Evidence map›Paper›PMID 30571594›Full record

ArticleJournal of the American Heart Association2018

Long-Term Outcome and Prognostic Factors of Complications in Thromboangiitis Obliterans (Buerger's Disease): A Multicenter Study of 224 Patients.

Alexandre Le Joncour, Simon Soudet, Axelle Dupont, Olivier Espitia, Fabien Koskas, Philippe Cluzel, Pierre Yves Hatron, Joseph Emmerich, Patrice Cacoub, Matthieu Resche-Rigon and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  10. A 61-year-old with heavy tobacco use.Journal of the American College of Emergency Physicians open · 2023
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  15. Smoking and the Pathophysiology of Peripheral Artery Disease.Frontiers in cardiovascular medicine · 2021
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Alexandre Le Joncour1 UPMC Univ Paris 06 UMR 7211, and Inflammation-Immunopathology-Biotherapy Department (DHU i2B) Sorbonne Universités Paris France.
Simon Soudet5 Département de Médecine Interne et Immunologie Clinique CHU Lille Lille France.
Axelle Dupont7 Service de Biostatistique et Information médicale APHP Hôpital Saint-Louis Paris France.
Olivier Espitia8 Département de Médecine interne CHU de Nantes Nantes France.
Fabien Koskas9 Service de chirurgie vasculaire Groupe Hospitalier Pitié-Salpétrière Paris France.
Philippe Cluzel10 Service d'Imagerie Cardiovasculaire Institut de cardiologie Groupe Hospitalier Pitié-Salpétrière Paris France.
Pierre Yves Hatron5 Département de Médecine Interne et Immunologie Clinique CHU Lille Lille France.
Joseph Emmerich11 Department of Vascular Medicine and Cardiology University Hospital Hotel Dieu University Paris-Descartes Paris France.
Patrice Cacoub1 UPMC Univ Paris 06 UMR 7211, and Inflammation-Immunopathology-Biotherapy Department (DHU i2B) Sorbonne Universités Paris France.
Matthieu Resche-Rigon7 Service de Biostatistique et Information médicale APHP Hôpital Saint-Louis Paris France.
Marc Lambert5 Département de Médecine Interne et Immunologie Clinique CHU Lille Lille France.
David Saadoun1 UPMC Univ Paris 06 UMR 7211, and Inflammation-Immunopathology-Biotherapy Department (DHU i2B) Sorbonne Universités Paris France.
French Buerger's Network
Centre Hospitalier Universitaire de Lille · FRInserm · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire de Nantes · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Data regarding long-term outcome of patients with thromboangiitis obliterans are lacking and most series come from India and Japan. In this study, we assess long-term outcome and prognostic factors in a large cohort of thromboangiitis obliterans. Methods and Results Retrospective multicenter study of characteristics and outcomes of 224 thromboangiitis obliterans patients fulfilling Papa's criteria were analyzed. Factors associated with vascular events and amputations were identified. The median age at diagnosis was 38.5 (32-46) years, 51 (23.8%) patients were female, and 81.7% were whites. After a mean follow-up of 5.7 years, vascular events were observed in 58.9%, amputations in 21.4%, and death in 1.4%. The 5-, 10-, and 15-year vascular event-free survival and amputation-free survival were 41% and 85%, 23% and 74%, and 19% and 66%, respectively. Ethnic group (nonwhite) (hazard ratio 2.35 [1.30-4.27] P=0.005) and limb infection at diagnosis (hazard ratio 3.29 [1.02-10.6] P=0.045) were independent factors of vascular event-free survival. Factor associated with amputation was limb infection (hazard ratio 12.1 [3.5-42.1], P<0.001). Patients who stopped their tobacco consumption had lower risk of amputation ( P=0.001) than those who continued. Conclusions This nationwide study shows that 34% of thromboangiitis obliterans patients will experience an amputation within 15 years from diagnosis. We identified high-risk patients for vascular complications and amputations.

Indexed as

AdultAmputation, SurgicalFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsSmoking CessationThromboangiitis ObliteransVascular DiseasesBuerger's diseaseoutcomeprognosisthromboangiitis obliteransvasculitis

Identifiers

PMID30571594
PMCPMC6405548
OpenAlexW2903306952

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.