conclusionsSmokers at the time of PCI have worse health status at 1 year than those who never smoked, whereas smokers who quit after PCI have less angina at 1 year than those who continue smoking.

Indexed as

Health StatusPercutaneous Coronary InterventionQuality of LifeAgedCoronary DiseaseFemaleHumansMaleMiddle AgedProspective StudiesSmokingSmoking CessationSurveys and Questionnairespercutaneous coronary interventionquality of lifesmoking

Identifiers

PMID25969546
PMCPMC4435805

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Registered trials

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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.