Evidence map›Paper›PMID 28526046›Full record

Trial reportTrials2017

BAlloon versus Stenting in severe Ischaemia of the Leg-3 (BASIL-3): study protocol for a randomised controlled trial.

Benjamin D Hunt, Matthew A Popplewell, Huw Davies, Lewis Meecham, Hugh Jarrett, Gareth Bate, Margaret Grant, Smitaa Patel, Catherine Hewitt, Lazaros Andronis and 3 more

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
8.9field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Angioplasty versus stenting for iliac artery lesions.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Guideline
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Single versus Multiple Vessel Endovascular Tibial Artery Revascularization for Critical Limb Ischemia: A Review of the Literature.The International journal of angiology : official publication of the International College of Angiology, Inc · 2020
    Review
  15. Article
  16. Review
  17. Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2019
    Article
  18. Outcomes After Drug-Coated Balloon Treatment of Femoropopliteal Lesions in Patients With Critical Limb Ischemia: A Post Hoc Analysis From the IN.PACT Global Study.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2019
    Article
  19. Review
  20. 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

13 authors at 2 institutions in 1 country.

Benjamin D HuntBirmingham Clinical Trials Unit, Institute of Applied Health Research, College of Medical and Dental Sciences, Public Health Building, University of Birmingham, Birmingham, B15 2TT, UK. b.hunt@bham.ac.uk.
Matthew A PopplewellHeart of England NHS Foundation Trust, Netherwood House, Solihull Hospital, University Department of Vascular Surgery, Lode Lane, Solihull, B91 2JL, UK.
Huw DaviesHeart of England NHS Foundation Trust, Netherwood House, Solihull Hospital, University Department of Vascular Surgery, Lode Lane, Solihull, B91 2JL, UK.
Lewis MeechamHeart of England NHS Foundation Trust, Netherwood House, Solihull Hospital, University Department of Vascular Surgery, Lode Lane, Solihull, B91 2JL, UK.
Hugh JarrettBirmingham Clinical Trials Unit, Institute of Applied Health Research, College of Medical and Dental Sciences, Public Health Building, University of Birmingham, Birmingham, B15 2TT, UK.
Gareth BateHeart of England NHS Foundation Trust, Netherwood House, Solihull Hospital, University Department of Vascular Surgery, Lode Lane, Solihull, B91 2JL, UK.
Margaret GrantBirmingham Clinical Trials Unit, Institute of Applied Health Research, College of Medical and Dental Sciences, Public Health Building, University of Birmingham, Birmingham, B15 2TT, UK.
Smitaa PatelBirmingham Clinical Trials Unit, Institute of Applied Health Research, College of Medical and Dental Sciences, Public Health Building, University of Birmingham, Birmingham, B15 2TT, UK.
Catherine HewittBirmingham Clinical Trials Unit, Institute of Applied Health Research, College of Medical and Dental Sciences, Public Health Building, University of Birmingham, Birmingham, B15 2TT, UK.
Lazaros AndronisHealth Economics Unit, Institute of Applied Health Research, Public Health Building, University of Birmingham, Birmingham, B15 2TT, UK.
Jonathan J DeeksBirmingham Clinical Trials Unit, Institute of Applied Health Research, College of Medical and Dental Sciences, Public Health Building, University of Birmingham, Birmingham, B15 2TT, UK.
Andrew BradburyHeart of England NHS Foundation Trust, Netherwood House, Solihull Hospital, University Department of Vascular Surgery, Lode Lane, Solihull, B91 2JL, UK.
BASIL-3 Collaborative Group
Heart of England NHS Foundation Trust · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere limb ischaemia (SLI) is defined as the presence of rest pain and/or tissue loss secondary to lower extremity atherosclerotic peripheral arterial disease. The superficial femoral and popliteal arteries are the most commonly diseased vessels in such patients and are being increasingly treated using endovascular revascularisation techniques. However, it is currently unknown whether drug-eluting stents and drug-coated balloons confer additional clinical benefits over more established techniques using plain balloons and bare metal stents, or whether they represent a cost-effective use of NHS resources.

methodsThe BASIL-3 trial is a UK National Institute for Health Research, Health Technology Assessment Programme-funded, multicentre, randomised controlled trial (RCT) comparing the clinical and cost-effectiveness of plain balloon angioplasty with or without bail-out bare metal stenting, drug-coated balloon angioplasty with or without bail-out bare metal stenting, and primary stenting with drug-eluting stents for SLI secondary to femoro-popliteal disease. Patients with 'multilevel' disease may receive aorto-iliac and/or infrapopliteal treatments concurrently with their randomised femoro-popliteal intervention. The primary clinical outcome is amputation-free survival defined as the time to major (above the ankle) amputation of the index limb or death from any cause. The primary outcome for the economic analysis is cost per quality-adjusted life year. Secondary outcome measures include overall survival, major adverse limb events, major adverse cardiac events, relief of ischaemic pain, healing of tissue loss, and quality of life. The required sample size has been calculated at 861 participants (287 on each arm). These patients will be recruited over 3 years and followed-up for between 2 and 5 years. DISCUSSION: BASIL-3 is a pragmatic RCT designed to reflect current UK clinical practice. The results will inform decision-making regarding the appropriateness of funding the use of drug-coated balloons and drug-eluting stents, by the NHS, for the management of SLI due to femoro-popliteal disease.

trial registrationISRCTN Registry, identifier: ISRCTN14469736 . Registered on 22 October 2015.

Indexed as

Coated Materials, BiocompatibleDrug-Eluting StentsStentsVascular Access DevicesAmputation, SurgicalAngioplasty, BalloonCardiovascular AgentsClinical ProtocolsCost-Benefit AnalysisDisease-Free SurvivalHealth Care CostsHumansIschemiaLimb SalvageLower ExtremityMetalsCardiovascular AgentsCoated Materials, BiocompatibleMetalsAngioplastyCost-effectivenessCritical limb ischaemiaDiabetesDrug-coated balloonDrug-eluting stentEndovascular treatmentSevere limb ischaemiaStent

Identifiers

PMID28526046
PMCPMC5438558
OpenAlexW2615209986

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.