Evidence map›Paper›PMID 29876944›Full record

Observational studyClinical cardiology2018

A clinical and proteomics approach to predict the presence of obstructive peripheral arterial disease: From the Catheter Sampled Blood Archive in Cardiovascular Diseases (CASABLANCA) Study.

Cian P McCarthy, Nasrien E Ibrahim, Roland R J van Kimmenade, Hanna K Gaggin, Mandy L Simon, Parul Gandhi, Noreen Kelly, Shweta R Motiwala, Renata Mukai, Craig A Magaret and 4 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Clinical cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. The Role of Circulating Biomarkers in Peripheral Arterial Disease.International journal of molecular sciences · 2021
    Review
  11. Review
  12. Observational
  13. 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

14 authors at 6 institutions in 2 countries.

Cian P McCarthyDepartment of Medicine, Massachusetts General Hospital, Boston.ORCID http://orcid.org/0000-0003-4944-0034
Nasrien E IbrahimDivision of Cardiology, Massachusetts General Hospital, Boston.
Roland R J van KimmenadeDivision of Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Hanna K GagginDivision of Cardiology, Massachusetts General Hospital, Boston.
Mandy L SimonDivision of Cardiology, Massachusetts General Hospital, Boston.
Parul GandhiDivision of Cardiology, VA Connecticut Healthcare System and Yale University, New Haven, Connecticut.
Noreen KellyDivision of Cardiology, Brigham and Women's Hospital, Boston, Massachusetts.
Shweta R MotiwalaDivision of Cardiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Renata MukaiDivision of Cardiology, Massachusetts General Hospital, Boston.
Craig A MagaretPrevencio, Inc., Washington.
Grady BarnesPrevencio, Inc., Washington.
Rhonda F RhynePrevencio, Inc., Washington.
Joseph M GarasicDivision of Cardiology, Massachusetts General Hospital, Boston.
James L JanuzziDivision of Cardiology, Massachusetts General Hospital, Boston.
Massachusetts General Hospital · USUniversity Prep · USBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USMaastricht University Medical Centre · NLYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeripheral arterial disease (PAD) is a global health problem that is frequently underdiagnosed and undertreated. Noninvasive tools to predict the presence and severity of PAD have limitations including inaccuracy, cost, or need for intravenous contrast and ionizing radiation. HYPOTHESIS: A clinical/biomarker score may offer an attractive alternative diagnostic method for PAD.

methodsIn a prospective cohort of 354 patients referred for diagnostic peripheral and/or coronary angiography, predictors of ≥50% stenosis in ≥1 peripheral vessel (carotid/subclavian, renal, or lower extremity arteries) were identified from >50 clinical variables and 109 biomarkers. Machine learning identified variables predictive of obstructive PAD; a score derived from the final model was developed.

resultsThe score consisted of 1 clinical variable (history of hypertension) and 6 biomarkers (midkine, kidney injury molecule-1, interleukin-23, follicle-stimulating hormone, angiopoietin-1, and eotaxin-1). The model had an in-sample area under the receiver operating characteristic curve of 0.85 for obstructive PAD and a cross-validated area under the curve of 0.84; higher scores were associated with greater severity of angiographic stenosis. At optimal cutoff, the score had 65% sensitivity, 88% specificity, 76% positive predictive value (PPV), and 81% negative predictive value (NPV) for obstructive PAD and performed consistently across vascular territories. Partitioning the score into 5 levels resulted in a PPV of 86% and NPV of 98% in the highest and lowest levels, respectively. Elevated score was associated with shorter time to revascularization during 4.3 years of follow-up.

conclusionsA clinical/biomarker score demonstrates high accuracy for predicting the presence of PAD.

Indexed as

AgedAngiographyBiomarkersBlood ProteinsCatheterization, PeripheralFemaleFollow-Up StudiesHumansMaleMiddle AgedPeripheral Arterial DiseasePredictive Value of TestsProspective StudiesProteomicsReproducibility of ResultsBiomarkersBlood ProteinsBiomarkersDiagnostic ScorePeripheral Arterial Disease

Identifiers

PMID29876944
PMCPMC6489776
OpenAlexW2806978960

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.