Evidence map›Paper›PMID 34238026›Full record

Trial reportJournal of the American Heart Association2021

Ten-year Outcomes After Drug-Eluting Stents or Bypass Surgery for Left Main Coronary Disease in Patients With and Without Diabetes Mellitus: The PRECOMBAT Extended Follow-Up Study.

Yeong Jin Jeong, Jung-Min Ahn, Junho Hyun, Junghoon Lee, Ju Hyeon Kim, Yujin Yang, Kyungjin Choe, Hanbit Park, Do-Yoon Kang, Pil Hyung Lee and 7 more

Open access · goldAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.0field-weighted citation impact, top 6% 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, 24 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Treatment of Left Main Disease: Let the Patient Choose.Journal of the American Heart Association · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Yeong Jin JeongDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Jung-Min AhnDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Junho HyunDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Junghoon LeeDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Ju Hyeon KimDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Yujin YangDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Kyungjin ChoeDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Hanbit ParkDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Do-Yoon KangDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Pil Hyung LeeDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Soo-Jin KangDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Seung-Whan LeeDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Young-Hak KimDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Cheol Whan LeeDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Seong-Wook ParkDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Seung-Jung ParkDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Duk-Woo ParkDepartment of Cardiology Asan Medical CenterUniversity of Ulsan College of Medicine Seoul Korea.
Ulsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Several trials reported differential outcomes after percutaneous coronary intervention with drug-eluting stents (DES) and coronary-artery bypass grafting (CABG) for multivessel coronary disease according to the presence of diabetes mellitus (DM). However, it is not well recognized how DM status affects very-long-term (10-year) outcomes after DES and CABG for left main coronary artery disease. Methods and Results In the PRECOMBAT (Premier of Randomized Comparison of Bypass Surgery versus Angioplasty using Sirolimus-Eluting Stent in Patients with Left Main Coronary Artery Disease) trial, patients with LMCA were randomly assigned to undergo PCI with sirolimus-eluting stents (n=300) or CABG (n=300). The primary outcome was the incidence of major adverse cardiac or cerebrovascular events (MACCE; a composite of death from any cause, myocardial infarction, stroke, or ischemia-driven target-vessel revascularization). Outcomes were examined in patients with (n=192) and without (n=408) medically treated diabetes. The follow-up was extended to at least 10 years for all patients (median, 11.3 years). The 10-year rates of MACCE were not significantly different between DES and CABG in patients with DM (36.3% versus 26.7%, respectively; hazard ratio [HR], 1.35; 95% CI, 0.83-2.19;

Indexed as

Drug-Eluting StentsAgedCoronary Artery BypassCoronary Artery DiseaseDiabetes MellitusFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPercutaneous Coronary InterventionProportional Hazards ModelsRepublic of KoreaRetrospective StudiesRisk FactorsSirolimuscoronary artery bypass graftingdrug‐eluting stentsleft main coronary artery diseasepercutaneous coronary intervention

Identifiers

PMID34238026
PMCPMC8483465
OpenAlexW3179654261

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.