Evidence map›Paper›PMID 31696762›Full record

Trial reportJournal of the American Heart Association2019

Five-Year Outcomes in Patients With Diabetes Mellitus Treated With Biodegradable Polymer Sirolimus-Eluting Stents Versus Durable Polymer Everolimus-Eluting Stents.

Juan F Iglesias, Dik Heg, Marco Roffi, David Tüller, Jonas Lanz, Fabio Rigamonti, Olivier Muller, Igal Moarof, Stéphane Cook, Daniel Weilenmann and 6 more

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01443104 (A Randomized Comparison of a Sirolimus-eluting Stent With Biodegradable Polymer Versus an Everolimus-eluting Stent With a Durable Polymer for Percutaneous Coronary Revascularization), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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.

NCT01443104 nacompletednot on this map

A Randomized Comparison of a Sirolimus-eluting Stent With Biodegradable Polymer Versus an Everolimus-eluting Stent With a Durable Polymer for Percutaneous Coronary Revascularization

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2012 to 2018Enrolled2,119ConditionsCoronary Artery Disease, Angina Pectoris, Myocardial InfarctionArmsSirolimus-eluting stent with a bioresorbable polymer (Orsiro), Everolimus-eluting stent with a durable polymer
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 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

16 authors at 11 institutions in 2 countries.

Juan F IglesiasDivision of Cardiology Geneva University Hospitals Geneva Switzerland.
Dik HegInstitute of Social and Preventive Medicine and Clinical Trials Unit Bern University Hospital Bern Switzerland.
Marco RoffiDivision of Cardiology Geneva University Hospitals Geneva Switzerland.
David TüllerDepartment of Cardiology Triemlispital Zurich Switzerland.
Jonas LanzDepartment of Cardiology Bern University Hospital Bern Switzerland.
Fabio RigamontiDivision of Cardiology Geneva University Hospitals Geneva Switzerland.
Olivier MullerDepartment of Cardiology Lausanne University Hospital Lausanne Switzerland.
Igal MoarofDepartment of Cardiology Kantonsspital Aarau Switzerland.
Stéphane CookDepartment of Cardiology University and Hospital Fribourg Switzerland.
Daniel WeilenmannDepartment of Cardiology Kantonsspital St Gallen Switzerland.
Christoph KaiserDepartment of Cardiology Basel University Hospital Basel Switzerland.
Florim CuculiDepartment of Cardiology Kantonsspital Luzern Switzerland.
Marco ValgimigliDepartment of Cardiology Bern University Hospital Bern Switzerland.
Peter JüniDepartment of Medicine and Institute of Health Policy, Management and Evaluation Applied Health Research Centre Li Ka Shing Knowledge Institute of St Michael's Hospital University of Toronto Canada.
Stephan WindeckerDepartment of Cardiology Bern University Hospital Bern Switzerland.
Thomas PilgrimDepartment of Cardiology Bern University Hospital Bern Switzerland.
University Hospital of Bern · CHUniversity Hospital of Geneva · CHInstitute of Social and Preventive Medicine · CHKantonsspital Aarau · CHKantonsspital St. Gallen · CHLuzerner Kantonsspital · CHSt. Michael's Hospital · CATriemli Hospital · CHUniversity Hospital of Basel · CHUniversity of Fribourg · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The choice of optimal drug-eluting stent therapy for patients with diabetes mellitus (DM) undergoing percutaneous coronary intervention remains uncertain. We aimed to assess the long-term clinical outcomes after percutaneous coronary intervention with biodegradable polymer sirolimus-eluting stents (BP-SES) versus durable polymer everolimus-eluting stents (DP-EES) in patients with DM. Methods and Results In a prespecified subgroup analysis of the BIOSCIENCE (Ultrathin Strut Biodegradable Polymer Sirolimus-Eluting Stent Versus Durable Polymer Everolimus-Eluting Stent for Percutaneous Coronary Revascularization) trial (NCT01443104), patients randomly assigned to ultrathin-strut BP-SES or thin-strut DP-EES were stratified according to diabetic status. The primary end point was target lesion failure, a composite of cardiac death, target vessel myocardial infarction, and clinically indicated target lesion revascularization, at 5 years. Among 2119 patients, 486 (22.9%) presented with DM. Compared with individuals without DM, patients with DM were older and had a greater baseline cardiac risk profile. In patients with DM, target lesion failure at 5 years occurred in 74 patients (cumulative incidence, 31.0%) treated with BP-SES and 57 patients (25.8%) treated with DP-EES (risk ratio, 1.23; 95% CI, 0.87-1.73 [

Indexed as

Absorbable ImplantsDrug-Eluting StentsAgedAngina, StableAngina, UnstableAntineoplastic AgentsCase-Control StudiesCoronary StenosisDiabetes ComplicationsDiabetes MellitusEverolimusFemaleHumansMaleMiddle AgedNon-ST Elevated Myocardial InfarctionAntineoplastic AgentsEverolimusPolyesterspoly(lactide)PolymersSirolimusbiodegradable polymerdiabetes mellitusdrug‐eluting stentlong‐term outcomesultrathin stent strut

Identifiers

PMID31696762
PMCPMC6915288
OpenAlexW2988385182

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.