Evidence map›Paper›PMID 28241861›Full record

ArticleBMC cardiovascular disorders2017

Gender based differences in drug eluting stent implantation - data from the German ALKK registry suggest underuse of DES in elderly women.

Martin A Russ, Christian Wackerl, Uwe Zeymer, Matthias Hochadel, Sebastian Kerber, Ralf Zahn, Bernhard Zrenner, Hubert Topp, Volker Schächinger, Michael A Weber and 1 more

Abstract readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. [Routine Practice Data for Health Care Analyses: Part 3 of the Manual].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
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

11 authors.

Martin A RussInternistische Praxis am Maxplatz, Maxplatz 12, 83278, Traunstein, Germany. martin.russ@posteo.de.
Christian WackerlAmper-Klinikum, Dachau, Krankenhausstrasse 15, 85221, Dachau, Germany.
Uwe ZeymerInstitut für Herzinfarktforschung, Bremserstr, 79, 67063, Ludwigshafen, Germany.
Matthias HochadelInstitut für Herzinfarktforschung, Bremserstr, 79, 67063, Ludwigshafen, Germany.
Sebastian KerberHerz- und Gefäß-Klinik GmbH Bad Neustadt, Salzburger Leite1, 97616, Bad Neustadt a.d. Saale, Germany.
Ralf ZahnMedizinische Klinik B - Abteilung für Kardiologie, Bremserstr. 79, 67063, Ludwigshafen, Germany.
Bernhard ZrennerKrankenhaus Landshut-Achdorf, Medizinische Klinik I, Achdorfer Weg 3, 84036, Landshut, Germany.
Hubert ToppSana-Klinikum Hameln-Pyrmont, Saint-Maur-Platz 1, 31785, Hameln, Germany.
Volker SchächingerKlinikum Fulda, Medizinische Klinik I, Pacelliallee 4, 36043, Fulda, Germany.
Michael A WeberAmper-Klinikum, Dachau, Krankenhausstrasse 15, 85221, Dachau, Germany.
ALKK-Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObservational studies suggest there are gender based differences in the treatment of coronary artery disease, with women receiving evidence based therapy less frequently than suggested by current guidelines. The aim of our study was to evaluate gender based differences in the use of DES.

methodsWe analysed prospectively collected data from 100704 stent implantations in the PCI registry of the ALKK between 2005 and 2009.

resultsThe usage of DES increased from 16.0 to 43.9%. Although women had smaller vessel sizes, they received DES less often compared to men (28.2 vs. 31.3%), with an adjusted odds ratio of 0.93 (95% confidence interval 0.89-0.97) at the age of 75, and an adjusted odds ratio of 0.89 (95% confidence interval 0.84-0.94) at the age of 80.

conclusionDespite having smaller vessels than men, women were treated less often with DES. These findings apply to women above the age of 75 years. These findings support previous reports, that elderly women with coronary artery disease are treated differently to men.

Indexed as

Drug-Eluting StentsHealthcare DisparitiesProcess Assessment, Health CareAgedAged, 80 and overAge FactorsChi-Square DistributionCoronary Artery DiseaseFemaleGermanyHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioDrug eluting stentsGender differencesPCI– registry

Identifiers

PMID28241861
PMCPMC5327567

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.