Evidence map›Paper›PMID 34682831›Full record

ArticleJournal of clinical medicine2021

Coronary Artery Disease in Patients Older than 35 and Eligible for Cardiovascular Secondary Prevention: An Italian Retrospective Observational Analysis of Healthcare Administrative Databases.

Silvia Calabria, Giulia Ronconi, Letizia Dondi, Carlo Piccinni, Enrico Cinconze, Antonella Pedrini, Immacolata Esposito, Alice Addesi, Nello Martini, Aldo Pietro Maggioni

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Article
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

10 authors at 1 institution in 1 country.

Silvia CalabriaFondazione Ricerca e Salute (ReS)-Research and Health Foundation, Casalecchio di Reno, 40033 Bologna, Italy.ORCID 0000-0001-9345-2855
Giulia RonconiFondazione Ricerca e Salute (ReS)-Research and Health Foundation, Casalecchio di Reno, 40033 Bologna, Italy.
Letizia DondiFondazione Ricerca e Salute (ReS)-Research and Health Foundation, Casalecchio di Reno, 40033 Bologna, Italy.
Carlo PiccinniFondazione Ricerca e Salute (ReS)-Research and Health Foundation, Casalecchio di Reno, 40033 Bologna, Italy.ORCID 0000-0002-8648-8961
Enrico CinconzeFondazione Ricerca e Salute (ReS)-Research and Health Foundation, Casalecchio di Reno, 40033 Bologna, Italy.
Antonella PedriniFondazione Ricerca e Salute (ReS)-Research and Health Foundation, Casalecchio di Reno, 40033 Bologna, Italy.
Immacolata EspositoDrugs & Health srl, 00187 Rome, Italy.
Alice AddesiDrugs & Health srl, 00187 Rome, Italy.
Nello MartiniFondazione Ricerca e Salute (ReS)-Research and Health Foundation, Casalecchio di Reno, 40033 Bologna, Italy.
Aldo Pietro MaggioniFondazione Ricerca e Salute (ReS)-Research and Health Foundation, Casalecchio di Reno, 40033 Bologna, Italy.ORCID 0000-0003-2764-6779
Associazione Nazionale Medici Cardiologi Ospedalieri · IT

Funding

Acarpia Farmaceutici S.r.l. None
6 · The paper itself

Abstract

backgroundThis study describes patients with coronary artery disease (CAD) who are eligible for secondary prevention and assesses their healthcare consumption and costs from the perspective of the Italian National Health Service (INHS).

methodsFrom the Fondazione Ricerca e Salute's database, which collects Italian healthcare administrative data, all patients aged ≥ 35, with ≥1 primary in-hospital CAD diagnosis and/or procedure on the coronary arteries, or with the specific disease exemption code, and who are suitable for long-term secondary prevention treatments, were identified in 2018 and analyzed. Demographics, comorbidities, one-year supplied drugs, hospitalizations, and costs were analyzed.

resultsFrom >3 million inhabitants aged ≥ 35, 46,063 (1.3%) were identified (72.1% males, mean age 70 ± 12; approximately 50% with ≥3 comorbidities). During a one-year follow-up, 96.4% were treated with ≥1 drug for secondary prevention (mainly antiplatelets and lipid lowering agents), 69.4% with ≥1 concomitant cardiovascular drug, and 95.8% with ≥1 concomitant non-cardiovascular therapy. Within one year, 30.6% of patients were hospitalized at least once, mostly due to non-cardiovascular events. Calculated by mean, the INHS paid EUR 6078 per patient.

conclusionsThis analysis confirms the relevant burden of CAD for patients with many comorbidities and who are frequently hospitalized, and the burden on the INHS. A multidisciplinary healthcare approach is encouraged to improve patients' outcomes and reduce costs for the INHS.

Indexed as

coronary artery diseasedatabasepublic healthsecondary prevention

Identifiers

PMID34682831
PMCPMC8540912
OpenAlexW3205476870

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.