Evidence map›Paper›PMID 28559388›Full record

ArticleCMAJ open2017

Stress testing after percutaneous coronary interventions: a population-based study.

Simina R Luca, Maria Koh, Feng Qiu, David A Alter, Akshay Bagai, R Sacha Bhatia, Andrew Czarnecki, Shaun G Goodman, Ching Lau, Harindra C Wijeysundera and 1 more

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. 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 at 7 institutions in 2 countries.

Simina R LucaAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
Maria KohAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
Feng QiuAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
David A AlterAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
Akshay BagaiAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
R Sacha BhatiaAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
Andrew CzarneckiAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
Shaun G GoodmanAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
Ching LauAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
Harindra C WijeysunderaAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
Dennis T KoAffiliations: Department of Medicine (Luca), University of Toronto; Institute for Clinical Evaluative Sciences (Koh, Qiu, Alter, Bhatia, Czarnecki, Wijeysundera, Ko); Toronto Rehabilitation Institute (Alter), University Health Network; Terrence Donnelly Heart Centre (Bagai, Goodman), St. Michael's Hospital, University of Toronto; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia); Schulich Heart Centre (Czarnecki, Lau, Wijeysundera, Ko), Sunnybrook Health Sciences Centre, University of Toronto; Canadian Heart Research Centre (Goodman), Toronto, Ont.
St Michael's Hospital · GBSunnybrook Health Science Centre · CAToronto Rehabilitation Institute · CAWomen's College Hospital · CAHealth Sciences Centre · CAInstitute for Clinical Evaluative Sciences · CAUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine stress testing is commonly used after percutaneous coronary intervention (PCI) to detect in-stent restenosis or suboptimal procedure results; however, recent studies suggest that such testing is rarely indicated. Our main objectives were to assess temporal trends in utilization of stress testing and to determine factors associated with its use.

methodsWe conducted an observational study involving all patients who had undergone PCI in Ontario, Canada, from Apr. 1, 2004, to Mar. 31, 2012. The main outcome was stress testing within 2 years after PCI. We constructed multivariable logistic regression models to determine factors associated with the use of stress tests.

resultsOur cohort consisted of 128 380 patients who underwent PCI procedures. The 2-year rate of stress testing declined significantly, from 68.1% among patients who underwent PCI in 2004 to 60.4% in 2012 (

interpretationWe observed a decrease in the use of stress testing after PCI procedures over time. However, stress tests were not performed in accordance with patients' higher baseline risk of adverse outcomes or risk of restenosis. Instead, many nonclinical factors, such as patients' socioeconomic status and hospitals' teaching status, were associated with higher use of stress tests.

Identifiers

PMID28559388
PMCPMC5498181
OpenAlexW2619689694

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.