Evidence map›Paper›PMID 33909676›Full record

ArticlePloS one2021

Ticagrelor vs Clopidogrel in addition to Aspirin in minor ischemic stroke/ transient ischemic attack-Protocol for a systematic review and network meta-analysis.

Gabriele Zitikyte, Danielle Carole Roy, Shan Dhaliwal, Ronda Lun, Brian Hutton, Risa Shorr, Dar Dowlatshahi

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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

7 authors at 2 institutions in 1 country.

Gabriele ZitikyteUniversity of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada.ORCID 0000-0002-4409-8893
Danielle Carole RoyUniversity of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada.
Shan DhaliwalUniversity of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada.
Ronda LunUniversity of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada.ORCID 0000-0001-8455-8201
Brian HuttonUniversity of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada.
Risa ShorrDepartment of Education, The Ottawa Hospital, Ottawa, Ontario, Canada.
Dar DowlatshahiUniversity of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada.
University of Ottawa · CAOttawa Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with minor ischemic stroke or transient ischemic attack represent a high-risk population for recurrent stroke. No direct comparison exists comparing dual antiplatelet therapy regimens-namely, Ticagrelor and Aspirin versus Clopidogrel and Aspirin. This systematic review and network meta-analysis (NMA) will examine the efficacy of these two different antiplatelet regimens in preventing recurrent stroke and mortality up to 30 days. METHODS AND ANALYSIS: MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials (CENTRAL) will be searched with the assistance of a medical information specialist. Two independent reviewers will screen studies for inclusion; eligible studies will include randomized controlled trials that enrolled adults presenting with acute minor ischemic stroke or transient ischemic attack and compared one or more of the interventions against each other and/or a control. The primary outcomes will be recurrent ischemic stroke up to 30 days from symptom onset. Secondary outcomes will include safety outcomes (I.e. major bleeding and mortality), functional disability, and outcomes up to 90 days from symptom onset. A Bayesian approach to NMA will be implemented using the BUGSnet function in R Software. Between group comparisons for time-to-event (TTE) and dichotomous outcomes will be presented in terms of hazard ratios and odds ratios with 95% credible intervals, respectively. Secondary effect measures of treatment ranking will also be estimated. ETHICS AND DISSEMINATION: No formal research ethics approval are necessary. We will disseminate our findings through scientific conference presentations, peer-reviewed publications, and social media/the press. The findings from this review will aid clinicians in decision-making on the choice of antithrombotic therapy in a high-risk stroke population and could be important in the development of future treatment trials and guidelines. Registration ID with Open Science Framework: 10.17605/OSF.IO/XDJYZ.

Indexed as

AspirinBrain IschemiaIschemic Attack, TransientIschemic StrokeBayes TheoremClopidogrelDrug Therapy, CombinationDual Anti-Platelet TherapyHemorrhageHumansNetwork Meta-Analysis as TopicPlatelet Aggregation InhibitorsSystematic Reviews as TopicTicagrelorAspirinClopidogrelPlatelet Aggregation InhibitorsTicagrelor

Identifiers

PMID33909676
PMCPMC8081237
OpenAlexW3157210380

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.