Evidence map›Paper›PMID 33843258›Full record

ArticleJournal of the American Heart Association2021

Consensus Decision-Making for the Management of Antiplatelet Therapy before Non-Cardiac Surgery in Patients Who Underwent Percutaneous Coronary Intervention With Second-Generation Drug-Eluting Stents: A Cohort Study.

Choongki Kim, Jung-Sun Kim, Hyeongsoo Kim, Sung Gyun Ahn, Sungsoo Cho, Oh-Hyun Lee, Jong-Kwan Park, Sanghoon Shin, Jae Youn Moon, Hoyoun Won and 13 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

23 authors at 8 institutions in 1 country.

Choongki KimDepartment of Cardiology Ewha Womans University College of Medicine Seoul Hospital Seoul Korea.
Jung-Sun KimDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Hyeongsoo KimDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Sung Gyun AhnDivision of Cardiology Department of Internal Medicine Wonju Severance Christian Hospital Yonsei University Wonju College of Medicine Wonju Korea.
Sungsoo ChoDivision of Cardiovascular Medicine Department of Internal Medicine Dankook University HospitalDankook University College of Medicine Cheonan Korea.
Oh-Hyun LeeDivision of Cardiology Yongin Severance HospitalYonsei University College of Medicine Gyeonggi-do Korea.
Jong-Kwan ParkDivision of Cardiology National Health Insurance Service Ilsan Hospital Goyang Korea.
Sanghoon ShinDepartment of Cardiology Ewha Womans University College of Medicine Seoul Hospital Seoul Korea.
Jae Youn MoonDepartment of Cardiology CHA Bundang Medical Center CHA University Seongnam Korea.
Hoyoun WonCardiovascular & Arrhythmia Center Chung-Ang University HospitalChung-Ang University College of Medicine Seoul Korea.
Yongsung SuhDepartment of Cardiology Myongji HospitalHanyang University College of Medicine Goyang Korea.
Jung Rae ChoDivision of Cardiology Kangnam Sacred Heart Hospital Hallym University Medical Center Seoul South Korea.
Yun-Hyeong ChoDepartment of Cardiology Myongji HospitalHanyang University College of Medicine Goyang Korea.
Seung-Jin OhDivision of Cardiology National Health Insurance Service Ilsan Hospital Goyang Korea.
Byoung-Kwon LeeDivision of Cardiology Gangnam Severance HospitalYonsei University College of Medicine Seoul South Korea.
Sung-Jin HongDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Dong-Ho ShinDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Chul-Min AhnDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Byeong-Keuk KimDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Young-Guk KoDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Donghoon ChoiDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Myeong-Ki HongDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Yangsoo JangDivision of Cardiology Department of Internal Medicine Severance Cardiovascular Hospital Yonsei University College of Medicine Seoul Korea.
Yonsei University · KREwha Womans University · KRMyongji Hospital · KRNational Health Insurance Service Ilsan Hospital · KRCHA University Bundang Medical Center · KRChung-Ang University Hospital · KRDankook University Hospital · KRHallym University Kangnam Sacred Heart Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Although antiplatelet therapy (APT) has been recommended to balance ischemic-bleeding risks, it has been left to an individualized decision-making based on physicians' perspectives before non-cardiac surgery. The study aimed to assess the advantages of a consensus among physicians, surgeons, and anesthesiologists on continuation and regimen of preoperative APT in patients with coronary drug-eluting stents. Methods and Results A total of 3582 adult patients undergoing non-cardiac surgery after percutaneous coronary intervention with second-generation stents was retrospectively included from a multicenter cohort. Physicians determined whether APT should be continued or discontinued for a recommended period before non-cardiac surgery. There were 3103 patients who complied with a consensus decision. Arbitrary APT, not based on a consensus decision, was associated with urgent surgery, high bleeding risk of surgery, female sex, and dual APT at the time of preoperative evaluation. Arbitrary APT independently increased the net clinical adverse event (adjusted odds ratio [OR

Indexed as

Coronary Artery DiseaseDecision MakingDrug-Eluting StentsPercutaneous Coronary InterventionPlatelet Aggregation InhibitorsSurgical Procedures, OperativeAgedComorbidityConsensus Statements as TopicDisease ManagementFemaleFollow-Up StudiesHumansMaleMiddle AgedPreoperative CarePlatelet Aggregation Inhibitorsantiplatelet therapyconsensusdrug‐eluting stentnon‐cardiac surgerypercutaneous coronary interventionsurgery

Identifiers

PMID33843258
PMCPMC8174156
OpenAlexW3156191952

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.