Evidence map›Paper›PMID 30042876›Full record

ArticlePeerJ2018

Perioperative management of angiotensin-converting enzyme inhibitors and/or angiotensin receptor blockers: a survey of perioperative medicine practitioners.

Sophie L M Walker, Tom E F Abbott, Katherine Brown, Rupert M Pearse, Gareth L Ackland

Open access · goldAbstract read
In one paragraph

Article in PeerJ, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

5 authors at 2 institutions in 1 country.

Sophie L M WalkerWilliam Harvey Research Institute, QMUL, Queen Mary University of London, London, United Kingdom.
Tom E F AbbottWilliam Harvey Research Institute, QMUL, Queen Mary University of London, London, United Kingdom.
Katherine BrownWilliam Harvey Research Institute, QMUL, Queen Mary University of London, London, United Kingdom.
Rupert M PearseWilliam Harvey Research Institute, QMUL, Queen Mary University of London, London, United Kingdom.
Gareth L AcklandWilliam Harvey Research Institute, QMUL, Queen Mary University of London, London, United Kingdom.
William Harvey Research Institute · GBQueen Mary University of London · GB

Funding

Department of Health RP_2014-04-022
6 · The paper itself

Abstract

backgroundAngiotensin-converting enzyme inhibitors (ACEi) and angiotensin receptor blockers (ARB) are the most commonly prescribed antihypertensive medications in higher-risk surgical patients. However, there is no clinical consensus on their use in the perioperative period, in part, due to an inconsistent evidence-base. To help inform the design of a large multi-centre randomized controlled trial (ISRCTN17251494), we undertook a questionnaire-based survey exploring variability in ACEi/ARB prescribing in perioperative practice.

methodsThe online survey included perioperative scenarios to examine how consistent respondents were with their stated routine preoperative practice. Clinicians with an academic interest in perioperative medicine were primarily targeted between July and September 2017. STROBE guidelines for observational research and ANZCA Trials Group Survey Reporting recommendations were adhered to.

results194 responses were received, primarily from clinicians practicing in the UK. A similar minority of respondents continue ACEi ( DISCUSSION: This survey highlights many inconsistencies amongst clinicians' practice in perioperative ACE-i/ARB management. Studies designed to reveal an enhanced understanding of perioperative mechanisms at play, coupled with randomised controlled trials, are required to rationally inform the clinical management of ACE-i/ARBs in patients most at risk of postoperative morbidity.

Indexed as

AnaesthesiaAnesthesiologyAngiotensin-IIHypotensionMyocardial injuryNoncardiac surgerySurvey

Identifiers

PMID30042876
PMCPMC6055831
OpenAlexW2810871109

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.