Evidence map›Paper›PMID 36732810›Full record

SynthesisJournal of cardiothoracic surgery2023

Ten-year outcomes after percutaneous coronary intervention versus coronary artery bypass grafting for multivessel or left main coronary artery disease: a systematic review and meta-analysis.

Shitao Feng, Mingli Li, Jiayue Fei, Anqin Dong, Wenli Zhang, Yanhua Fu, Yang Zhao

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of cardiothoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 1% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  4. Review
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  7. Review
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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

7 authors at 1 institution in 1 country.

Shitao Feng *Department of Geriatrics, The Fifth Affiliated Hospital of Zhengzhou University, 3 Kang fu Qian Street, Er Qi District, Zhengzhou, 450052, Henan, People's Republic of China.
Mingli Li *Department of Geriatrics, The Fifth Affiliated Hospital of Zhengzhou University, 3 Kang fu Qian Street, Er Qi District, Zhengzhou, 450052, Henan, People's Republic of China.
Jiayue FeiDepartment of Geriatrics, The Fifth Affiliated Hospital of Zhengzhou University, 3 Kang fu Qian Street, Er Qi District, Zhengzhou, 450052, Henan, People's Republic of China.
Anqin DongDepartment of Geriatrics, The Fifth Affiliated Hospital of Zhengzhou University, 3 Kang fu Qian Street, Er Qi District, Zhengzhou, 450052, Henan, People's Republic of China.
Wenli ZhangDepartment of Geriatrics, The Fifth Affiliated Hospital of Zhengzhou University, 3 Kang fu Qian Street, Er Qi District, Zhengzhou, 450052, Henan, People's Republic of China.
Yanhua FuDepartment of Geriatrics, The Fifth Affiliated Hospital of Zhengzhou University, 3 Kang fu Qian Street, Er Qi District, Zhengzhou, 450052, Henan, People's Republic of China.
Yang ZhaoDepartment of Geriatrics, The Fifth Affiliated Hospital of Zhengzhou University, 3 Kang fu Qian Street, Er Qi District, Zhengzhou, 450052, Henan, People's Republic of China. z13503846269@163.com.
Fifth Affiliated Hospital of Zhengzhou University · CN

Funding

National Key Research and Development Program of China from the China National Center for Biotechnology Development 2018YFC2002300
6 · The paper itself

Abstract

backgroundShort-term and long-term comparative outcomes after percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for multivessel coronary artery (MVCA) or left main coronary artery (LMCA) disease are highly debated. GOALS: We performed a meta-analysis to evaluate the difference between PCI and CABG for the treatment of patients with MVCA or LMCA in long-term follow-up.

methodsLiteratures were searched in PubMed, EMBASE and The Cochrane Library from January 1, 2000 to January 1, 2021, including RCTs and observational studies (OSs). The primary outcome was all-cause mortality at 10 years follow-up, and the secondary outcomes included cardiac mortality, repeated revascularization, myocardial infarction, and stroke.

resultsA total of 5 RCTs reporting data from 3013 participants and 4 OSs of 5608 participants were included for analysis. There was no significant difference between PCI and CABG in all-cause mortality (Odds Ratio (OR) 1.03 [95% confidence interval (CI) 0.89 to 1.19]), whereas PCI was associated with higher cardiac mortality (OR 0.76 [95% CI 0.65 to 0.90]) and repeated revascularization rate comparing to CABG (OR 1.77 [95% CI 1.08 to 2.89]; I

conclusionEvidence from our study and prior studies suggested the superiority of CABG over PCI in improving 5- but not 10-year survival among patients with MVCA. In the contrast, there was no significant difference between CABG and PCI for treating patients with LMCA in either 5- or 10-year survival rate. More long-term trials are needed to better define differences of outcome between 2 techniques.

Indexed as

Coronary Artery DiseaseMyocardial InfarctionPercutaneous Coronary InterventionStrokeCoronary Artery BypassHumansTreatment OutcomeCoronary artery bypass graftingMeta-analysisPercutaneous coronary intervention

Identifiers

PMID36732810
PMCPMC9893531
OpenAlexW4318983141

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.