Evidence map›Paper›PMID 34629988›Full record

ArticleJournal of interventional cardiology2021

A Novel Clinical Scoring Model for Interventional Therapy in Chronic Total Occlusion of the Coronary Artery.

Bin Xiao, Lang Hong, Xinyong Cai, Hongmin Zhu, Bin Li, Liang Shao

Open access · goldAbstract read
In one paragraph

Article in Journal of interventional cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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

6 authors at 1 institution in 1 country.

Bin XiaoJiangxi Provincial People's Hospital Affiliated to Nanchang University, No. 92 Aiguo Road, Donghu District, Nanchang 330006, Jiangxi, China.
Lang HongJiangxi Provincial People's Hospital Affiliated to Nanchang University, No. 92 Aiguo Road, Donghu District, Nanchang 330006, Jiangxi, China.
Xinyong CaiJiangxi Provincial People's Hospital Affiliated to Nanchang University, No. 92 Aiguo Road, Donghu District, Nanchang 330006, Jiangxi, China.
Hongmin ZhuJiangxi Provincial People's Hospital Affiliated to Nanchang University, No. 92 Aiguo Road, Donghu District, Nanchang 330006, Jiangxi, China.
Bin LiJiangxi Provincial People's Hospital Affiliated to Nanchang University, No. 92 Aiguo Road, Donghu District, Nanchang 330006, Jiangxi, China.
Liang ShaoJiangxi Provincial People's Hospital Affiliated to Nanchang University, No. 92 Aiguo Road, Donghu District, Nanchang 330006, Jiangxi, China.ORCID https://orcid.org/0000-0003-2676-3332
Nanchang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWith the rapid development of technology and experience, the current percutaneous coronary intervention of chronic total occlusion (CTO-PCI) preoperative scoring model needs to be updated. This study aimed to evaluate the clinical value of the operator-CTO score in predicting the outcome of interventional therapy for chronic total occlusion of the coronary artery.

methodsThe data of 144 lesions in 130 patients with CTO were analyzed prospectively. The CTO procedures were performed by 10 operators with different skills and experiences. Before the procedures, J-CTO, progress, ORA, recharge, and operator-CTO scores were determined. Then, the clinical, imaging, and procedural data of patients in different operator-CTO score groups and between different operators were compared. The final focus was on comparing the predictive ability of each score on the outcome of CTO-PCI.

resultsThe overall technical and procedural success rates were 90.9% and 88.9%, respectively. A decreasing trend in the technical success of CTO-PCI was observed according to the operator-CTO score hierarchy of "easy (≤2 points), moderate (3 points), difficult (4 points), and extremely difficult (≥5 points)" (99.0%, 87.5%, 53.8%, and 25.0%, respectively). All five scoring models were well calibrated, and the area under the curve (AUC) for the operator-CTO score was 0.901 (95% CI: 0.821-0.982,

conclusionThe operator-CTO score is a new clinical scoring tool that can predict the outcome of CTO-PCI and can be used to grade the difficulty of the procedure, with the potential to work well with a broad group of operators.

Indexed as

Coronary OcclusionPercutaneous Coronary InterventionChronic DiseaseCoronary AngiographyCoronary VesselsHumansPredictive Value of TestsRegistriesRisk FactorsTreatment Outcome

Identifiers

PMID34629988
PMCPMC8463195
OpenAlexW3200810150

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.