Evidence map›Paper›PMID 35621222›Full record

Trial reportJournal of the American Heart Association2022

Total Cardiovascular and Limb Events and the Impact of Polyvascular Disease in Chronic Symptomatic Peripheral Artery Disease.

Michael Szarek, Connie Hess, Manesh R Patel, W Schuyler Jones, Jeffrey S Berger, Iris Baumgartner, Brian Katona, Kenneth W Mahaffey, Lars Norgren, Juuso Blomster and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. 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

14 authors at 10 institutions in 5 countries.

Michael SzarekCPC Clinical Research Aurora CO.ORCID 0000-0002-0046-0264
Connie HessCPC Clinical Research Aurora CO.
Manesh R PatelDuke Clinical Research Institute Durham NC.ORCID 0000-0002-2393-0855
W Schuyler JonesDuke Clinical Research Institute Durham NC.ORCID 0000-0002-7288-9596
Jeffrey S BergerNew York University School of Medicine New York NY.ORCID 0000-0001-8216-4647
Iris BaumgartnerSwiss Cardiovascular CenterInselspitalBern University HospitalUniversity of Bern Switzerland.
Brian KatonaAstraZeneca Gaithersburg Gaithersburg MD.ORCID 0000-0002-0682-7979
Kenneth W MahaffeyStanford Center for Clinical Research Stanford University School of Medicine Stanford CA.
Lars NorgrenFaculty of Medicine and Health Örebro University Örebro Sweden.ORCID 0000-0003-2071-7132
Juuso BlomsterTurku University Hospital Turku Finland.
Frank W RockholdDuke Clinical Research Institute Durham NC.ORCID 0000-0003-3732-4765
Judith HsiaCPC Clinical Research Aurora CO.ORCID 0000-0002-3413-7836
F Gerry R FowkesUsher Institute of Population Health Sciences and Informatics University of Edinburgh Edinburgh UK.
Marc P BonacaCPC Clinical Research Aurora CO.ORCID 0000-0002-9860-3584
Clinical Research Institute · USThe Medical Center of Aurora · USAstraZeneca (United States) · USCenter for Clinical Research (United States) · USNew York University · USÖrebro University · SESUNY Downstate Health Sciences University · USTurku University Hospital · FIUniversity of Bern · CHUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Peripheral artery disease (PAD) is associated with heightened risk for major adverse cardiovascular and limb events, but data on the burden of risk for total (first and potentially subsequent) events, and the association with polyvascular disease, are limited. This post hoc analysis of the EUCLID (Examining Use of Ticagrelor in Peripheral Artery Disease) trial evaluated total cardiovascular and limb events among patients with symptomatic PAD, overall and by number of symptomatic vascular territories. Methods and Results In the EUCLID trial, patients with symptomatic PAD (lower extremity revascularization >30 days before randomization or ankle-brachial index ≤0.80) were randomized to treatment with ticagrelor or clopidogrel. Relative effects on total events (cardiovascular death; nonfatal myocardial infarction and ischemic stroke; acute limb ischemia, unstable angina, and transient ischemic attack requiring hospitalization; coronary, carotid, and peripheral revascularization procedures; and amputation for symptomatic PAD) were summarized by hazard ratios (HRs), whereas absolute risks were estimated by incidence rates and mean cumulative functions. Among 13 885 randomized patients, 7600 total cardiovascular and limb events occurred during a median 2.7 years of follow-up, translating to 60.0 and 62.5 events per 100 patients through 3 years for the ticagrelor and clopidogrel groups, respectively (HR, 0.96; 95% CI, 0.89-1.03;

Indexed as

Peripheral Arterial DiseasePlatelet Aggregation InhibitorsClopidogrelHumansLower ExtremityTicagrelorTreatment OutcomeClopidogrelPlatelet Aggregation InhibitorsTicagrelorclopidogrelperipheral artery diseasepolyvascular diseaseticagrelortotal events

Identifiers

PMID35621222
PMCPMC9238734
OpenAlexW4281955918

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.