Evidence map›Paper›PMID 31105127›Full record

ArticleJournal of atherosclerosis and thrombosis2020

Clinical Impact of Carotid Plaque Score rather than Carotid Intima-Media Thickness on Recurrence of Atherosclerotic Cardiovascular Disease Events.

Hayato Tada, Tamami Nakagawa, Hirofumi Okada, Takuya Nakahashi, Mika Mori, Kenji Sakata, Atsushi Nohara, Masayuki Takamura, Masa-Aki Kawashiri

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.4field-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

22 citing papers in PubMed, 33 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Hayato TadaDepartment of Cardiology, Kanazawa University Graduate School of Medicine.
Tamami NakagawaDepartment of Cardiology, Kanazawa University Graduate School of Medicine.
Hirofumi OkadaDepartment of Cardiology, Kanazawa University Graduate School of Medicine.
Takuya NakahashiDepartment of Cardiology, Kanazawa University Graduate School of Medicine.
Mika MoriDepartment of Cardiology, Kanazawa University Graduate School of Medicine.
Kenji SakataDepartment of Cardiology, Kanazawa University Graduate School of Medicine.
Atsushi NoharaDepartment of Cardiology, Kanazawa University Graduate School of Medicine.
Masayuki TakamuraDepartment of Cardiology, Kanazawa University Graduate School of Medicine.
Masa-Aki KawashiriDepartment of Cardiology, Kanazawa University Graduate School of Medicine.
Kanazawa University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimCarotid plaque score (cPS) reflecting throughout the carotid artery plaque burden may be a better marker than carotid intima-media thickness (cIMT) is. We aimed to compare the prognostic utility of these measurements in patients with atherosclerotic cardiovascular disease (ASCVD).

methodsWe retrospectively examined 2,035 Japanese patients with ASCVD who underwent carotid ultrasonography between January 2008 and December 2015 at Kanazawa University Hospital. Median follow-up period was 4 years. We used Cox models that adjusted for established risk factors of ASCVD, including age, gender, hypertension, diabetes, smoking, and serum lipids to assess the association of cIMT as well as cPS with major adverse cardiac events (MACE). MACE was defined as all-cause mortality or rehospitalization for a cardiovascular-related illness.

resultsDuring follow-up, 243 participants experienced MACE. After adjustment for established risk factors, cPS was associated with MACE (hazard ratio [HR]=3.38 for top quintile vs. bottom quintile of cPS; 95% confidence interval [CI] 1.82-6.27; P trend <0.001), while cIMT was not (HR=0.88, P=0.57). Addition of the cPS to established risk factors significantly improved risk discrimination (C-index 0.726 vs. 0.746; P=0.017).

conclusionThese results suggest that cPS, rather than cIMT may be a better marker to identify increased risk for recurrence of MACE among patients with secondary prevention setting.

Indexed as

Carotid Intima-Media ThicknessCarotid StenosisSecondary PreventionAgedAtherosclerosisCholesterol, HDLFemaleHumansMaleMiddle AgedRisk FactorsTriglyceridesCholesterol, HDLTriglyceridesAtherosclerotic cardiovascular diseaseCarotid ultrasonographyRisk stratificationSecondary prevention

Identifiers

PMID31105127
PMCPMC6976719
OpenAlexW2945330436

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.