Evidence map›Paper›PMID 32774183›Full record

SynthesisJournal of interventional cardiology2020

Percutaneous Intervention or Bypass Graft for Left Main Coronary Artery Disease? A Systematic Review and Meta-Analysis.

Waqas Ullah, Yasar Sattar, Irfan Ullah, Ammu Susheela, Maryam Mukhtar, M Chadi Alraies, Mamas A Mamas, David L Fischman

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of interventional cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The Current State of Coronary Revascularization: Percutaneous Coronary Intervention versus Coronary Artery Bypass Graft Surgery.The International journal of angiology : official publication of the International College of Angiology, Inc · 2021
    Review
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

8 authors at 7 institutions in 3 countries.

Waqas UllahAbington Jefferson Health, Abington, PA, USA.ORCID https://orcid.org/0000-0002-4850-0309
Yasar SattarIcahn School of Medicine, New York, NY, USA.
Irfan UllahKabir Medical College, Peshawar, Pakistan.ORCID https://orcid.org/0000-0003-1100-101X
Ammu SusheelaLoyola Medical Center, Hines, IL, USA.
Maryam MukhtarRawalpindi Institute of Cardiology, Rawalpindi, Pakistan.
M Chadi AlraiesDetroit Medical Center, Detroit, MI, USA.ORCID https://orcid.org/0000-0002-7874-4566
Mamas A MamasKeele Cardiovascular Research Group, Keele University, Keele, Royal Stoke Hospital, UK.
David L FischmanThomas Jefferson University, Philadelphia, PA, USA.
Thomas Jefferson University · USDetroit Medical Center · USIcahn School of Medicine at Mount Sinai · USKhyber Medical College · PKLoyola University Medical Center · USRawalpindi Medical University · PKThomas Jefferson University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe safety and efficacy of percutaneous coronary intervention (PCI) versus coronary artery bypass grafting (CABG) for stable left main coronary artery disease (LMCAD) remains controversial.

methodsDigital databases were searched to compare the major adverse cardiovascular and cerebrovascular events (MACCE) and its components. A random effect model was used to compute an unadjusted odds ratio (OR).

resultsA total of 43 studies (37 observational and 6 RCTs) consisting of 29,187 patients (PCI 13,709 and CABG 15,478) were identified. The 30-day rate of MACCE (OR, 0.56; 95% CI, 0.42-0.76;

conclusionPCI might offer early safety advantages, while CABG provides greater durability in terms of lower long-term risk of ischemic events. There appears to be an equivalent risk for all-cause mortality.

Indexed as

Coronary Artery BypassCoronary Artery DiseasePercutaneous Coronary InterventionCoronary VesselsHumansPatient SelectionRisk AdjustmentTreatment Outcome

Identifiers

PMID32774183
PMCPMC7399756
OpenAlexW3044163516

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.