Evidence map›Paper›PMID 26011509›Full record

Trial reportEuropean journal of heart failure2015

Clinical characteristics and outcomes of patients with and without diabetes in the Surgical Treatment for Ischemic Heart Failure (STICH) trial.

Michael R MacDonald, Lilin She, Torsten Doenst, Philip F Binkley, Jean L Rouleau, Ru-San Tan, Kerry L Lee, Alan B Miller, George Sopko, Dominika Szalewska and 8 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of heart failure, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Cardiac surgery 2015 reviewed.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    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

18 authors at 15 institutions in 8 countries.

Michael R MacDonaldDepartment of Cardiology, Changi General Hospital, Singapore.
Lilin SheDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Torsten DoenstDepartment of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University, Jena, Germany.
Philip F BinkleyThe Ohio State University Wexner Medical Center, Columbus, OH, USA.
Jean L RouleauMontréal Heart Institute, Université de Montréal, Canada.
Ru-San TanNational Heart Centre, Singapore.
Kerry L LeeDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Alan B MillerDepartment of Cardiology, University of Florida, Jacksonville, FL, USA.
George SopkoNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Dominika SzalewskaDepartment of Rehabilitation, Medical University of Gdansk, Gdansk, Poland.
Myron A WaclawiwNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Rafal DabrowskiInstitute of Cardiology, Warsaw, Poland.
Serenella CastelvecchioIRCCS Policlinico San Donato, Milan, Italy.
Christopher AdlbrechtDepartment of Medicine II, Division of Cardiology, Medical University of Vienna, Austria.
Robert E MichlerDepartment of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, New York City, NY, USA.
Jae K OhDepartment of Medicine, Mayo Clinic, Rochester, MN, USA.
Eric J VelazquezDepartment of Medicine-Cardiology, Duke University School of Medicine, Durham, NC, USA.
Mark C PetrieScottish National Advanced Heart Failure Service, Golden Jubilee National Hospital, and University of Glasgow, Glasgow, UK.
Duke University · USNational Institutes of Health · USChangi General Hospital · SGFlorida College · USFriedrich Schiller University Jena · DEGdańsk Medical University · PLGolden Jubilee National Hospital · GBInstitute of Cardiology · PLIRCCS Policlinico San Donato · ITMayo Clinic in Arizona · USMedical University of Vienna · ATMontefiore Medical Center · USNational Heart Centre Singapore · SGThe Ohio State University Wexner Medical Center · USUniversité de Montréal · CA

Funding

STICH Trial-Coordinating CenterU01HL069015 · NHLBI · DUKE UNIVERSITY · PI JONES, ROBERT H · 2002 to 2011
$27.3M
STICHESR01HL105853 · NHLBI · DUKE UNIVERSITY · PI AL-KHALIDI, HUSSEIN · 2011 to 2015
$10.2M
STICH Trial-Statistical and Data Coordinatiing CenterU01HL069013 · NHLBI · DUKE UNIVERSITY · PI LEE, KERRY L · 2002 to 2010
$5.0M
NHLBI NIH HHS R01 HL105853NHLBI NIH HHS U01 HL069013NHLBI NIH HHS U01 HL069015NHLBI NIH HHS U01HL69013NHLBI NIH HHS U01HL69015
6 · The paper itself

Abstract

aimsHypothesis 1 of the Surgical Treatment for Ischemic Heart Failure (STICH) trial enrolled 1212 patients with an LVEF of ≤35% and CAD amenable to coronary artery bypass grafting (CABG). Patients were randomized to CABG and optimal medical therapy (MED) or MED alone. The objective was to assess whether or not patients with diabetes mellitus (DM) enrolled in the STICH trial would have greater benefit from CABG than patients without DM. METHODS AND

resultsThe characteristics and clinical outcomes of patients with and without DM randomized to CABG and MED or MED alone were compared. DM was present in 40%. At baseline, patients with DM had more triple vessel CAD, higher LVEF, and smaller left ventricular volumes. In patients with DM, the primary outcome of all-cause mortality occurred in 39% of patients in the MED group and 39% in the CABG group [hazard ratio (HR) with CABG 0.96, 95% confidence interval (CI) 0.73-1.26]. In patients without DM, the primary outcome occurred in 41% of patients in the MED group and 32% in the CABG group (HR with CABG 0.80, 95% CI 0.63-1.02). While numerically it would appear that the treatment effect of CABG is blunted in patients with DM, there was no significant interaction between DM and treatment group on formal statistical testing.

conclusionsPatients with DM enrolled in the STICH trial had more triple vessel disease, smaller hearts, and higher LVEF than those without DM. CABG did not exert greater benefit in patients with DM.

Indexed as

Coronary Artery BypassDiabetes ComplicationsAgedFemaleHeart FailureHumansMaleMiddle AgedMyocardial IschemiaProspective StudiesStroke VolumeVentricular Function, LeftCoronary artery bypass graftDiabetesHeart failureIschaemic heart disease

Identifiers

PMID26011509
PMCPMC4668269
OpenAlexW2098199229

What OpenQuestion holds

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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.