Evidence map›Paper›PMID 33819592›Full record

ArticleAnnals of vascular surgery2021

Validation of ERICVA Risk Score as a Predictor of One Year Amputation-Free Survival of Patients with Critical Limb Ischemia.

Sara-Azhari Mohamed, Navian Lee Viknaswaran, Jonathan Doran, Clara Sanz-Nogués, Khalid Ahmed, Linda Howard, Muhammad Tubassam, Timothy O'Brien, Stewart Redmond Walsh

Open access · hybridAbstract readValidation Study
In one paragraph

Article in Annals of vascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 4 institutions in 2 countries.

Sara-Azhari MohamedRegenerative Medicine Institute, National University of Ireland Galway, Ireland; Department of Vascular Surgery, Galway University Hospital, Galway, Ireland. Electronic address: saraazhary85@hotmail.com.
Navian Lee ViknaswaranSchool of Medicine, National University of Ireland Galway, Ireland.
Jonathan DoranCollege of Medicine, University of Limerick, Ireland.
Clara Sanz-NoguésRegenerative Medicine Institute, National University of Ireland Galway, Ireland.
Khalid AhmedDepartment of Vascular Surgery, Southmead Hospital NHS Foundation Trust, Bristol, UK; School of Medicine, University College London, London, UK.
Linda HowardRegenerative Medicine Institute, National University of Ireland Galway, Ireland.
Muhammad TubassamDepartment of Vascular Surgery, Galway University Hospital, Galway, Ireland.
Timothy O'BrienRegenerative Medicine Institute, National University of Ireland Galway, Ireland; School of Medicine, National University of Ireland Galway, Ireland; Department of Endocrinology, Galway University Hospital, Ireland.
Stewart Redmond WalshDepartment of Vascular Surgery, Galway University Hospital, Galway, Ireland; Department of Vascular Surgery, National University of Ireland Galway, Ireland.
Ollscoil na Gaillimhe – University of Galway · IESouthmead Hospital · GBUniversity Hospital Galway · IEUniversity of Limerick · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ERICVA score was derived to predict amputation-free survival in patients with critical limb ischemia (CLI). It may be a useful tool to stratify patients in trials of novel interventions to treat CLI but, as yet, it has not been externally validated.

methodsA prospective database of CLI patients was developed during prescreening of patients for a phase 1 stem cell therapy clinical trial. The primary outcome was amputation free survival (AFS) at 1 year. Both the full ERICVA scale (11 parameters) and simplified ERICVA scale (5 parameters) were validated. Data analysis was performed by calculation of the area under the receiver operating characteristic (ROC) curve examining the predictive value of the scores. The Chi-square test was used to examine the association between risk group and one-year AFS and the cumulative survival of the three risk groups was compared using Kaplan Meier survival curves.

resultsA series of 179 CLI patients were included in the analysis. The Chi-square test of independence showed a significant association between the risk group (high, medium and low) and one-year AFS outcome (P = 0.0007). Kaplan-Meier survival curve showed significant difference in one-year AFS between the three risk groups (log-rank P < 0.001). The area under the curve (AUC) was found to be 0.63 and 0.61 for the full and simplified score, respectively. The sensitivity of the full score was 0.44 with specificity of 0.84. The simplified score had a sensitivity of 0.28 and specificity of 0.92.

conclusionThe ERICVA risk score system was found to have a fair validity but cannot be considered reliable as a single predictor of one year AFS of CLI patients. The simplified score had an AUC almost identical to the full score and can accordingly replace the full score.

Indexed as

Amputation, SurgicalDecision Support TechniquesAdultAgedAged, 80 and overCritical IllnessDatabases, FactualFemaleHumansIschemiaMaleMiddle AgedPeripheral Arterial DiseasePredictive Value of TestsProgression-Free SurvivalReproducibility of ResultsCritical Limb IschemiaERICVA scoreRisk Score

Identifiers

PMID33819592
PMCPMC8600123
OpenAlexW3144424592

What OpenQuestion holds

Textmetadata
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.