Evidence map›Paper›PMID 28108465›Full record

ArticleJournal of the American Heart Association2017

Outcomes of Women and Men With Acute Coronary Syndrome Treated With and Without Percutaneous Coronary Revascularization.

Jacob A Udell, Maria Koh, Feng Qiu, Peter C Austin, Harindra C Wijeysundera, Akshay Bagai, Andrew T Yan, Shaun G Goodman, Jack V Tu, Dennis T Ko

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 82 citations in OpenAlex.

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  11. Gender, racial and ethnic disparities in acute coronary syndromes with coronary in-stent restenosis.American heart journal plus : cardiology research and practice · 2024
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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

10 authors at 5 institutions in 1 country.

Jacob A UdellWomen's College Research Institute and Cardiovascular Division, Department of Medicine, Women's College Hospital, University of Toronto, Ontario, Canada jay.udell@utoronto.ca.
Maria KohInstitute for Clinical Evaluative Sciences, University of Toronto, Ontario, Canada.
Feng QiuInstitute for Clinical Evaluative Sciences, University of Toronto, Ontario, Canada.
Peter C AustinInstitute for Clinical Evaluative Sciences, University of Toronto, Ontario, Canada.
Harindra C WijeysunderaInstitute for Clinical Evaluative Sciences, University of Toronto, Ontario, Canada.
Akshay BagaiTerrence Donnelly Heart Center, St. Michael's Hospital, University of Toronto, Ontario, Canada.
Andrew T YanTerrence Donnelly Heart Center, St. Michael's Hospital, University of Toronto, Ontario, Canada.
Shaun G GoodmanTerrence Donnelly Heart Center, St. Michael's Hospital, University of Toronto, Ontario, Canada.
Jack V TuInstitute for Clinical Evaluative Sciences, University of Toronto, Ontario, Canada.
Dennis T KoInstitute for Clinical Evaluative Sciences, University of Toronto, Ontario, Canada.
University of Toronto · CASunnybrook Health Science Centre · CAInstitute for Clinical Evaluative Sciences · CASt. Michael's Hospital · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen hospitalized with a non-ST segment elevation acute coronary syndrome (ACS) have worse clinical outcomes compared with men. An early invasive strategy with prompt coronary revascularization may mitigate sex differences in outcomes. However, few contemporary studies have evaluated whether clinical outcomes differ between women and men presenting with ACS treated with an early invasive strategy. METHODS AND

resultsA population-based cohort of hospitalized ACS patients who received prompt cardiac catheterization from 2008 to 2011 in Ontario, Canada and followed for up to 2 years was studied. Clinical outcomes were compared between men and women, stratified by the use of coronary revascularization. Inverse probability weighting using the propensity score accounted for measured differences in baseline characteristics between men and women. Among the 23 473 ACS patients who received cardiac catheterization during an index hospitalization, 66.1% of men and 51.8% of women received coronary revascularization during the same hospitalization. In the propensity-weighted cohort of patients who received coronary revascularization, the 1-year rate of death or recurrent ACS was 10.6% for men (referent) compared with 13.1% for women (hazard ratio 1.24; 95% CI 1.16-1.33). In contrast, outcomes for patients who did not receive coronary revascularization did not differ significantly between women and men at 1 year (17.8% versus 16.9%; hazard ratio 1.06; 95% CI 0.99-1.14) or at longer follow-up.

conclusionsAn increased risk of adverse clinical outcomes was observed for women with ACS undergoing an early invasive strategy and coronary revascularization compared with men.

Indexed as

Coronary Artery BypassPercutaneous Coronary InterventionAcute Coronary SyndromeAftercareAgedAngina, UnstableAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCardiac CatheterizationCardiologyFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsHydroxymethylglutaryl-CoA Reductase InhibitorsPurinergic P2Y Receptor Antagonistsacute coronary syndromepercutaneous coronary interventionsecondary preventionsex‐specificwomen

Identifiers

PMID28108465
PMCPMC5523628
OpenAlexW2572771135

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.