Evidence map›Paper›PMID 35876124›Full record

Trial reportJournal of diabetes2022

Health utilities in Chinese patients with coronary heart disease and impaired glucose tolerance (ACE): A longitudinal analysis of a randomized, double-blind, placebo-controlled trial.

José Leal, Frauke Becker, Lee-Ling Lim, Rury R Holman, Alastair M Gray

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. 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

5 authors at 2 institutions in 2 countries.

José LealHealth Economics Research Centre, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0001-7870-6730
Frauke BeckerHealth Economics Research Centre, University of Oxford, Oxford, UK.
Lee-Ling LimDepartment of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Rury R HolmanDiabetes Trials Unit, University of Oxford, Oxford, UK.
Alastair M GrayHealth Economics Research Centre, University of Oxford, Oxford, UK.
University of Oxford · GBUniversity of Malaya · MY

Funding

Bayer AGInnovative Medicines Initiative 2 Joint Undertaking 115881 (RHAPSODY)Medical Research Council MR/T018593/1NIHRNIHR Oxford Biomedical Research Centre
6 · The paper itself

Abstract

backgroundWe estimate health-related quality of life and the impact of four cardiovascular events (myocardial infarction [MI], stroke, congestive heart failure, angina) and gastrointestinal events in 6522 Chinese patients with coronary heart disease (CHD) and impaired glucose tolerance (IGT) participating in the Acarbose Cardiovascular Evaluation (ACE) trial.

methodsHealth-related quality of life was captured using the EuroQol-5 Dimension-3 Level (EQ-5D-3L), with data collected at baseline and throughout the trial. Multilevel mixed-effects linear regression with random effects estimated health-related quality of life over time, capturing variation between hospital sites and individuals, and a fixed-effects linear model estimated the impact of cardiovascular and gastrointestinal events.

resultsPatients were followed for a median of 5 years (interquartile range 3.4-6.0). The average baseline EQ-5D score of 0.930 (SD 0.104) remained relatively unchanged over the trial period with no evidence of statistically significant differences in EQ-5D score between randomized treatment groups. The largest decrement in the year of an event was estimated for stroke (-0.107, P < .001), followed by heart failure (-0.039, P = .022), MI (-0.021, P = .047), angina (-0.012, P = .047), and gastrointestinal events (-0.005, P = .430). MI and stroke reduced health-related quality of life beyond the year in which the event occurred (-0.031, P = .006, and -0.067, P < .001, respectively).

conclusionsAcarbose treatment had no impact on health-related quality of life in ACE trial participants with CHD and IGT. Events such as MI, stroke, heart failure, and angina reduce health-related quality of life around the time they occurred, but only MI and stroke impacted on longer-term health-related quality of life.

Indexed as

Coronary DiseaseGlucose IntoleranceHeart FailureMyocardial InfarctionStrokeAcarboseChinaHumansQuality of LifeAcarbosecerebrovascular diseaseseconomicsprediabetic statequality of lifevascular diseases生活质量糖尿病前期状态经济学脑血管疾病血管疾病

Identifiers

PMID35876124
PMCPMC9310045
OpenAlexW4287221819

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.