Evidence map›Paper›PMID 28520215›Full record

Observational studyClinical cardiology2017

Aspirin and the risk of cardiovascular events in atherosclerosis patients with and without prior ischemic events.

Anthony A Bavry, Islam Y Elgendy, Yedid Elbez, Ahmed N Mahmoud, Emmanuel Sorbets, Philippe Gabriel Steg, Deepak L Bhatt, REACH Registry Investigators

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  8. Observational
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

8 authors at 3 institutions in 3 countries.

Anthony A BavryDepartment of Medicine, University of Florida, Gainesville, Florida.ORCID http://orcid.org/0000-0002-3545-370X
Islam Y ElgendyDepartment of Medicine, University of Florida, Gainesville, Florida.ORCID http://orcid.org/0000-0001-9853-7591
Yedid ElbezDépartement Hospitalo-Universitaire FIRE, Université Paris Diderot, AP-HP, Hôpital Bichat, and INSERM U-1148, Paris, France.
Ahmed N MahmoudDepartment of Medicine, University of Florida, Gainesville, Florida.
Emmanuel SorbetsDépartement Hospitalo-Universitaire FIRE, Université Paris Diderot, AP-HP, Hôpital Bichat, and INSERM U-1148, Paris, France.ORCID http://orcid.org/0000-0003-0559-6301
Philippe Gabriel StegDépartement Hospitalo-Universitaire FIRE, Université Paris Diderot, AP-HP, Hôpital Bichat, and INSERM U-1148, Paris, France.
Deepak L BhattBrigham and Women's Hospital Heart and Vascular Center, Harvard Medical School, Boston, Massachusetts.ORCID http://orcid.org/0000-0002-1278-6245
REACH Registry Investigators
Inserm · FRUniversity of Florida · USBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe benefit of aspirin among patients with stable atherosclerosis without a prior ischemic event is not well defined. HYPOTHESIS: Aspirin would be of benefit in outpatients with atherosclerosis with prior ischemic events, but not in those without ischemic events.

methodsSubjects from the Reduction of Atherothrombosis for Continued Health registry were divided according to prior ischemic event (n =21 724) vs stable atherosclerosis, but no prior ischemic event (n = 11 872). Analyses were propensity score matched. Aspirin use was updated at each clinic visit and considered as a time-varying covariate. The primary outcome was the first occurrence of cardiovascular death, myocardial infarction, or stroke.

resultsIn the group with a prior ischemic event, aspirin use was associated with a marginally lower risk of the primary outcome at a median of 41 months (hazard ratio [HR]: 0.81, 95% confidence interval [CI]: 0.65-1.01, P = 0.06). In the group without a prior ischemic event, aspirin use was not associated with a lower risk of the primary outcome at a median of 36 months (HR: 1.03, 95% CI: 0.73-1.45, P = 0.86).

conclusionsIn this observational analysis of outpatients with stable atherosclerosis, aspirin was marginally beneficial among patients with a prior ischemic event; however, there was no apparent benefit among those with no prior ischemic event.

Indexed as

AgedAspirinChi-Square DistributionCoronary Artery DiseaseFemaleHumansMaleMiddle AgedMyocardial InfarctionPrimary PreventionPropensity ScoreProportional Hazards ModelsProspective StudiesRecurrenceRegistriesRisk AssessmentAspirinAdverse Cardiovascular EventsAspirinAtherosclerosisCoronary Artery DiseaseMyocardial InfarctionStable Ischemic Heart Disease

Identifiers

PMID28520215
PMCPMC6490549
OpenAlexW2614395686

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.