Evidence map›Paper›PMID 34585767›Full record

Observational studyClinical cardiology2021

Prevalence of atherosclerotic cardiovascular disease and subsequent major adverse cardiovascular events in Alberta, Canada: A real-world evidence study.

Guanmin Chen, Megan S Farris, Tara Cowling, Lionel Pinto, Raina M Rogoza, Erin MacKinnon, Salimah Champsi, Todd J Anderson

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  12. Novel Insights into the Molecular Mechanisms of Atherosclerosis.International journal of molecular sciences · 2023
    Review
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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

8 authors at 3 institutions in 3 countries.

Guanmin ChenMedlior Health Outcomes Research Ltd., Calgary, Alberta, Canada.
Megan S FarrisMedlior Health Outcomes Research Ltd., Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-0640-9512
Tara CowlingMedlior Health Outcomes Research Ltd., Calgary, Alberta, Canada.
Lionel PintoAmgen Inc., Thousand Oaks, California, USA.
Raina M RogozaAmgen Canada Inc., Mississauga, Ontario, Canada.
Erin MacKinnonAmgen Canada Inc., Mississauga, Ontario, Canada.
Salimah ChampsiAmgen Canada Inc., Mississauga, Ontario, Canada.
Todd J AndersonLibin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
Amgen (United States) · USHealth Economics and Outcomes Research (United Kingdom) · GBUniversity of Calgary · CA

Funding

Amgen Inc.
6 · The paper itself

Abstract

backgroundAtherosclerotic cardiovascular disease (ASCVD) is a leading cause of morbidity and mortality worldwide. Data from Canadian populations regarding the burden of ASCVD are limited. Therefore, we describe the 5-year period prevalence of ASCVD and subsequent major adverse cardiovascular event (MACE) outcomes among patients with ASCVD in Alberta, Canada.

methodsA retrospective, observational study was conducted by linking provincial health services data, vital statistics, and pharmaceutical dispenses data. Five-year period prevalence of clinical ASCVD was captured between 2011 and 2016, and a cohort of adult patients with an initial clinical ASCVD event were identified between 2012 and 2016. One-year incidence rates (IRs) of subsequent MACE outcomes were calculated as composite and individual measures. A subgroup of patients with acute myocardial infarction (AMI) as their index event was examined.

resultsThere were 198 573 patients (mean [standard deviation] age: 63.9 [15.6] years; 56.6% males) identified with clinical ASCVD between 2012 and 2016. Overall, the 5-year period prevalence of ASCVD in Alberta was 89.9 per 1000 persons and the 1-year IR for a primary MACE outcome was 6.15 (95% confidence interval [CI]: 6.03-6.26) per 100 person-years. Among the ASCVD cohort, 9465 had an AMI as their index event and the IR for a primary MACE outcome was 14.30 (95% CI: 13.45-15.20) per 100 person-years.

conclusionsThis study found that the prevalence of ASCVD and the rate of subsequent MACE outcomes 1 year following the initial ASCVD event are substantial, particularly among patients with an AMI. Secondary prevention strategies aimed at lowering this risk are needed for patients with ASCVD.

Indexed as

AtherosclerosisCardiovascular DiseasesAdolescentAdultAlbertaFemaleHumansMalePrevalenceRetrospective StudiesRisk AssessmentRisk Factorsacute myocardial infarctionatherosclerotic cardiovascular diseasemajor adverse cardiovascular eventsprevalencereal-world evidence

Identifiers

PMID34585767
PMCPMC8571560
OpenAlexW3202122649

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.