Evidence map›Paper›PMID 32753875›Full record

Observational studyVascular health and risk management2020

Sex-Related Differences in the Outcomes of Endovascular Interventions for Chronic Limb-Threatening Ischemia: Results from the LIBERTY 360 Study.

Stefanos Giannopoulos, Nicolas W Shammas, Ian Cawich, Cezar S Staniloae, George L Adams, Ehrin J Armstrong

Registry-linked trialOpen access · goldAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in Vascular health and risk management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01855412 (LIBERTY 360), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT01855412 completednot on this map

LIBERTY 360: Prospective, Observational, Multi-Center Clinical Study to Evaluate Acute and Long Term Clinical and Economic Outcomes of Endovascular Device Intervention in Patients With Distal Outflow Peripheral Arterial Disease (PAD)

TypeobservationalSponsorAbbott Medical DevicesRan2013 to 2019Enrolled1,204ConditionsPeripheral Arterial Occlusive DiseaseArmsPAD endovascular treatments
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  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

6 authors at 5 institutions in 1 country.

Stefanos GiannopoulosDivision of Cardiology, Rocky Mountain Regional VA Medical Center, University of Colorado, Denver, CO, USA.ORCID 0000-0002-1942-911X
Nicolas W ShammasMidwest Cardiovascular Research Foundation, Davenport, IA, USA.ORCID 0000-0001-8279-0111
Ian CawichArkansas Heart Hospital, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Cezar S StaniloaeLeon H. Charney Division of Cardiology, New York University Langone Medical Center, New York, NY, USA.
George L AdamsDepartment of Cardiology, North Carolina Heart and Vascular, Rex Hospital, UNC School of Medicine, Raleigh, NC, USA.ORCID 0000-0002-9820-943X
Ehrin J ArmstrongDivision of Cardiology, Rocky Mountain Regional VA Medical Center, University of Colorado, Denver, CO, USA.
Denver VA Medical Center · USArkansas Heart Hospital · USMidwest Cardiovascular Research Foundation · USNYU Langone Health · USRex Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrevious studies have suggested that women with chroniclimb-threatening ischemia (CLTI) may have worse outcomes than men. The aim of this study was to determine whether there are sex-related differences in outcomes of patients with CLTI undergoing endovascular treatment with current endovascular technologies. PATIENTS AND

methodsData were derived from the LIBERTY 360 study (NCT01855412). Hazard ratios and the respective 95% confidence intervals were synthesized to examine the association between sex and all-cause mortality, target vessel revascularization (TVR), major amputation, major adverse event (MAE) and major amputation/death up to 3 years of follow-up.

resultsA total of 689 patients with CLTI (female: N=252 vs male: N=437) treated with any FDA approved or cleared device were included. The mean lesion length was 126.9±117.3mm and 127.4±113.3mm for the female and male patients, respectively. Although a slightly higher incidence of in-hospital mortality was observed in the female group (1.2% vs 0.0%, p=0.049), there was no difference in female vs male survival rates during follow-up. However, the risk of major amputation at 18 months was higher for the male group (male vs female: HR: 2.36; 95% CI: 1.09-5.12; p=0.030). No difference between the two groups was detected in terms of TVR or MAE during follow-up. DISCUSSION: Data regarding sex-related disparity in outcomes after endovascular therapy of patients with CLTI are conflicting. Gender-related characteristics rather than biological sex characteristics might be the cause of these conflicting findings. Further studies are needed to evaluate the role of sex in revascularization outcomes among this high-risk population.

Indexed as

Angioplasty, BalloonAgedAged, 80 and overAmputation, SurgicalCause of DeathChronic DiseaseFemaleHospital MortalityHumansIschemiaLimb SalvageMaleMiddle AgedPeripheral Arterial DiseaseProspective StudiesRisk Assessmentchronic limb-threatening ischemia; revascularizationcritical limb ischemiaendovascular repairperipheral vascular diseasesex-specific

Identifiers

PMID32753875
PMCPMC7354949
OpenAlexW3038886507

What OpenQuestion holds

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Registered trials

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.