Evidence map›Paper›PMID 32038948›Full record

ArticleCardiovascular diagnosis and therapy2019

Comparison of long-term outcomes of medical therapy and successful recanalisation for coronary chronic total occlusions in elderly patients: a report of 1,294 patients.

Lei Guo, Haichen Lv, Lei Zhong, Jian Wu, Huaiyu Ding, Jiaying Xu, Rongchong Huang

Open access · diamondAbstract read
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Article in Cardiovascular diagnosis and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Complex, high-risk percutaneous coronary intervention types, trends, and in-hospital outcomes among different age groups: An insight from a national registry.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
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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

7 authors at 2 institutions in 1 country.

Lei GuoDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116044, China.
Haichen LvDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116044, China.
Lei ZhongDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116044, China.
Jian WuDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116044, China.
Huaiyu DingDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116044, China.
Jiaying XuDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116044, China.
Rongchong HuangDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116044, China.
First Affiliated Hospital of Dalian Medical University · CNDalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the long-term outcomes of medical therapy (MT) versus successful percutaneous coronary intervention (PCI) in elderly patients with coronary chronic total occlusions (CTOs).

methodsThere were 1,294 consecutive patients with 1,520 CTOs included (2007 to 2016) and were divided into the younger group (age <65 years; n=664, 51.3%) and the older group (age ≥65 years; n=630, 48.7%). In the older group, 630 patients were divided into MT group (n=421) and successful CTO-PCI group (n=209) according to the initial treatment strategy. In the younger group, they were divided into two groups: 379 patients in the MT group and 285 patients in the successful CTO-PCI group. We performed propensity score matching to minimize any selection bias. The primary end point was cardiac mortality. The secondary end point was major adverse cardiac event (MACE).

resultsAfter 3.6 (IQR, 2.1-5.0) years follow-up, no significant difference was observed between the MT and successful CTO-PCI groups in terms of cardiac mortality (MT

conclusionsIn the treatment of elderly patients with CTOs, successful CTO-PCI compared with MT alone didn't reduce the risk of cardiac death or MACE.

Indexed as

Chronic total occlusions (CTO)elderlymedical therapy (MT)percutaneous coronary intervention (PCI)

Identifiers

PMID32038948
PMCPMC6987515
OpenAlexW2989604020

What OpenQuestion holds

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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.