Evidence map›Paper›PMID 35912444›Full record

ReviewDeutsches Arzteblatt international2022

The Treatment of Coronary Artery Disease—Current Status Six Decades After the First Bypass Operation.

Torsten Doenst, Holger Thiele, Jörg Haasenritter, Thorsten Wahlers, Steffen Massberg, Axel Haverich

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Deutsches Arzteblatt international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

54 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

6 authors.

Torsten DoenstDepartment of Cardiothoracic Surgery at Jena University Hospital, Friedrich-Schiller University of Jena; University Department of Cardiology, Leipzig Heart Center; Department of General Practice, Preventive and Rehabilitation Medicine, Philipps University of Marburg; Department of Heart Surgery, Intensive Care Medicine and Thoracic Surgery at University Hospital of Cologne; Medical Clinic and Polyclinic I, University Hospital of Ludwig Maximilian University of Munich; German Center for Cardiovascular Research (DZHK); Department of Cardiothoracic, Transplantation and Vascular Surgery, Hanover Medical School.
Holger Thiele
Jörg Haasenritter
Thorsten Wahlers
Steffen Massberg
Axel Haverich

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe first coronary artery bypass operation (CABG) was performed on May 2, 1960. The first percutaneous coro - nary intervention (PCI) was performed almost 20 years later. Since then, the invasive treatment of coronary artery disease (CAD) has moved into the spotlight of cardiac medical care.

methodsWe summarize the current status of medical and invasive CAD treatment through a selective review of the literature.

resultsMore than 800 000 patients currently undergo invasive diagnostic and therapeutic procedures for CAD in Germany each year. The number of coronary artery bypass grafting (CABG) procedures rose to 65 000/year by the turn of the millennium and has been declining since then. In contrast, the number of PCIs in Germany rose to approximately 350 000/year by 2017, and a beginning decline is being observed at present. This development occurred even though, for elective patients, a survival advantage from an invasive procedure compared to medical therapy has been shown in direct comparison only for CABG.

conclusionConservative treatment is always the baseline treatment and has undergone major advances in the last few decades. Moreover, non-invasive coronary evaluation with computed tomography, as well as non-invasive cardiac stress imaging studies, are increasingly replacing primary invasive coronary evaluations. In this review, we illustrate a mechanistic concept of the appropriate use of CABG and PCI that can improve patient care, while underscoring the importance of interdisciplinary and intersectoral collaboration.

Indexed as

Coronary Artery DiseasePercutaneous Coronary InterventionConservative TreatmentCoronary Artery BypassHumansTreatment Outcome

Identifiers

PMID35912444
PMCPMC9835700

What OpenQuestion holds

Textmetadata
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.