Evidence map›Paper›PMID 30220039›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2018

Reassessing Coronary Artery Bypass Surgery Versus Percutaneous Coronary Intervention in Patients with Type 2 Diabetes Mellitus: A Brief Updated Analytical Report (2015-2017).

Xia Dai, Zu-Chun Luo, Lu Zhai, Wen-Piao Zhao, Feng Huang

Erratum issuedAbstract read
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Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. CABG versus PCI in the Treatment of Unprotected Left Main Disease in Diabetics: A Literature Review.The International journal of angiology : official publication of the International College of Angiology, Inc · 2021
    Review
  4. Article
  5. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Xia DaiDepartment of Endocrinology, The First Affiliated Hospital of Guangxi Medical University, Guangxi, China.
Zu-Chun LuoDepartment of Internal Medicine Education, The First Affiliated Hospital of Guangxi Medical University, Guangxi, China.
Lu ZhaiDepartment of Endocrinology, The First Affiliated Hospital of Guangxi Medical University, Guangxi, China.
Wen-Piao ZhaoDepartment of Endocrinology, The First Affiliated Hospital of Guangxi Medical University, Guangxi, China.
Feng HuangInstitute of Cardiovascular Diseases and Guangxi Key Laboratory Base of Precision Medicine in Cardio-cerebrovascular Disease Control and Prevention and Guangxi Clinical Research Center for Cardio-cerebrovascular Diseases, The First Affiliated Hospital of Guangxi Medical University, Guangxi, China. huangfeng7925@163.com.ORCID http://orcid.org/0000-0002-3269-7530

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn this analysis, we aimed to systematically compare percutaneous coronary intervention (PCI) versus coronary artery bypass surgery (CABG) in terms of adverse outcomes utilizing data from a recent (2015-2017) population of patients with type 2 diabetes mellitus (T2DM).

methodsAn electronic search of recent studies (2015-2017) was carried out using 'diabetes mellitus,' 'coronary artery bypass surgery,' and 'percutaneous coronary intervention' as the main search terms. Uncomplicated T2DM patients with stable coronary artery disease (CAD), left main CAD, and multi-vessel disease were included. RevMan software (version 5.3) was used to calculate odds ratios (OR) and 95% confidence intervals (CIs).

resultsAmong a total of 13,114 T2DM patients, CABG and PCI patients did not differ significantly in their rates of mortality (OR 0.90, 95% CI 0.61-1.31; P = 0.57) and cardiac death (OR 1.00, 95% CI 0.78-1.30; P = 0.98). However, rates of major adverse events, repeat revascularization, and myocardial infarction were significantly higher in the PCI group. Stroke rates did not significantly differ between the two groups.

conclusionMortality (1-5 years) did not significantly differ between the CABG and PCI patients with T2DM. However, rates of other major adverse events were significantly higher in the PCI patients, suggesting that CABG is more advantageous than PCI in patients with T2DM.

Indexed as

Coronary artery bypass surgeryMortalityPercutaneous coronary interventionType 2 diabetes mellitus

Identifiers

PMID30220039
PMCPMC6167293

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