Evidence map›Paper›PMID 32908115›Full record

Observational studyJournal of atherosclerosis and thrombosis2021

High-Density Lipoprotein Cholesterol Efflux Capacity as a Novel Prognostic Surrogate for Coronary Artery Disease.

Itaru Hisauchi, Tetsuya Ishikawa, Makoto Ayaori, Harumi Uto-Kondo, Yuri Koshikawa, Tomoaki Ukaji, Hidehiko Nakamura, Yukiko Mizutani, Isao Taguchi, Takatomo Nakajima and 2 more

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Journal of atherosclerosis and thrombosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
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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

12 authors at 5 institutions in 2 countries.

Itaru HisauchiDepartment of Cardiology, Dokkyo Medical University, Saitama Medical Center.
Tetsuya IshikawaDepartment of Cardiology, Dokkyo Medical University, Saitama Medical Center.
Makoto AyaoriDivision of Anti-aging and Vascular Medicine, Department of Internal Medicine, National Defense Medical College.
Harumi Uto-KondoDivision of Anti-aging and Vascular Medicine, Department of Internal Medicine, National Defense Medical College.
Yuri KoshikawaDepartment of Cardiology, Dokkyo Medical University, Saitama Medical Center.
Tomoaki UkajiDepartment of Cardiology, Dokkyo Medical University, Saitama Medical Center.
Hidehiko NakamuraDepartment of Cardiology, Dokkyo Medical University, Saitama Medical Center.
Yukiko MizutaniDepartment of Cardiology, Dokkyo Medical University, Saitama Medical Center.
Isao TaguchiDepartment of Cardiology, Dokkyo Medical University, Saitama Medical Center.
Takatomo NakajimaDivision of Cardiology, Saitama Cardiovascular Respiratory Center.
Makoto MutohDivision of Cardiology, Saitama Cardiovascular Respiratory Center.
Katsunori IkewakiDivision of Anti-aging and Vascular Medicine, Department of Internal Medicine, National Defense Medical College.
Dokkyo Medical University · JPNational Defense Medical College · JPSaitama Prefecture · JPSocial Insurance Saitama Chuo Hospital · JPNihon University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe examined the impact of baseline high-density lipoprotein cholesterol efflux capacity (CEC) on major cardiac adverse events (MACE) in patients with coronary artery disease (CAD) during a long-term secondary prevention.

methodCEC was measured using a cell-based efflux system in (3)[H]-cholesterol-labeled J774 macrophages in apolipoprotein B-depleted plasma between January 2011 and January 2013. Patients with CAD were divided into 2 groups as a boundary CEC value of 1: 0.19 ≤ CEC <1 (impaired CEC group, mean CEC of 0.76±0.16, n=136), and 1 ≤ CEC ≤ 2.08 (enhanced CEC group, 1.20±0.19, n=44). MACE, comprised the incidence of cardiac death, non-fatal myocardial infarction, and any revascularizations (RV) without restenosis approximately 1 year after vascularization, was retrospectively investigated at September 2019. Impact of enhanced CEC on MACE among 22 variables was examined by applying a Cox proportional hazard model.

resultThe frequency of MACE in impaired CEC group (16.9%, mean observational interval of 2111±888 days) was significantly higher than that in enhanced CEC group (2.3%, 2,252±685, p=0.013), largely driven by the significantly higher RV incidence (14.0 % versus 2.3 %, p=0.032). Enhancement of CEC was the significant predictor of MACE (hazard ratio: 0.11; 95% CI: 0.013-0.879; p=0.038).

conclusionA baseline CEC level of more than 1 in patients with CAD brought favorable long-term clinical outcomes, suggesting that CEC is a useful prognostic and therapeutic surrogate for secondary prevention of CAD.

Indexed as

Cholesterol, HDLCoronary Artery DiseaseMacrophagesMyocardial RevascularizationSecondary PreventionAgedBiomarkersCardiometabolic Risk FactorsCoronary AngiographyCoronary RestenosisFemaleHumansJapanMalePredictive Value of TestsPrognosisBiomarkersCholesterol, HDLCoronary artery diseaseCoronary revascularizationHigh-density lipoprotein cholesterol efflux capacityMajor adverse cardiac event

Identifiers

PMID32908115
PMCPMC8265426
OpenAlexW3084069425

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.