Evidence map›Paper›PMID 33111857›Full record

ArticleArquivos brasileiros de cardiologia2020

Patients' Preferences after Recurrent Coronary Narrowing: Discrete Choice Experiments.

Carlos Alberto da Silva Magliano, Andrea Liborio Monteiro, Amanda Rebeca de Oliveira Rebelo, Giovanna Francisconi Santos, Claudia Cristina de Aguiar Pereira, Nikolas Krucien, Roberto Magalhães Saraiva

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 77% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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  3. 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

7 authors at 5 institutions in 4 countries.

Carlos Alberto da Silva MaglianoInstituto Nacional de Cardiologia, Rio de Janeiro, RJ - Brasil.ORCID 0000-0003-0210-4877
Andrea Liborio MonteiroUniversity of Illinois at Chicago, Chicago, Illinois - EUA.ORCID 0000-0001-9763-3485
Amanda Rebeca de Oliveira RebeloInstituto Nacional de Cardiologia, Rio de Janeiro, RJ - Brasil.
Giovanna Francisconi SantosInstituto Nacional de Cardiologia, Rio de Janeiro, RJ - Brasil.
Claudia Cristina de Aguiar PereiraEscola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ - Brasil.ORCID 0000-0003-1389-9214
Nikolas KrucienUniversity of Aberdeen, Aberdeen - Reino Unido.
Roberto Magalhães SaraivaInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ - Brasil.
Instituto Nacional de Cardiologia · BREscola Nacional de Saúde Pública · BRInstituto Evandro Chagas · BRUnited Nations Industrial Development Organization · ATUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelecting the optimal treatment strategy for coronary revascularization is challenging. A crucial endpoint to be considered when making this choice is the necessity to repeat revascularization since it is much more frequent after percutaneous coronary intervention (PCI) than after coronary artery bypass grafting (CABG).

objectiveThis study intends to provide insights on patients' preferences for revascularization, strategies in the perspective of patients who had to repeat revascularization.

methodsWe selected a sample of patients who had undergone PCI and were hospitalized to repeat coronary revascularization and elicited their preferences for a new PCI or CABG. Perioperative death, long-term death, myocardial infarction, and repeat revascularization were used to design scenarios describing hypothetical treatments that were labeled as PCI or CABG. PCI was always presented as the option with lower perioperative death risk and a higher necessity to repeat procedure. A conditional logit model was used to analyze patients' choices using R software. A p value < 0.05 was considered statistically significant.

resultsA total of 144 patients participated, most of them (73.7%) preferred CABG over PCI (p < 0.001). The regression coefficients were statistically significant for PCI label, PCI long-term death, CABG perioperative death, CABG long-term death and repeat CABG. The PCI label was the most important parameter (p < 0.05).

conclusionMost patients who face the necessity to repeat coronary revascularization reject a new PCI, considering realistic levels of risks and benefits. Incorporating patients' preferences into benefit-risk calculation and treatment recommendations could enhance patient-centered care.

Indexed as

Coronary Artery DiseasePercutaneous Coronary InterventionCoronary Artery BypassHumansPatient PreferenceTreatment Outcome

Identifiers

PMID33111857
PMCPMC8386978
OpenAlexW3097696613

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.