Evidence map›Paper›PMID 32190493›Full record

ArticleCureus2020

Is Physiologic Stress Test with Imaging Comparable to Anatomic Examination of Coronary Arteries by Coronary Computed Tomography Angiography to Investigate Coronary Artery Disease? - A Systematic Review and Meta-Analysis.

Waqas J Siddiqui, Muhammad Shabbir Rawala, Waqas Abid, Muhammad Zain, Murrium I Sadaf, Danish Abbasi, Chikezie Alvarez, Farah Mansoor, Syed Farhan Hasni, Sandeep Aggarwal

Abstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. 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.

Waqas J SiddiquiCardiology/Nephrology, Drexel University College of Medicine, Philadelphia, USA.
Muhammad Shabbir RawalaInternal Medicine, Charleston Area Medical Center, Charleston, USA.
Waqas AbidInterventional Radiology, Christiana Hospital, Newark, USA.
Muhammad ZainInternal Medicine, Sheikh Zayed Medical College and Hospital, Rahim Yar Khan, PAK.
Murrium I SadafInternal Medicine, Yale School of Medicine, New Haven, USA.
Danish AbbasiCardiovascular Diseases, University of Arkansas, Little Rock, USA.
Chikezie AlvarezMedicine, St. Francis Medical Center, Trenton, USA.
Farah MansoorMedicine, Dow University, Karachi, PAK.
Syed Farhan HasniHeart Failure and Transplant, Albert Einstein Hospital, Philadelphia, USA.
Sandeep AggarwalNephrology, University of Pennsylvania, Philadelphia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Coronary computed tomography angiography (CCTA) is a noninvasive diagnostic modality that remains underutilized compared to functional stress testing (ST) for investigating coronary artery disease (CAD). Several patients are misdiagnosed with noncardiac chest pain (CP) that eventually die from a cardiovascular event in subsequent years. We compared CCTA to ST to investigate CP. Methods We searched MEDLINE, PubMed, Cochrane Library, and Embase from January 1, 2007 to July 1, 2018 for randomized controlled trials (RCTs) comparing CCTA to ST in patients who presented with acute or stable CP. We used Review Manager (RevMan) [Computer program] Version 5.3 (Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2014) for review and analysis. Results We included 16 RCTs enrolling 21,210 patients; there were more patients with hyperlipidemia and older patients in the ST arm compared to the CCTA arm. There was no difference in mortality: 103 in the CCTA arm vs. 110 in the ST arm (risk ratio [RR] = 0.93, 95% confidence interval [CI] = 0.71-1.21, P = .58, and I

Indexed as

anginacardiac imagingcomputed tomography angiographycoronary cta

Identifiers

PMID32190493
PMCPMC7067363

What OpenQuestion holds

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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.