Evidence map›Paper›PMID 34135011›Full record

SynthesisBMJ (Clinical research ed.)2021

P2Y12 inhibitor monotherapy or dual antiplatelet therapy after coronary revascularisation: individual patient level meta-analysis of randomised controlled trials.

Marco Valgimigli, Felice Gragnano, Mattia Branca, Anna Franzone, Usman Baber, Yangsoo Jang, Takeshi Kimura, Joo-Yong Hahn, Qiang Zhao, Stephan Windecker and 17 more

Erratum issuedOpen access · hybridAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 102 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 10 pooled it
35.2field-weighted citation impact, top 1% 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

102 citing papers in PubMed, 10 syntheses or guidelines pooled it, 250 citations in OpenAlex.

  1. Pooled it
  2. P2YJournal of the American Heart Association · 2025
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  3. P2YReviews in cardiovascular medicine · 2023
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  12. Extent of coronary artery disease and clinical outcomes with ticagrelor monotherapy versus aspirin after coronary artery bypass grafting: insights from the TiCAB trial.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
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  16. Ticagrelor with and without aspirin in patients with a prior coronary artery bypass graft undergoing percutaneous coronary intervention: the TWILIGHT-CABG study.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
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42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 16 institutions in 11 countries.

Marco ValgimigliCardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland.ORCID 0000-0002-4353-7110
Felice GragnanoDepartment of Translational Medical Sciences, University of Campania Luigi Vanvitelli, Caserta, Italy.
Mattia BrancaClinical Trials Unit, Bern, Switzerland.
Anna FranzoneDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Usman BaberIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Yangsoo JangSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Takeshi KimuraDepartment of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Joo-Yong HahnHeart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Qiang ZhaoDepartment of Cardiovascular Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Stephan WindeckerDepartment of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland.
Charles M GibsonDivision of Cardiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Byeong-Keuk KimSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Hirotoshi WatanabeDepartment of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Young Bin SongHeart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yunpeng ZhuDepartment of Cardiovascular Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Pascal VranckxDepartment of Cardiology and Critical Care Medicine, Hartcentrum Hasselt, Jessa Ziekenhuis, Belgium.
Shamir MehtaDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Sung-Jin HongSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Kenji AndoKokura Memorial Hospital, Department of Cardiology, Kitakyushu, Japan.
Hyeon-Cheol GwonHeart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Patrick W SerruysDepartment of Cardiology, National University of Ireland Galway, Galway, Ireland.
George D DangasIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Eùgene P McFaddenCardialysis Core Laboratories and Clinical Trial Management, Rotterdam, Netherlands.
Dominick J AngiolilloDivision of Cardiology, University of Florida College of Medicine, Jacksonville, FL, USA.
Dik HegClinical Trials Unit, Bern, Switzerland.
Peter JüniApplied Health Research Centre of the Li Ka Shing Knowledge Institute, Department of Medicine, St Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Roxana MehranIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Icahn School of Medicine at Mount Sinai · USSamsung Medical Center · KRYonsei University · KRKyoto University · JPShanghai Jiao Tong University · CNUniversity of Bern · CHBeth Israel Deaconess Medical Center · USCork University Hospital · IEHamilton Health Sciences · CAJessa Hospital · BEKokura Memorial Hospital · JPOllscoil na Gaillimhe – University of Galway · IESt. Michael's Hospital · CAUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Florida · USUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the risks and benefits of P2Y

designIndividual patient level meta-analysis of randomised controlled trials. DATA SOURCES: Searches were conducted in Ovid Medline, Embase, and three websites (www.tctmd.com, www.escardio.org, www.acc.org/cardiosourceplus) from inception to 16 July 2020. The primary authors provided individual participant data. ELIGIBILITY CRITERIA: Randomised controlled trials comparing effects of oral P2Y

main outcome measuresThe primary outcome was a composite of all cause death, myocardial infarction, and stroke, tested for non-inferiority against a margin of 1.15 for the hazard ratio. The key safety endpoint was Bleeding Academic Research Consortium (BARC) type 3 or type 5 bleeding.

resultsThe meta-analysis included data from six trials, including 24 096 patients. The primary outcome occurred in 283 (2.95%) patients with P2Y

conclusionsP2Y REGISTRATION: PROSPERO CRD42020176853.

Indexed as

AgedCoronary Artery DiseaseDual Anti-Platelet TherapyFemaleHemorrhageHumansMaleMiddle AgedMortalityMyocardial InfarctionOutcome Assessment, Health CarePercutaneous Coronary InterventionPurinergic P2Y Receptor AntagonistsRandomized Controlled Trials as TopicRisk AssessmentStrokePurinergic P2Y Receptor Antagonists

Identifiers

PMID34135011
PMCPMC8207247
OpenAlexW3169785013

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.