Evidence map›Paper›PMID 36339126›Full record

ArticleJACC. Asia2022

Influence of Baseline HbA1c and Antiplatelet Therapy on 1-Year Vein Graft Outcome.

Yunpeng Zhu, Junlong Hu, Minlu Zhang, Qing Xue, Hao Liu, Rui Wang, Xiaowei Wang, Zhaoyun Cheng, Qiang Zhao

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JACC. Asia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02201771 (Compare the Efficacy of Different Antiplatelet Therapy Strategy After Coronary Artery Bypass Graft Surgery), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 31% 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.

NCT02201771 phase4completednot on this map

Compare the Efficacy of Different Antiplatelet Therapy Strategy After Coronary Artery Bypass Graft Surgery

TypeinterventionalSponsorRuijin HospitalRan2014 to 2017Enrolled500ConditionsCoronary Artery Bypass, Antiplatelet AgentsArmsAspirin, Ticagrelor
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

9 authors at 9 institutions in 1 country.

Yunpeng ZhuDepartment of Cardiovascular Surgery, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Junlong HuDepartment of Cardiovascular Surgery, Henan Provincial People's Hospital Heart Center, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, China.
Minlu ZhangDepartment of Cancer Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Qing XueDepartment of Cardiovascular Surgery, Changhai Hospital of Shanghai, Shanghai, China.
Hao LiuDepartment of Cardiothoracic Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Rui WangDepartment of Cardiovascular Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Xiaowei WangDepartment of Cardiovascular Surgery, Jiangsu Province Hospital, Nanjing, China.
Zhaoyun ChengDepartment of Cardiovascular Surgery, Henan Provincial People's Hospital Heart Center, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, China.
Qiang ZhaoDepartment of Cardiovascular Surgery, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Henan Provincial People's Hospital · CNJiangsu Province Hospital · CNNanjing Medical University · CNRuijin Hospital · CNSecond Military Medical University · CNShanghai Jiao Tong University · CNShanghai Municipal Center For Disease Control Prevention · CNXinHua Hospital · CNZhengzhou Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The influence of baseline HbA1c levels on vein graft outcomes post coronary artery bypass grafting (CABG) remains unclear. Objective: The purpose of this study was to assess the association between baseline HbA1c and 1-year vein graft patency, and the effects of antiplatelet therapy on the 1-year vein graft patency after CABG in patients with baseline HbA1c <6.5% vs ≥6.5%. Methods: We examined the subgroups with baseline HbA1c <6.5% vs ≥6.5% from the DACAB trial (NCT02201771), in which 500 patients were randomly allocated to receive ticagrelor plus aspirin (T+A), ticagrelor alone (T), or aspirin alone (A) for 1 year after CABG. The primary outcome was the vein graft patency (FitzGibbon grade A) at 1 year. Results: A total of 405 patients with available baseline HbA1c data were included in this subgroup analysis. Of them, there were 233 patients (678 vein grafts) with baseline HbA1c <6.5% and 172 patients (512 vein grafts) with baseline HbA1c ≥6.5%. Compared with the HbA1c <6.5% subgroup, the HbA1c ≥6.5% subgroup showed worse 1-year vein graft patency (adjusted odds ratio [OR] for nonpatency: 1.69, 95% confidence interval [CI]: 1.08-2.64). T+A showed higher vein graft patency than A in both HbA1c <6.5% (adjusted OR for nonpatency: 0.34, 95% CI: 0.15-0.75) and HbA1c ≥6.5% subgroups (adjusted OR for nonpatency: 0.45, 95% CI: 0.19-1.09), without an interaction effect ( Conclusions: In the DACAB trial, lower baseline HbA1c was associated with higher vein graft patency 1 year after CABG. T+A improved 1-year vein graft patency vs A, irrespective of baseline HbA1c.

Indexed as

aspirinCABG, coronary artery bypass graftCAD, coronary artery diseaseCI, confidence intervalcoronary artery bypass graftingDM, diabetes mellitusglycated hemoglobin AHbA1c, glycated hemoglobinITT, intention to treatMACE, major adverse cardiovascular eventOR, odds ratiopatencyT+A, ticagrelor plus aspirinticagrelorvein graft

Identifiers

PMID36339126
PMCPMC9627937
OpenAlexW4221088516

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.