Evidence map›Paper›PMID 32662350›Full record

ArticleJournal of the American Heart Association2020

Ticagrelor is Not Superior to Clopidogrel in Patients With Acute Coronary Syndromes Undergoing PCI: A Report from Swedish Coronary Angiography and Angioplasty Registry.

Sebastian Völz, Petur Petursson, Jacob Odenstedt, Dan Ioanes, Inger Haraldsson, Oskar Angerås, Christian Dworeck, Geir Hirlekar, Anna Myredal, Per Albertsson and 3 more

Open access · goldAbstract readComparative StudyMulticenter Study
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 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
4.2field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  7. Review of the Ticagrelor Trials Evidence Base.Journal of the American Heart Association · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Sebastian VölzDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Petur PeturssonDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Jacob OdenstedtDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Dan IoanesDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Inger HaraldssonDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Oskar AngeråsDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Christian DworeckDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Geir HirlekarDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Anna MyredalDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Per AlbertssonDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Truls RåmunddalDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Björn RedforsDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Elmir OmerovicDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.
Sahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Ticagrelor reduces ischaemic end points in acute coronary syndromes. However, outcomes of ticagrelor versus clopidogrel in real-world patients with acute coronary syndromes treated with percutaneous coronary intervention (PCI) remain unclear. We sought to examine whether treatment with ticagrelor is superior to clopidogrel in unselected patients with acute coronary syndromes treated with PCI. Methods and Results We used data from SCAAR (Swedish Coronary Angiography and Angioplasty Registry) for PCI performed in Västra Götaland County, Sweden. The database contains information about all PCI performed at 5 hospitals (∼20% of all data in SCAAR). All procedures between January 2005 and January 2015 for unstable angina/non‒ST-segment‒elevation myocardial infarction and ST-segment‒elevation myocardial infarction were included. We used instrumental variable 2-stage least squares regression to adjust for confounders. The primary combined end point was mortality or stent thrombosis at 30 days, secondary end points were mortality at 30 days and 1-year, stent thrombosis at 30 days, in-hospital bleeding, in-hospital neurologic complications and long-term mortality. A total of 15 097 patients were included in the study of which 2929 (19.4%) were treated with ticagrelor. Treatment with ticagrelor was not associated with a lower risk for the primary end point (adjusted odds ratio [aOR], 1.20; 95% CI, 0.87-1.61;

Indexed as

Percutaneous Coronary InterventionRegistriesAcute Coronary SyndromeAgedClopidogrelCohort StudiesFemaleHumansMaleMiddle AgedPurinergic P2Y Receptor AntagonistsSwedenTicagrelorClopidogrelPurinergic P2Y Receptor AntagonistsTicagreloracute coronary syndromeclopidogrelnon‐ST‒segment‐elevation myocardial infarctionP2Y12 receptor antagonistspercutaneous coronary interventionST‐segment‒elevation myocardial infarctionticagrelorunstable angina

Identifiers

PMID32662350
PMCPMC7660716
OpenAlexW3043589036

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.