Evidence map›Paper›PMID 29739318›Full record

Observational studyBMC cardiovascular disorders2018

Safety of cilostazol in peripheral artery disease: a cohort from a primary healthcare electronic database.

Jordi Real, M Catalina Serna, Maria Giner-Soriano, Rosa Forés, Guillem Pera, Esther Ribes, Maite Alzamora, Josep Ramon Marsal, Antonio Heras, Rosa Morros

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 25 citations in OpenAlex.

  1. Biomedical optics express · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. 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

10 authors at 5 institutions in 1 country.

Jordi RealUnitat de Suport a la Recerca Barcelona, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Barcelona, Spain.
M Catalina SernaUnitat de Suport a la Recerca Lleida, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Lleida, Spain.
Maria Giner-SorianoInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain. mginer@idiapjgol.info.ORCID 0000-0003-3750-9233
Rosa ForésCentre d'Atenció Primària Riu Nord-Riu Sud Santa Coloma de Gramenet. Direcció d'Atenció Primària Metropolitana Nord. Institut Català de la Salut, Barcelona, Spain.
Guillem PeraUnitat de Suport a la Recerca Metropolitana Nord, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Mataró, Spain.
Esther RibesUnitat de Farmàcia. Direcció d'Atenció Primària Lleida. Institut Català de la Salut, Lleida, Spain.
Maite AlzamoraCentre d'Atenció Primària Riu Nord-Riu Sud Santa Coloma de Gramenet. Direcció d'Atenció Primària Metropolitana Nord. Institut Català de la Salut, Barcelona, Spain.
Josep Ramon MarsalUnitat de Suport a la Recerca Lleida, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Lleida, Spain.
Antonio HerasCentre d'Atenció Primària Riu Nord-Riu Sud Santa Coloma de Gramenet. Direcció d'Atenció Primària Metropolitana Nord. Institut Català de la Salut, Barcelona, Spain.
Rosa MorrosInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain.
Institut Universitari d'Investigació en Atenció Primària Jordi Gol · ESInstitut Català de la Salut · ESInstituto de Salud Carlos III · ESUniversitat Autònoma de Barcelona · ESUniversitat de Lleida · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCilostazol has been associated with spontaneous reports of cardiovascular adverse events and serious bleeding. The objective of this study is to determine the relative risk of cardiovascular adverse events or haemorrhages in patients with peripheral artery disease treated with cilostazol in comparison to pentoxifylline users.

methodsPopulation-based cohort study including all individuals older than 40 who initiated cilostazol or pentoxifylline during 2009-2011 in SIDIAP database. The two treatment groups were matched through propensity score (PS).

resultsNine thousand one hundred twenty-nine patients met inclusion criteria and after PS matching, there were 2905 patients in each group. 76% of patients were men, with similar mean ages in both groups (68.8 for cilostazol and 69.4 for pentoxifylline). There were no differences in bleeding, cerebrovascular and cardiovascular events between both groups.

conclusionsPatients treated with cilostazol were different from those treated with pentoxifylline at baseline, so they were matched through PS. We did not find differences between treatment groups in the incidence of bleeding or cardiovascular and cerebrovascular events. Cilostazol should be used with precaution in elderly polymedicated patients.

Indexed as

Electronic Health RecordsPrimary Health CareAgedAged, 80 and overAge FactorsCardiovascular AgentsCerebrovascular DisordersCilostazolDatabases, FactualDrug InteractionsFemaleHemorrhageHumansIncidenceMaleMiddle AgedCardiovascular AgentsCilostazolPentoxifyllinePhosphodiesterase 3 InhibitorsArrhythmiaCardiovascular eventsCilostazolCoronary artery diseaseElectronic health recordsHaemorrhagePentoxifyllinePeripheral artery diseasePrimary healthcare

Identifiers

PMID29739318
PMCPMC5941464
OpenAlexW2807269838

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.