Evidence map›Paper›PMID 35579010›Full record

Observational studyCirculation. Cardiovascular interventions2022

One-Year Health Status Outcomes Following Early Invasive and Noninvasive Treatment in Symptomatic Peripheral Artery Disease.

Suveen Angraal, Vittal Hejjaji, Yuanyuan Tang, Kensey L Gosch, Manesh R Patel, Jan Heyligers, Christopher J White, Rudolf Tutein Nolthenius, Carlos Mena-Hurtado, Herbert D Aronow and 7 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Circulation. Cardiovascular interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01419080 (Patient-centered Outcomes Related to TReatment Practices in Peripheral Arterial Disease), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT01419080 completednot on this map

Patient-centered Outcomes Related to TReatment Practices in Peripheral Arterial Disease: Investigating Trajectories (PORTRAIT Registry)

TypeobservationalSponsorSaint Luke's Health SystemRan2013 to 2016Enrolled797ConditionsPeripheral Arterial Disease, Quality of Life, Quality of Care
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 19 citations in OpenAlex.

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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

17 authors at 11 institutions in 5 countries.

Suveen AngraalDepartment of Internal Medicine, University of Missouri Kansas City School of Medicine (S.A.).
Vittal HejjajiDepartment of Cardiology, Saint Luke's Mid America Heart Institute (V.H., J.A.S.), University of Missouri-Kansas City.ORCID 0000-0002-4323-040X
Yuanyuan TangSaint Luke's Mid America Heart Institute, Kansas City, MO (Y.T., K.L.G.).
Kensey L GoschSaint Luke's Mid America Heart Institute, Kansas City, MO (Y.T., K.L.G.).ORCID 0000-0003-2934-6913
Manesh R PatelDivision of Cardiology, Department of Medicine, Duke University Medical Center, Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (M.R.P.).ORCID 0000-0002-2393-0855
Jan HeyligersDepartment of Vascular Surgery, St. Elisabeth Hospital, Tilburg, the Netherlands (J.H.).
Christopher J WhiteDepartment of Cardiology, Ochsner Clinical School, University of Queensland, AU, and Ochsner Health, New Orleans, LA (C.J.W.).
Rudolf Tutein NoltheniusDepartment of (vascular) Surgery, Albert Schweitzer Hospital, Dordrecht, the Netherlands (R.T.N.).
Carlos Mena-HurtadoVascular Medicine Outcomes Program, Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT (C.M.-H., K.G.S.).ORCID 0000-0002-4954-5672
Herbert D AronowDivision of Cardiology, Lifespan Cardiovascular Institute, Alpert Medical School of Brown University, Providence, RI (H.D.A.).ORCID 0000-0002-9061-7893
Gregory L MonetaDivision of Vascular Surgery, Department of Surgery and Knight Cardiovascular Institute, Oregon Health & Science University, Portland (H.D.A., G.L.M.).
Robert FitridgeDepartments of Vascular Surgery, Royal Adelaide and The Queen Elizabeth Hospital, Australia (R.F.).
Peter A SoukasDivision of Cardiovascular Medicine, The Warren Alpert Medical School of Brown University and Lifespan Cardiovascular Institute, Providence, RI (P.A.S., J.D.A.).
J Dawn AbbottDivision of Cardiovascular Medicine, The Warren Alpert Medical School of Brown University and Lifespan Cardiovascular Institute, Providence, RI (P.A.S., J.D.A.).ORCID 0000-0002-2560-0155
Eric A SecemskyDivision of Cardiology (E.A.S.), Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.ORCID 0000-0003-3861-3163
John A SpertusDepartment of Cardiology, Saint Luke's Mid America Heart Institute (V.H., J.A.S.), University of Missouri-Kansas City.ORCID 0000-0002-2839-2611
Kim G SmolderenVascular Medicine Outcomes Program, Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT (C.M.-H., K.G.S.).ORCID 0000-0001-6104-6254
Saint Luke's Hospital · USBrown University · USYale University · USAlbert Schweitzer Ziekenhuis · NLBeth Israel Deaconess Medical Center · USDuke University · USOchsner Health System · USOregon Health & Science University · USRoyal Adelaide Hospital · AUSt. Elisabeth Hospital · CWUniversity of Missouri–Kansas City · US

Funding

Shared Decision-Making to Improve the Health Status of Patients with Claudication: Developing and Implementing Strategies to Individualize Treatment DecisionsK23HL150290 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SECEMSKY, ERIC ALEXANDER · 2020 to 2024
$851k
NHLBI NIH HHS K23 HL150290
6 · The paper itself

Abstract

backgroundLifestyle changes and medications are recommended as the first line of treatment for claudication, with revascularization considered for treatment-resistant symptoms, based on patients' preferences. Real-world evidence comparing health status outcomes of early invasive with noninvasive management strategies is lacking.

methodsIn the international multicenter prospective observational PORTRAIT (Patient-Centered Outcomes Related to Treatment Practices in Peripheral Arterial Disease: Investigating Trajectories) registry, disease-specific health status was assessed by the Peripheral Artery Questionnaire in patients with new-onset or worsening claudication at presentation and 3, 6, and 12 months later. One-year health status trajectories were compared by early revascularization versus noninvasive management on a propensity-matched sample using hierarchical generalized linear models for repeated measures adjusted for baseline health status.

resultsIn a propensity-matched sample of 1000 patients (67.4±9.3 years, 62.8% male, and 82.4% White), 297 (29.7%) underwent early revascularization and 703 (70.3%) were managed noninvasively. Over 1 year of follow-up, patients who underwent early invasive management reported significantly higher health status than patients managed noninvasively (interaction term for time and treatment strategy;

conclusionsPatients with claudication undergoing early invasive treatment had greater health status improvements over the course of 1 year than those treated noninvasively. These data can be used to support shared decision-making with patients. REGISTRATION: URL: https://www. CLINICALTRIALS: gov; Unique identifier: NCT01419080.

Indexed as

Peripheral Arterial DiseaseQuality of LifeFemaleHealth StatusHumansIntermittent ClaudicationMaleProspective StudiesTreatment Outcomehealth statuslife stylepatient preferencesquality of liferegistries

Identifiers

PMID35579010
PMCPMC11299756
OpenAlexW4280589630

What OpenQuestion holds

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Registered trials

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.