Evidence map›Paper›PMID 32456522›Full record

ArticleJournal of the American Heart Association2020

Temporal Trends in Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting: Insights From the Washington Cardiac Care Outcomes Assessment Program.

Akash Kataruka, Charles C Maynard, Kathleen E Kearney, Ahmed Mahmoud, Sean Bell, Jacob A Doll, James M McCabe, Chistopher Bryson, Hitinder S Gurm, Hani Jneid and 4 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Considering Initial "PCI Turndown" as a Risk Factor for Subsequent PCI.Journal of the American Heart Association · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Akash KatarukaDivision of Cardiology University of Washington Seattle WA.
Charles C MaynardDepartment of Health Services University of Washington Seattle WA.
Kathleen E KearneyDivision of Cardiology University of Washington Seattle WA.
Ahmed MahmoudDivision of Cardiology University of Washington Seattle WA.
Sean BellDepartment of Medicine University of Washington Seattle WA.
Jacob A DollDivision of Cardiology University of Washington Seattle WA.
James M McCabeDivision of Cardiology University of Washington Seattle WA.
Chistopher BrysonDepartment of Medicine University of Washington Seattle WA.
Hitinder S GurmDivision of Cardiology University of Michigan Ann Arbor MI.
Hani JneidDivision of Cardiology Michael E. DeBakey VA& Baylor College of Medicine Houston TX.
Salim S ViraniDivision of Cardiology Michael E. DeBakey VA& Baylor College of Medicine Houston TX.
Eric LehrDepartment of Cardiac Surgery Swedish Heart & Vascular Institute Seattle WA.
Michael E RingProvidence Sacred Heart Medical Center Spokane WA.
Ravi S HiraDivision of Cardiology University of Washington Seattle WA.

Funding

CARDIOVASCULAR RESEARCH TRAINING PROGRAMT32HL007828 · NHLBI · UNIVERSITY OF WASHINGTON · PI Francis Kim, Farid Moussavi-Harami · 1997 to 2026
$10.2M
NHLBI NIH HHS T32 HL007828
6 · The paper itself

Abstract

Background Patient selection and outcomes for percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) have changed over the past decade. However, there is limited information on outcomes for both revascularization strategies in the same population. The study evaluated temporal changes in risk profile, procedural characteristics, and clinical outcomes for PCI- and CABG-treated patients. Methods and Results We analyzed all PCI and isolated CABG between 2005 and 2017 in nonfederal hospitals in Washington State. Descriptive analysis was performed to evaluate temporal changes in risk profile and, risk-adjusted in-hospital mortality. Over the study period, 178 474 PCI and 36 592 CABG procedures were performed. PCI and CABG volume decreased by 2.9% and 22.6%, respectively. Compared with 2005-2009, patients receiving either form of revascularization between 2014 and 2017 had a higher prevalence of comorbidities including diabetes mellitus and hypertension and dialysis. Presentation with ST-segment-elevation myocardial infarction (17% versus 20%) and cardiogenic shock (2.4% versus 3.4%) increased for patients with PCI compared with CABG. Conversely, clinical acuity decreased for patients receiving CABG over the study period. From 2005 to 2017, mean National Cardiovascular Data Registry CathPCI mortality score increased for patients treated with PCI (20.1 versus 22.4,

Indexed as

AgedAged, 80 and overComorbidityCoronary Artery BypassCoronary Artery DiseaseDatabases, FactualFemaleHospital MortalityHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePatient SafetyPercutaneous Coronary InterventionPractice Patterns, Physicians'Risk Assessmentbypass surgeryoutcomespercutaneous coronary intervention

Identifiers

PMID32456522
PMCPMC7429009

What OpenQuestion holds

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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.