Evidence map›Paper›PMID 35938403›Full record

ArticleCirculation. Cardiovascular interventions2022

Sex-Based Differences in Periprocedural Complications Following Lower Extremity Peripheral Vascular Intervention.

S Elissa Altin, Mauro Gitto, Eric A Secemsky, Sunil V Rao, Connie N Hess

Open access · greenAbstract read
In one paragraph

Article in Circulation. Cardiovascular interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Sex and Racial Disparities in Peripheral Artery Disease.Arteriosclerosis, thrombosis, and vascular biology · 2023
    Review
  7. Article
  8. A hidden problem: peripheral artery disease in women.European heart journal. Quality of care & clinical outcomes · 2023
    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

5 authors at 5 institutions in 2 countries.

S Elissa AltinSection of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT (S.E.A.).ORCID 0000-0001-9997-5606
Mauro GittoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy (M.G.).ORCID 0000-0002-4936-3860
Eric A SecemskyRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (E.A.S.).ORCID 0000-0003-3861-3163
Sunil V RaoThe Duke Clinical Research Institute, Durham, NC (S.V.R.).ORCID 0000-0003-2914-0894
Connie N HessDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora (C.N.H.).ORCID 0000-0002-5830-0511
Clinical Research Institute · USDeaconess Hospital · USHumanitas University · ITThe Medical Center of Aurora · USYale University · 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

backgroundWomen with coronary artery disease are shown to have worse outcomes after percutaneous coronary intervention compared with men; however, less is known about sex-based outcomes following lower extremity peripheral vascular intervention (PVI) for symptomatic peripheral artery disease. The study aims to assess whether female sex is independently associated with periprocedural complications in patients undergoing PVI.

methodsAnalysis includes patients undergoing lower extremity PVI from September 2016 to March 2020 from the Vascular Quality Initiative registry. Multivariate logistic regression was used to assess the independent association of female sex with post-PVI complications.

resultsOf the 119 620 patients included, 47 316 (39.6%) were women. Analysis reflected that women were at higher risk of developing access site complications, including any hematoma (odds ratio [OR], 1.45 [1.35-1.57]), hematoma requiring transfusion (OR, 2.24 [1.82-2.76];

conclusionsIn a contemporary cohort, women undergoing lower extremity PVI for symptomatic peripheral artery disease were at higher risk than men of developing periprocedural complications, including moderate or severe access site bleeding, above-knee amputation, and in-hospital mortality. This increased risk persisted despite adjustment for differences in baseline patient or procedural characteristics and warrants further investigation.

Indexed as

Lower ExtremityPeripheral Arterial DiseaseFemaleHematomaHumansMaleOdds RatioRetrospective StudiesRisk FactorsTreatment Outcomebleedingperipheral vascular interventionsprocedural complicationssex differenceswomen

Identifiers

PMID35938403
PMCPMC12823138
OpenAlexW4290631407

What OpenQuestion holds

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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.