Evidence map›Paper›PMID 27028303›Full record

Observational studyClinical cardiology2016

Two-Year Safety and Efficacy of Biodegradable Polymer Drug-Eluting Stent Versus Second-Generation Durable Polymer Drug-Eluting Stent in Patients With Acute Myocardial Infarction: Data from the Korea Acute Myocardial Infarction Registry (KAMIR).

Seung-Ho Hur, In-Cheol Kim, Ki-Bum Won, Yun-Kyeong Cho, Hyuck-Jun Yoon, Chang-Wook Nam, Kwon-Bae Kim, Min-Seok Kim, Jincheol Park, Seung-Woon Rha and 16 more

Open access · bronzeAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  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

26 authors at 17 institutions in 1 country.

Seung-Ho HurDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, South Korea.
In-Cheol KimDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, South Korea.
Ki-Bum WonDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, South Korea.
Yun-Kyeong ChoDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, South Korea.
Hyuck-Jun YoonDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, South Korea.
Chang-Wook NamDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, South Korea.
Kwon-Bae KimDivision of Cardiology, Keimyung University Dongsan Medical Center, Daegu, South Korea.
Min-Seok KimDepartment of Statistics, Keimyung University, Daegu, South Korea.
Jincheol ParkDepartment of Statistics, Keimyung University, Daegu, South Korea.
Seung-Woon RhaDivision of Cardiology, Korea University Guro Hospital, Seoul, South Korea.
Shung-Chull ChaeDivision of Cardiology, Kyungpook National University Hospital, Daegu, South Korea.
Young-Jo KimDivision of Cardiology, Yeungnam University Hospital, Daegu, South Korea.
Chong-Jin KimDivision of Cardiology, Kyung Hee University Hospital, Seoul, South Korea.
Myeong-Chan ChoDivision of Cardiology, Chungbuk National University Hospital, Cheongju, South Korea.
Myung-Ho JeongDivision of Cardiology, Chonnam National University Hospital, Gwangju, South Korea.
Young-Keun AhnDivision of Cardiology, Chonnam National University Hospital, Gwangju, South Korea.
Hyo-Soo KimDivision of Cardiology, Seoul National University Hospital, Seoul, South Korea.
Tae-Hoon AhnDivision of Cardiology, Gachon University Gil Hospital, Inchon, South Korea.
Ki-Bae SeungDivision of Cardiology, Catholic University Hospital, Seoul, South Korea.
Yangsoo JangDivision of Cardiology, Yonsei University Severance Hospital, Seoul, South Korea.
Jung-Han YoonDivision of Cardiology, Yonsei University Wonju Hospital, Wonju, South Korea.
In-Whan SeongDivision of Cardiology, Chungnam National University Hospital, Daejeon, South Korea.
Taek-Jong HongDivision of Cardiology, Busan National University Hospital, Busan, South Korea.
Jang-Ho BaeDivision of Cardiology, Konyang University Hospital, Daejeon, South Korea.
Seung-Jung ParkDivision of Cardiology, Ulsan University Asan Medical Center, Seoul, South Korea.
KAMIR (Korea Acute Myocardial Infarction Registry) Investigators
Keimyung University Dongsan Medical Center · KRKeimyung University · KRChonnam National University Hospital · KRAsan Medical Center · KRChungbuk National University Hospital · KRChungnam National University Hospital · KRDeleted InstitutionGangnam Severance Hospital · KRKonyang University Hospital · KRKorea University Medical Center · KRKyung Hee University Hospital at Gangdong · KRKyungpook National University Hospital · KRPusan National University Hospital · KRSeoul National University Hospital · KRSt. Paul's Hospital · KRWonju Severance Christian Hospital · KRYeungnam University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite improved long-term safety of biodegradable polymer (BP) drug-eluting stents (DES) compared to first-generation durable polymer (DP) DES, data on the safety and efficacy of BP-DES compared with second-generation (2G) DP-DES in patients with acute myocardial infarction (AMI) are limited. HYPOTHESIS: To evaluate the safety and efficacy of BP-DES compared with 2G-DP-DES in the higher stent thrombosis (ST) risk setting of AMI.

methodsA total of 3359 AMI patients who received either BP-DES (n = 261) or 2G-DP-DES (n = 3098) were included from the Korea Acute Myocardial Infarction Registry (KAMIR). Differences in baseline clinical and angiographic characteristics were adjusted using a 1:5 propensity score matching analysis (n = 261 for BP-DES and n = 1305 for 2G-DP-DES). The primary outcome was the incidence of major adverse cardiac events (MACE) including all-cause death, recurrent myocardial infarction (re-MI), and target vessel revascularization (TVR). The rate of definite or probable ST was also investigated.

resultsIn adjusted analysis, there was no significant difference between the 2 groups in baseline clinical and angiographic characteristics; 2-year MACE (10.7% and 9.9% in the BP-DES group and 2G-DP-DES group, respectively, P = 0.679); ST incidence (0.8% vs 0.9%, respectively, P = 1.0), and rates of all-cause death, re-MI, and TVR. By multivariate analysis, old age, diabetes mellitus, renal dysfunction, and left ventricular dysfunction were the independent predictors of MACE after BP-DES or 2G-DP-DES implantation.

conclusionsBP-DES and 2G-DP-DES appear to have comparable 2-year safety and efficacy for the treatment of AMI. However, longer-term follow-up is needed.

Indexed as

Absorbable ImplantsDrug-Eluting StentsPolymersAgedChi-Square DistributionCoronary AngiographyCoronary ThrombosisFemaleHumansKaplan-Meier EstimateLogistic ModelsMaleMiddle AgedMultivariate AnalysisMyocardial InfarctionPercutaneous Coronary InterventionPolymers

Identifiers

PMID27028303
PMCPMC6490733
OpenAlexW2322133982

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.