Evidence map›Paper›PMID 32309353›Full record

ArticleAnnals of translational medicine2020

Mortality and chronic obstructive pulmonary disease in patients treated with endovascular revascularization of the infra-inguinal lower limb arteries from retrograde access.

Zoltan Ruzsa, Rafał Januszek, Viktor Óriás, Michał Chyrchel, Joanna Wojtasik-Bakalarz, Jerzy Bartuś, Saleh Arif, Paweł Kleczyński, Tomasz Tokarek, Andras Nyerges and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Approaches to Peripheral Artery Disease in Diabetes: Are There Any Differences?International journal of environmental research and public health · 2022
    Review
  2. Pathogenesis and Clinical Significance of In-Stent Restenosis in Patients with Diabetes.International journal of environmental research and public health · 2021
    Review
  3. Review
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  5. 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

13 authors at 5 institutions in 2 countries.

Zoltan RuzsaSemmelweis University of Budapest, Cardiac and Vascular Center, Budapest, Hungary.
Rafał JanuszekUniversity of Physical Education, Department of Clinical Rehabilitation, Kraków, Poland.
Viktor ÓriásSemmelweis University of Budapest, Cardiac and Vascular Center, Budapest, Hungary.
Michał Chyrchel2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Joanna Wojtasik-Bakalarz2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Jerzy BartuśJagiellonian University Medical College, Krakow, Poland.
Saleh Arif2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Paweł Kleczyński2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Tomasz Tokarek2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Andras NyergesBács-Kiskun County Hospital, Invasive Cardiology Department, Teaching Hospital of the Szent-Györgyi Albert Medical University, Kecskemét, Hungary.
Agata StanekSchool of Medicine with the Division of Dentistry in Zabrze, Department of Internal Medicine, Angiology and Physical Medicine, Medical University of Silesia, Bytom, Poland.
Dariusz Dudek2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Stanisław Bartuś2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Jagiellonian University · PLSemmelweis University · HUBács-Kiskun Megyei Kórház · HUMedical University of Silesia · PLUniversity School of Physical Education in Kraków · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this trial, our objective was to evaluate the relationship between long-term clinical outcomes in patients with peripheral arterial disease (PAD) treated with retrograde endovascular recanalization (ER) of chronic total occlusions (CTOs) regarding the infra-inguinal lower limb arteries and chronic obstructive pulmonary disease (COPD).

methodsA total of 834 consecutive subjects were enrolled in the study. The mean age was 67.8±10.6 years (62.6% males). COPD was diagnosed in 98 patients (11.7%). The infra-inguinal location included the deep, superficial and common femoral artery, popliteal artery or below the knee arteries. During follow-up, we evaluated major adverse cardiac and cerebrovascular events (MACCE) and major adverse limb events (MALE). MACCE was considered as death, stroke/transient ischemic attack, myocardial infarction, percutaneous coronary intervention or coronary artery bypass grafting operation, while MALE regarded amputation, target lesion re-intervention, target vessel re-intervention and surgical action.

resultsThe mean follow-up was 1,144.9±664.3 days and the interquartile range was 1,110.5 (504.5-1,734.7). Data were collected between 2006 and 2016. We noticed significant differences in death rates among the COPD and non-COPD groups. The cumulative number of events (deaths) was 12.2%, 17.3%, 18.4%, 22.4%, 23.5%, 23.5% and 23.5% in the COPD group and 6.1%, 7.5%, 10.5%, 11.3%, 11.4% 11.5% and 11.5% in the non-COPD group after 1, 2, 3, 4, 5, 6 and 7 years of follow-up, and was notably greater for COPD (P=0.0007).

conclusionsPatients with COPD and PAD treated with the ER and retrograde approach due to CTOs are related to higher mortality than non-COPD patients.

Indexed as

chronic obstructive pulmonary disease (COPD)chronic total occlusions (CTO)clinical outcomeLower limbs atherosclerosisretrograde access

Identifiers

PMID32309353
PMCPMC7154487
OpenAlexW3004783842

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.