Evidence map›Paper›PMID 33400158›Full record

SynthesisInternal and emergency medicine2021

Efficacy and safety of colchicine for secondary prevention of coronary heart disease: a systematic review and meta-analysis.

Zujin Xiang, Jian Yang, Jun Yang, Jing Zhang, Zhixing Fan, Chaojun Yang, Liu Di, Cong Ma, Jingyi Wu, Yifan Huang

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Internal and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Colchicine for Coronary Artery Disease: A Review.Frontiers in cardiovascular medicine · 2022
    Review
  7. Cardiovascular prevention trials: cross-examining colchicine.Canadian family physician Medecin de famille canadien · 2022
    Article
  8. 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

10 authors at 2 institutions in 1 country.

Zujin XiangThe first People's Hospital of Yichang, The People's Hospital of China, Three Gorges University, Yichang, 443000, Hubei, China.
Jian YangThe first People's Hospital of Yichang, The People's Hospital of China, Three Gorges University, Yichang, 443000, Hubei, China. yangjian@ctgu.edu.cn.
Jun YangThe First Clinical Medical College of China, Institute of Cardiovascular Diseases, Three Gorges University, Yichang, 443000, Hubei, China.
Jing ZhangThe First Clinical Medical College of China, Institute of Cardiovascular Diseases, Three Gorges University, Yichang, 443000, Hubei, China.
Zhixing FanThe First Clinical Medical College of China, Institute of Cardiovascular Diseases, Three Gorges University, Yichang, 443000, Hubei, China.
Chaojun YangThe First Clinical Medical College of China, Institute of Cardiovascular Diseases, Three Gorges University, Yichang, 443000, Hubei, China.
Liu DiThe first People's Hospital of Yichang, The People's Hospital of China, Three Gorges University, Yichang, 443000, Hubei, China.
Cong MaThe first People's Hospital of Yichang, The People's Hospital of China, Three Gorges University, Yichang, 443000, Hubei, China.
Jingyi WuThe first People's Hospital of Yichang, The People's Hospital of China, Three Gorges University, Yichang, 443000, Hubei, China.
Yifan HuangThe first People's Hospital of Yichang, The People's Hospital of China, Three Gorges University, Yichang, 443000, Hubei, China.
China Three Gorges University · CNYichang Central People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the efficacy and safety of colchicine for secondary prevention of coronary heart disease (CHD), relevant randomized controlled trials (RCTs) were identified by searching several databases from the creation date to August 31, 2020 and were reviewed. Eight eligible trials of colchicine therapy involving a total of 11, 463 patients were included (5, 776 subjects received colchicine, while 5, 687 subjects were in the respective control arms), and the outcome was reported as risk ratio (RR) and 95% confidence interval (CI), as the relative measure of association. Overall, the incidences of major adverse cardiovascular events (MACEs) (RR 0.70; 95% CI 0.61-0.80), myocardial infarction (MI) (RR 0.77; 95% CI 0.64-0.94), emergency readmission due to CHD (RR 0.70; 95% CI 0.58-0.86), and ischemic stroke (RR 0.49; 95% CI 0.30-0.79) were lower in the colchicine group than in the placebo arm. We did not find a significant reduction in the incidence of all-cause mortality (RR 1.03; 95% CI 0.80-1.32). Although the incidence of diarrhea in the colchicine treatment group was higher than that in the placebo arms (RR 2.53; 95% CI 1.17, 5.48), the symptoms disappeared rapidly after drug withdrawal, and no serious adverse reactions occurred. In summary, colchicine is an accessible, safe, and effective drug that could be successfully utilized for the secondary prevention of CHD. The tolerability and benefits should be confirmed in in-depth clinical trials.

Indexed as

Secondary PreventionColchicineCoronary DiseaseHumansRandomized Controlled Trials as TopicTubulin ModulatorsColchicineTubulin ModulatorsColchicineCoronary heart disease (CHD)Meta-analysisSecondary prevention

Identifiers

PMID33400158
OpenAlexW3120252986

What OpenQuestion holds

Textmetadata
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.