Evidence map›Paper›PMID 31197411›Full record

ArticleEuropean journal of clinical pharmacology2019

Tailored P2Y

Paul W A Janssen, Thomas O Bergmeijer, Gert-Jan A Vos, Johannes C Kelder, Khalid Qaderdan, Thea C Godschalk, Nicoline J Breet, Vera H M Deneer, Christian M Hackeng, Jurriën M Ten Berg

Abstract read
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Article in European journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Circulation · 2024
    Review
  4. Clopidogrel resistance and its relevance: Current concepts.Journal of family medicine and primary care · 2024
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Effect ofGenes · 2020
    Article
  12. Article
  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

10 authors.

Paul W A JanssenDepartment of Cardiology, St Antonius Hospital, P/O Box 2500, 3432 EM, Nieuwegein, The Netherlands. p.janssen@antoniusziekenhuis.nl.ORCID http://orcid.org/0000-0003-1976-1515
Thomas O BergmeijerDepartment of Cardiology, St Antonius Hospital, P/O Box 2500, 3432 EM, Nieuwegein, The Netherlands.
Gert-Jan A VosDepartment of Cardiology, St Antonius Hospital, P/O Box 2500, 3432 EM, Nieuwegein, The Netherlands.
Johannes C KelderDepartment of Cardiology, St Antonius Hospital, P/O Box 2500, 3432 EM, Nieuwegein, The Netherlands.
Khalid QaderdanDepartment of Cardiology, St Antonius Hospital, P/O Box 2500, 3432 EM, Nieuwegein, The Netherlands.
Thea C GodschalkDepartment of Cardiology, St Antonius Hospital, P/O Box 2500, 3432 EM, Nieuwegein, The Netherlands.
Nicoline J BreetSt Antonius Centre for Platelet Function Research, St Antonius Hospital, Nieuwegein, The Netherlands.
Vera H M DeneerSt Antonius Centre for Platelet Function Research, St Antonius Hospital, Nieuwegein, The Netherlands.
Christian M HackengSt Antonius Centre for Platelet Function Research, St Antonius Hospital, Nieuwegein, The Netherlands.
Jurriën M Ten BergDepartment of Cardiology, St Antonius Hospital, P/O Box 2500, 3432 EM, Nieuwegein, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe POPular Risk Score was developed for the selective intensification of P2Y

methodsIn a single-center prospective cohort study, patients with a high risk score were treated with prasugrel and patients with a low risk score with clopidogrel. The risk score-guided cohort was compared with a historic cohort of clopidogrel-treated patients. The endpoint consisted of all-cause death, myocardial infarction, stroke, or stent thrombosis during 1 year of follow-up. TIMI major and minor bleeding events were also analyzed.

resultsThe guided cohort contained 1127 patients, 26.9% of whom were switched to prasugrel according to the POPular Risk Score. The historic cohort contained 893 patients. The incidence of the combined thrombotic endpoint was significantly lower in the guided cohort as compared with the historic cohort (8.4% versus 3.7%, p < 0.001). This strategy was safe with respect to bleeding (4.0% versus 1.3%, p < 0.001, for TIMI major or minor bleeding). Results were comparable after multivariate and propensity score matched and weighted analysis.

conclusionSelective intensification of P2Y

Indexed as

Percutaneous Coronary InterventionAgedClopidogrelCytochrome P-450 CYP2C19FemaleGenotypeHemorrhageHumansMaleMiddle AgedMyocardial InfarctionPlatelet Function TestsPrasugrel HydrochloridePurinergic P2Y Receptor AntagonistsRiskStrokeClopidogrelCYP2C19 protein, humanCytochrome P-450 CYP2C19Prasugrel HydrochloridePurinergic P2Y Receptor AntagonistsClopidogrelCYP2C19P2Y12 inhibitorPercutaneous coronary interventionPlatelet aggregationPrasugrel

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Registered trials

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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.