Evidence map›Paper›PMID 34039832›Full record

Observational studyJournal of atherosclerosis and thrombosis2022

Ambulatory Status Over Time after Revascularization in Patients with Chronic Limb-Threatening Ischemia.

Akio Kodama, Mitsuyoshi Takahara, Osamu Iida, Yoshimitsu Soga, Hiroto Terashi, Daizo Kawasaki, Yuichi Izumi, Shinsuke Mii, Kimihiro Komori, Nobuyoshi Azuma

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Journal of atherosclerosis and thrombosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Peripheral arterial disease: A small and large vessel problem.American heart journal plus : cardiology research and practice · 2023
    Review
  7. 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

10 authors at 9 institutions in 1 country.

Akio KodamaDivision of Vascular Surgery, Department of Surgery, Nagoya University School of Medicine.
Mitsuyoshi TakaharaDepartment of Diabetes Care Medicine, and Department of Metabolic Medicine, Osaka University Graduate School of Medicine.
Osamu IidaCardiovascular Center, Kansai Rosai Hospital.
Yoshimitsu SogaDepartment of Cardiology, Kokura Memorial Hospital.
Hiroto TerashiDepartment of Plastic Surgery, Kobe University Graduate School of Medicine.
Daizo KawasakiCardiovascular Center, Morinomiya Hospital.
Yuichi IzumiNayoro City General Hospital.
Shinsuke MiiDepartment of Vascular Surgery, Saiseikai Yahata General Hospital.
Kimihiro KomoriDivision of Vascular Surgery, Department of Surgery, Nagoya University School of Medicine.
Nobuyoshi AzumaDepartment of Vascular Surgery, Asahikawa Medical University.
Nagoya University · JPAsahikawa Medical University · JPKansai Rosai Hospital · JPKobe University · JPKokura Memorial Hospital · JPMorinomiya Hospital · JPNayoro City General Hospital · JPOsaka University · JPSaiseikai Yahata General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimMaintaining functional status through revascularization is a major goal in patients with chronic limb-threatening ischemia (CLTI). Nevertheless, there is a lack of clarity on the impact of revascularization on mobility over time. This study examined ambulatory status over time after revascularization and predictors of ambulation loss in CLTI patients.

methodsWe used a clinical database established by the Surgical reconstruction versus Peripheral INtervention in pAtients with critical limb isCHemia study, a prospective, multicentre, observational study including patients with CLTI. The primary endpoint was mobility over time.

resultsOf the 381 patients, the ambulatory proportion at baseline was 71%. The proportion gradually decreased, finally reaching 40% at 36 months. In non-ambulatory patients at revasacularisation, approximately 20-40% of patients achieved ambulation. Multivariate analysis confirmed that age, impaired mobility before CLTI onset and at revascularization, renal failure on dialysis, and WIfI clinical stage 4 were positively associated with ambulation loss at either specific or all time points, whereas male sex and surgical reconstruction were inversely associated with the outcomes at specific time points.

conclusionMobility in the overall population gradually decreased, whereas the number of deceased patients increased. Advanced age, impaired mobility before CLTI onset and at revascularization, renal failure on dialysis, and WIfI stage 4 were associated with ambulation loss at almost all points after revascularization.

Indexed as

Endovascular ProceduresPeripheral Arterial DiseaseRenal InsufficiencyAmputation, SurgicalChronic Limb-Threatening IschemiaHumansIschemiaLimb SalvageMaleProspective StudiesRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeAmbulatoryAmbulatory statusChronic limb-threatening ischemiaFunctional statusRevascularization

Identifiers

PMID34039832
PMCPMC9174083
OpenAlexW3165214633

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.