Evidence map›Paper›PMID 34992158›Full record

SynthesisOpen heart2022

Colchicine for symptomatic coronary artery disease after percutaneous coronary intervention.

Kah Long Aw, Amanda Koh, Han Lin Lee, Aurimas Kudzinskas, Rodney De Palma

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Open heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
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  3. Article
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  5. Review
  6. Review
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

5 authors at 4 institutions in 1 country.

Kah Long Aw *Oxford University Hospitals NHS Trust, Oxford, UK awkahlong@gmail.com.ORCID 0000-0003-4405-576X
Amanda Koh *Imperial College Healthcare NHS Trust, London, UK.
Han Lin LeeRoyal Berkshire NHS Foundation Trust, Reading, UK.
Aurimas KudzinskasOxford University Hospitals NHS Trust, Oxford, UK.
Rodney De PalmaWycombe Hospital Department of Cardiology, Buckinghamshire Healthcare NHS Trust, High Wycombe, UK.
Buckinghamshire Healthcare NHS Trust · GBImperial College Healthcare NHS Trust · GBOxford University Hospitals NHS Trust · GBRoyal Berkshire NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous coronary intervention (PCI), the preferred coronary reperfusion strategy, induces endothelial trauma which may mount an inflammatory response. This has been shown to increase the likelihood of further major adverse cardiovascular events (MACE). Colchicine, a cheap and widely used anti-inflammatory has shown promise in improving cardiovascular outcomes. We aimed to perform a systematic review and meta-analysis to study the effects of colchicine in patients with symptomatic coronary artery disease (CAD) who have undergone PCI.

methodWe systematically reviewed and meta-analysed 7 randomised controlled trials including a total of 6660 patients (colchicine group: 3347, control group: 3313; mean age=60.9±10). Six studies included participants who had a ≤13.5-day history of acute coronary syndrome (ACS). One study included patients with both ACS and chronic coronary syndrome. The follow-up of studies ranged from 3 days to 22.6 months.

resultsThe use of colchicine in patients who underwent PCI significantly reduced MACE outcomes (risk ratio 0.73 (95% CI 0.61 to 0.87); p=0.0003) with minimal heterogeneity across the analysis (I

conclusionColchicine significantly reduced the risk of MACE in patients with CAD who underwent PCI, mostly in the reduction of repeat vessel revascularisation, stroke and stent thrombosis. The efficacy of colchicine should be further studied by distinguishing its use alongside different stent types and dosing regimens. PROSPERO REGISTRATION NUMBER: CRD42021245699.

Indexed as

ColchicineCoronary Artery DiseaseHumansPercutaneous Coronary InterventionPostoperative CarePostoperative ComplicationsTubulin ModulatorsColchicineTubulin Modulatorsacute coronary syndromecoronary artery diseaseinflammationpercutaneous coronary interventionstroke

Identifiers

PMID34992158
PMCPMC8739658
OpenAlexW4206787145

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.