Evidence map›Paper›PMID 35268510›Full record

ArticleJournal of clinical medicine2022

Procedural Outcomes in Patients Treated with Percutaneous Coronary Interventions within Chronic Total Occlusions Stratified by Gender.

Zbigniew Siudak, Leszek Bryniarski, Krzysztof Piotr Malinowski, Wojciech Wańha, Wojciech Wojakowski, Sławomir Surowiec, Robert Balan, Sławomir Januszek, Artur Pawlik, Natalia Siwiec and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. 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
1.1field-weighted citation impact, top 24% 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, 7 citations in OpenAlex.

  1. Article
  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

16 authors at 5 institutions in 2 countries.

Zbigniew SiudakFaculty of Medicine and Health Sciences, Jan Kochanowski University, 25-317 Kielce, Poland.
Leszek Bryniarski2nd Department of Cardiology and Cardiovascular Interventions, Institute of Cardiology, Jagiellonian University Medical College, 31-202 Krakow, Poland.
Krzysztof Piotr MalinowskiDepartment of Bioinformatics and Telemedicine, Faculty of Medicine, Jagiellonian University Medical College, 31-530 Krakow, Poland.ORCID 0000-0003-2189-0498
Wojciech WańhaDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia, 40-635 Katowice, Poland.ORCID 0000-0003-1220-9496
Wojciech WojakowskiDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia, 40-635 Katowice, Poland.ORCID 0000-0002-3681-5207
Sławomir SurowiecDepartment of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Krakow, Poland.
Robert BalanDepartment of Cardiac Surgery, Klinikum Passau, 94-032 Passau, Germany.
Sławomir JanuszekDepartment of Gynecology and Obstetrics, Fryderyk Chopin University Hospital No. 1, 35-055 Rzeszow, Poland.
Artur PawlikDepartment of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Krakow, Poland.
Natalia SiwiecDepartment of Gynecology and Obstetrics, Fryderyk Chopin University Hospital No. 1, 35-055 Rzeszow, Poland.
Krzysztof BryniarskiDepartment of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital, 31-202 Krakow, Poland.
Andrzej Surdacki2nd Department of Cardiology and Cardiovascular Interventions, Institute of Cardiology, Jagiellonian University Medical College, 31-202 Krakow, Poland.ORCID 0000-0001-7949-3140
Jacek LegutkoDepartment of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital, 31-202 Krakow, Poland.
Krzysztof BartuśDepartment of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, John Paul II Hospital, 31-202 Krakow, Poland.
Stanisław Bartuś2nd Department of Cardiology and Cardiovascular Interventions, Institute of Cardiology, Jagiellonian University Medical College, 31-202 Krakow, Poland.
Rafał JanuszekDepartment of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Krakow, Poland.ORCID 0000-0002-6591-1919
Jagiellonian University · PLFryderyk Chopin University of Music · PLMedical University of Silesia · PLJan Kochanowski University · PLKlinikum Passau · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It has been demonstrated that gender differences are related to different procedural and long-term clinical outcomes among a general patient population treated using percutaneous coronary interventions (PCI). The objective of our analysis was to conduct assessment regarding the relationship between gender and procedural outcomes in patients treated for PCI regarding chronic total occlusions (CTO), based on a large, real-life registry. Data used to conduct the following analysis was derived from the national registry of percutaneous coronary interventions (ORPKI), upheld in co-operation with the Association of Cardiovascular Interventions (AISN) of the Polish Cardiac Society. The study involved data procured from the registry within the period from January 2014 to December 2020. All subsequent CTO procedures recorded in the registry during that period were included in the analysis. We assessed the correlation between gender and the overall rate of periprocedural complications, procedure-related mortality, and success evaluated as TIMI flow grade 3 after the procedure by univariate and multivariable modeling. At the time of conducting our investigation, there were 162 existing and active CathLabs, at which 747,033 PCI procedures were carried out during the observational period. Of those, 14,903 (1.99%) were CTO-PCI procedures, and 3726 were women (25%). The percentage share between genders did not experience any significant changes during the consecutive years observed in the current analysis. Overall periprocedural complication rate was greater among women than men (3.45% vs. 2.31%, p = 0.02). A comparable relationship was noted for procedural mortality (0.7% vs. 0.2%, p = 0.006), while procedural success occurred more often in the case of women (69.3% vs. 65.2%, p < 0.001). Women were found to be more frequently affected by periprocedural complications (OR = 1.553; 95%CI: 1.212−1.99, p < 0.001) as well as procedural success (OR = 1.294; 95%CI: 1.151−1.454, p < 0.001), evaluated using multivariable models. Based on the current analysis performed on all-comer patients treated using PCI in CTO, women are affected by more frequent procedural complication occurrence as well as greater procedural success compared to men.

Indexed as

chronic total occlusiongenderpercutaneous coronary interventionperiprocedural complicationprocedural mortalityprocedural success

Identifiers

PMID35268510
PMCPMC8911020
OpenAlexW4220908347

What OpenQuestion holds

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LicenceCC BY
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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.