Evidence map›Paper›PMID 29459462›Full record

Trial reportCirculation2018

Sex Difference in Patients With Ischemic Heart Failure Undergoing Surgical Revascularization: Results From the STICH Trial (Surgical Treatment for Ischemic Heart Failure).

Ileana L Piña, Qi Zheng, Lilin She, Hanna Szwed, Irene M Lang, Pedro S Farsky, Serenella Castelvecchio, Jolanta Biernat, Alexandros Paraforos, Dragana Kosevic and 9 more

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Circulation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00023595 (Surgical Treatment for Ischemic Heart Failure), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.1field-weighted citation impact, top 5% 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.

NCT00023595 phase3completednot on this map

Surgical Treatment for Ischemic Heart Failure (STICH)

TypeinterventionalSponsorDuke UniversityRan2002 to 2015Enrolled2,136ConditionsCardiovascular Diseases, Coronary Disease, Heart Failure, Congestive, Heart DiseasesArmsCABG surgery plus MED, Active Medication Alone, CABG plus MED and SVR
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 16 institutions in 9 countries.

Ileana L PiñaAlbert Einstein College of Medicine, Montefiore Medical Center, New York, NY (I.L.P., Q.Z., N.C.) ilpina@montefiore.org.
Qi ZhengAlbert Einstein College of Medicine, Montefiore Medical Center, New York, NY (I.L.P., Q.Z., N.C.).
Lilin SheDuke Clinical Research Institute (L.S.).
Hanna SzwedNational Institute of Cardiology, Warsaw, Poland (H.S.).
Irene M LangMedical University of Vienna, Austria (I.M.L.).
Pedro S FarskyInstituto Dante Pazzanese de Cardiologia, Sao Paulo, Brazil (P.S.F.).
Serenella CastelvecchioIstituti di Ricovero e cura a Carattere Scientifico Policlinico San Donato, Milan, Italy (S.C.).
Jolanta BiernatMedical University of Silesia, Katowice, Poland (J.B.).
Alexandros ParaforosDepartment of Surgery-Cardiac, University of Trier, Germany (A.P.).
Dragana KosevicDedinje Cardiovascular Institute, Belgrade, Serbia (D.K.).
Liliana E FavaloroUniversity Hospital Favaloro Foundation, Buenos Aires, Argentina (L.E.F.).
José C NicolauHeart Institute, University of Sao Paulo Medical School, Brazil (J.C.N.).
Padmini VaradarajanDepartment of Medicine/Cardiology, University of California-Riverside School of Medicine (P.V., R.G.P.).
Eric J VelazquezMedicine (E.J.V.), Duke University School of Medicine, Durham, NC.
Ramdas G PaiDepartment of Medicine/Cardiology, University of California-Riverside School of Medicine (P.V., R.G.P.).
Nicole CyrilleAlbert Einstein College of Medicine, Montefiore Medical Center, New York, NY (I.L.P., Q.Z., N.C.).
Kerry L LeeDepartments of Biostatistics and Bioinformatics (K.L.L.).
Patrice Desvigne-NickensDivision of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD (P.D.-N.).
STICH Trial Investigators
Albert Einstein College of Medicine · USUniversity of California, Riverside · USClinical Research Institute · USDuke University · USFavaloro University · ARInstitute for Cardiovascular Diseases of Vojvodina · RSInstitute of Cardiology · PLInstituto Dante Pazzanese de Cardiologia · BRIstituti di Ricovero e Cura a Carattere Scientifico · ITKerry Group (Ireland) · IEMedical University of Silesia · PLMedical University of Vienna · ATMontefiore Medical Center · USNational Heart Lung and Blood Institute · USUniversidade de São Paulo · BRUniversität Trier · DE

Funding

STICH Trial-Coordinating CenterU01HL069015 · NHLBI · DUKE UNIVERSITY · PI JONES, ROBERT H · 2002 to 2011
$27.3M
STICHESR01HL105853 · NHLBI · DUKE UNIVERSITY · PI AL-KHALIDI, HUSSEIN · 2011 to 2015
$10.2M
STICH Trial-Statistical and Data Coordinatiing CenterU01HL069013 · NHLBI · DUKE UNIVERSITY · PI LEE, KERRY L · 2002 to 2010
$5.0M
NHLBI NIH HHS R01 HL105853NHLBI NIH HHS U01 HL069013NHLBI NIH HHS U01 HL069015
6 · The paper itself

Abstract

backgroundFemale sex is conventionally considered a risk factor for coronary artery bypass grafting (CABG) and has been included as a poor prognostic factor in multiple cardiac operative risk evaluation scores. We aimed to investigate the association of sex and the long-term benefit of CABG in patients with ischemic left ventricular dysfunction enrolled in the prospective STICH trial (Surgical Treatment for Ischemic Heart Failure Study).

methodsThe STICH trial randomized 1212 patients (148 [12%] women and 1064 [88%] men) with coronary artery disease and left ventricular ejection fraction ≤35% to CABG+medical therapy (MED) versus MED alone. Long-term (10-year) outcomes with each treatment were compared according to sex.

resultsAt baseline, women were older (63.4 versus 59.3 years;

conclusionsSex is not associated with the effect of CABG+MED versus MED on all-cause mortality, cardiovascular mortality, the composite of death or cardiovascular hospitalization, or surgical deaths in patients with ischemic left ventricular dysfunction. Thus, sex should not influence treatment decisions about CABG in these patients. CLINICAL

trial registrationURL: https://www.clinicaltrials.gov. Unique identifier: NCT00023595.

Indexed as

Coronary Artery BypassCoronary DiseaseSex CharacteristicsAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRisk Factorscoronary artery bypassheart failurewomen

Identifiers

PMID29459462
PMCPMC5896331
OpenAlexW2789432689

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Registered trials

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.