Evidence map›Paper›PMID 33410332›Full record

SynthesisJournal of the American Heart Association2021

Early Aspirin Discontinuation After Coronary Stenting: A Systematic Review and Meta-Analysis.

Jens Wiebe, Gjin Ndrepepa, Sebastian Kufner, Anna L Lahmann, Erion Xhepa, Constantin Kuna, Felix Voll, Rosanna Gosetti, Karl-Ludwig Laugwitz, Michael Joner and 2 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 15% 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, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Review
  8. Review
  9. 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

12 authors at 3 institutions in 1 country.

Jens WiebeKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Gjin NdrepepaKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Sebastian KufnerKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Anna L LahmannKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Erion XhepaKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Constantin KunaKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Felix VollKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Rosanna Gosetti1. Medizinische Klinik Klinikum rechts der IsarTechnische Universität München Munich Germany.
Karl-Ludwig Laugwitz1. Medizinische Klinik Klinikum rechts der IsarTechnische Universität München Munich Germany.
Michael JonerKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Adnan KastratiKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Salvatore CasseseKlinik für Herz- und Kreislauferkrankungen Deutsches Herzzentrum MünchenTechnische Universität München Munich Germany.
Deutsches Herzzentrum München · DEGerman Centre for Cardiovascular Research · DETUM Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The clinical impact of early aspirin discontinuation compared with dual antiplatelet therapy (DAPT) in patients undergoing percutaneous coronary intervention with stenting remains poorly studied. We investigated the clinical outcomes of patients assigned to either early aspirin discontinuation or DAPT after percutaneous coronary intervention with stenting. Methods and Results We performed a meta-analysis of aggregate data from randomized clinical trials enrolling participants receiving a percutaneous coronary intervention with stenting and assigned to either early aspirin discontinuation or DAPT. Scientific databases were searched from inception through March 30, 2020. Trial-level hazard ratios (HRs) and 95% CIs were pooled using a random effects model with inverse variance weighting. The primary outcome was all-cause death. Secondary outcomes were myocardial infarction, stent thrombosis, stroke, and major bleeding. Overall, 36 206 participants were allocated to either early aspirin discontinuation (experimental therapy, n=18 088) or DAPT (control therapy, n=18 118) in 7 trials. Median follow-up was 12 months. All-cause death occurred in 2.5% of patients assigned to experimental and 2.9% of patients assigned control therapy (hazard ratio [HR], 0.91, 95% CI, 0.75-1.11;

Indexed as

AspirinHemorrhageCoronary RestenosisDual Anti-Platelet TherapyDuration of TherapyHumansPercutaneous Coronary InterventionRisk AssessmentStentsWithholding TreatmentAspirinaspirincoronary artery diseasemeta‐analysisstent

Identifiers

PMID33410332
PMCPMC7955304
OpenAlexW3119504588

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.