Evidence map›Paper›PMID 33815915›Full record

ArticleAmerican journal of cardiovascular disease2021

Sex differences in clinical outcomes after rotational atherectomy of calcified coronary stenoses: from multicenter registry.

Hisao Otsuki, Kentaro Jujo, Kazuki Tanaka, Iwao Okai, Makoto Nakashima, Tomotaka Dohi, Shinya Okazaki, Ryuta Okabe, Fukuko Nagura, Yugo Nara and 10 more

Open access · greenAbstract read
In one paragraph

Article in American journal of cardiovascular disease, 2021. 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
1.3field-weighted citation impact, top 21% 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. Review
  4. 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

20 authors at 2 institutions in 1 country.

Hisao OtsukiDepartment of Cardiology, Tokyo Women's Medical University Japan.
Kentaro JujoDepartment of Cardiology, Tokyo Women's Medical University Japan.
Kazuki TanakaDepartment of Cardiology, Tokyo Women's Medical University Japan.
Iwao OkaiDepartment of Cardiovascular Medicine, Juntendo University School of Medicine Japan.
Makoto NakashimaDepartment of Cardiology, Teikyo University School of Medicine Japan.
Tomotaka DohiDepartment of Cardiovascular Medicine, Juntendo University School of Medicine Japan.
Shinya OkazakiDepartment of Cardiovascular Medicine, Juntendo University School of Medicine Japan.
Ryuta OkabeDepartment of Cardiology, Teikyo University School of Medicine Japan.
Fukuko NaguraDepartment of Cardiology, Teikyo University School of Medicine Japan.
Yugo NaraDepartment of Cardiology, Teikyo University School of Medicine Japan.
Hideyuki KawashimaDepartment of Cardiology, Teikyo University School of Medicine Japan.
Hiroyuki KyonoDepartment of Cardiology, Teikyo University School of Medicine Japan.
Hiroyuki ArashiDepartment of Cardiology, Tokyo Women's Medical University Japan.
Junichi YamaguchiDepartment of Cardiology, Tokyo Women's Medical University Japan.
Hiroshi TamuraDepartment of Cardiovascular Medicine, Juntendo University School of Medicine Japan.
Takeshi KurataDepartment of Cardiovascular Medicine, Juntendo University School of Medicine Japan.
Katsumi MiyauchiDepartment of Cardiovascular Medicine, Juntendo University School of Medicine Japan.
Ken KozumaDepartment of Cardiology, Teikyo University School of Medicine Japan.
Hiroyuki DaidaDepartment of Cardiovascular Medicine, Juntendo University School of Medicine Japan.
Nobuhisa HagiwaraDepartment of Cardiology, Tokyo Women's Medical University Japan.
Juntendo University · JPTeikyo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent improvements in devices and medications may diminish the risk of adverse events following percutaneous coronary intervention (PCI) in women. However, complex calcified coronary lesions are increasingly being encountered in clinical practice, which remain challenging for contemporary PCI. Rotational atherectomy (RA) of severely calcified lesions is an option that facilitates the technical success of PCI. We aimed to examine sex differences in long-term clinical prognoses after PCI with RA in the drug-eluting stent (DES) era. METHODS AND

resultsWe evaluated J2T ROTA registry data from 1,090 patients with severely calcified de novo coronary artery stenoses who underwent PCI using RA at 3 hospitals between 2004 and 2015. After excluding patients who received regular hemodialysis, 788 patients, including 570 men and 218 women, were ultimately analyzed. The primary endpoint was major adverse cardiovascular and cerebrovascular events (MACCE), which included death, acute coronary syndrome (ACS), and stroke. The women were significantly older, and presented more frequently with chronic kidney disease, ACS, atrial fibrillation, lower body mass indexes, and worse lipid profiles than the men. During the observation period, MACCE occurred in 197 patients (25%) (118 deaths, 29 strokes, and 50 ACS). In the unmatched population, women had a higher MACCE rate than men (hazard ratio: 1.48, [95% confidence interval: 1.07-2.06]). However, sex was not associated with MACCE in the propensity score-matched population.

conclusionIn the DES era, differences between sexes were not observed in relation to long-term MACCE in patients undergoing PCI with RA for severely calcified coronary artery stenoses.

Indexed as

percutaneous coronary interventionrotational atherectomySex

Identifiers

PMID33815915
PMCPMC8012285
OpenAlexW3149707416

What OpenQuestion holds

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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.