Evidence map›Paper›PMID 27595691›Full record

ArticleAmerican heart journal2016

Complete versus incomplete revascularization in patients with multivessel coronary artery disease treated with drug-eluting stents.

Mineok Chang, Jung-Min Ahn, Nayoung Kim, Pil Hyung Lee, Jae-Hyung Roh, Sung-Han Yoon, Soo-Jin Kang, Seung-Whan Lee, Young-Hak Kim, Cheol Whan Lee and 3 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in American heart journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
5.6field-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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Mineok ChangHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Jung-Min AhnHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Nayoung KimDepartment of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Pil Hyung LeeHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Jae-Hyung RohHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Sung-Han YoonHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Soo-Jin KangHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Seung-Whan LeeHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Young-Hak KimHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Cheol Whan LeeHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Seong-Wook ParkHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Duk-Woo ParkHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. Electronic address: dwpark@amc.seoul.kr.
Seung-Jung ParkHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Asan Medical Center · KRUlsan College · KRUniversity of Ulsan · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical impact of completeness of revascularization on adverse cardiovascular events remains unclear among patients with multivessel coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI).

methodsThis analysis included consecutive patients with multivessel CAD, who underwent PCI with drug-eluting stents (DES) during the period from January 1, 2003, through to December 31, 2013. We compared the outcomes in patients, who achieved complete (CR) versus incomplete revascularization (IR) at the time of PCI. The primary outcome was death from any cause. Secondary outcomes were the rates of myocardial infarction (MI), stroke, and repeat revascularization. Propensity-score matching was used to assemble a cohort of patients with similar baseline characteristics.

resultsAmong 3901 patients with multivessel CAD treated with DES, 1402 pairs of similar propensity scores in each group of CR and IR were identified. At a median follow-up of 4.9 years (interquartile range, 2.4-7.5), IR was associated with a similar risk of death (hazard ratio [HR], 1.03; 95% CI, 0.80-1.32; P=.83) as compared with CR. IR was also associated with similar risks of stroke (HR, 1.26; 95% CI, 0.76-2.09; P=.37) and repeat revascularization (HR, 1.15; 95% CI, 0.93-1.41; P=.19), but associated with a higher risk of MI (HR, 1.86; 95% CI, 1.08-3.19; P=.024) compared to CR.

conclusionsAmong patients with multivessel CAD treated with DES, as compared with CR, IR was associated with similar risk of death. However, IR was associated with a higher risk of MI during follow-up.

Indexed as

Drug-Eluting StentsRegistriesAgedAngina, StableAngina, UnstableCohort StudiesCoronary AngiographyCoronary Artery DiseaseFemaleHumansLogistic ModelsMaleMiddle AgedMortalityMultivariate AnalysisMyocardial Infarction

Identifiers

PMID27595691
OpenAlexW2464180723

What OpenQuestion holds

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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.