Evidence map›Paper›PMID 34169796›Full record

ArticleVascular medicine (London, England)2021

North American lower-extremity revascularization and amputation during COVID-19: Observations from the Vascular Quality Initiative.

Jun-Yang Lou, Kevin F Kennedy, Matthew T Menard, J Dawn Abbott, Eric A Secemsky, Philip P Goodney, Marwan Saad, Peter A Soukas, Omar N Hyder, Herbert D Aronow

Abstract read
In one paragraph

Article in Vascular medicine (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Sex and Racial Disparities in Peripheral Artery Disease.Arteriosclerosis, thrombosis, and vascular biology · 2023
    Review
  5. Article
  6. Editor's Choice - Outcomes of Surgery for Patients with Peripheral Arterial Disease During the COVID-19 Pandemic in the United Kingdom: A Population Based Study.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Jun-Yang LouDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-2628-1288
Kevin F KennedyIndependent statistical Consultant, Kansas City, MO, USA.
Matthew T MenardDivision of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
J Dawn AbbottDivision of Cardiology, Alpert Medical School of Brown University, Providence, RI, USA.
Eric A SecemskyDepartment of Medicine, Division of Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-3861-3163
Philip P GoodneySection of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Marwan SaadDivision of Cardiology, Alpert Medical School of Brown University, Providence, RI, USA.
Peter A SoukasDivision of Cardiology, Alpert Medical School of Brown University, Providence, RI, USA.
Omar N HyderDivision of Cardiology, Alpert Medical School of Brown University, Providence, RI, USA.
Herbert D AronowDivision of Cardiology, Alpert Medical School of Brown University, Providence, RI, USA.ORCID 0000-0002-9061-7893

Funding

Shared Decision-Making to Improve the Health Status of Patients with Claudication: Developing and Implementing Strategies to Individualize Treatment DecisionsK23HL150290 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SECEMSKY, ERIC ALEXANDER · 2020 to 2024
$851k
NHLBI NIH HHS K23 HL150290
6 · The paper itself

Abstract

introductionThe coronavirus disease 2019 (COVID-19) pandemic's impact on vascular procedural volumes and outcomes has not been fully characterized.

methodsVolume and outcome data before (1/2019 - 2/2020), during (3/2020 - 4/2020), and following (5/2020 - 6/2020) the initial pandemic surge were obtained from the Vascular Quality Initiative (VQI). Volume changes were determined using interrupted Poisson time series regression. Adjusted mortality was estimated using multivariable logistic regression.

resultsThe final cohort comprised 57,181 patients from 147 US and Canadian sites. Overall procedure volumes fell 35.2% (95% CI 31.9%, 38.4%,

conclusionThe first North American COVID-19 pandemic surge was associated with a significant and sustained decline in both elective and nonelective lower-extremity vascular procedural volumes. When compared with presurge patients, in-hospital mortality increased for those with claudication and ALI following the surge.

Indexed as

Amputation, SurgicalCOVID-19CanadaChronic Limb-Threatening IschemiaEndovascular ProceduresHumansLimb SalvageLower ExtremityPandemicsPeripheral Arterial DiseaseRetrospective StudiesRisk FactorsSARS-CoV-2Time FactorsTreatment OutcomeCOVID-19endovascular therapyperipheral artery disease (PAD)registriesvascular surgery

Identifiers

PMID34169796
PMCPMC12697315

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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.