Evidence map›Paper›PMID 36974774›Full record

ArticleJournal of the American Heart Association2023

Drug-Coated Balloon and Drug-Eluting Stent Safety in Patients With Femoropopliteal and Severe Chronic Kidney Disease.

Jonathan Hanna, Kim G Smolderen, Yulanka Castro-Dominguez, Gaëlle Romain, Megan Lee, Jeffrey Turner, Carlos Mena-Hurtado

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. 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

7 authors at 2 institutions in 1 country.

Jonathan HannaDepartment of Medicine Yale School of Medicine New Haven CT USA.
Kim G SmolderenVascular Medicine Outcomes Program (VAMOS), Section of Cardiovascular Medicine, Department of Medicine Yale School of Medicine New Haven CT USA.ORCID 0000-0001-6104-6254
Yulanka Castro-DominguezHarrington Heart & Vascular Institute University Hospitals, Case Western Reserve University Cleveland OH USA.
Gaëlle RomainVascular Medicine Outcomes Program (VAMOS), Section of Cardiovascular Medicine, Department of Medicine Yale School of Medicine New Haven CT USA.ORCID 0000-0003-4294-5507
Megan LeeVascular Medicine Outcomes Program (VAMOS), Section of Cardiovascular Medicine, Department of Medicine Yale School of Medicine New Haven CT USA.
Jeffrey TurnerSection of Nephrology, Department of Internal Medicine Yale School of Medicine New Haven CT USA.ORCID 0000-0002-5733-949X
Carlos Mena-HurtadoVascular Medicine Outcomes Program (VAMOS), Section of Cardiovascular Medicine, Department of Medicine Yale School of Medicine New Haven CT USA.ORCID 0000-0002-4954-5672
Yale University · USUniversity Hospitals of Cleveland · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background Patients with severe-stage chronic kidney disease (CKD) were excluded from femoropopliteal disease trials evaluating drug-coated balloons (DCBs) and drug-eluting stents (DESs) versus plain balloon angioplasty (POBA) and bare metal stents (BMSs). We examined the interaction between CKD status and device type for the association with 24-month all-cause mortality and major amputation risk. Methods and Results We studied patients undergoing femoropopliteal interventions (September 2016-December 2018) from Medicare-linked VQI (Vascular Quality Initiative) registry data. We compared outcomes for: (1) early-stage CKD (stages 1-3) receiving DCB/DES, (2) early-stage CKD receiving POBA/BMS, (3) severe-stage (4 and 5) CKD receiving DCB/DES, and (4) severe-stage CKD receiving POBA/BMS. We studied 8799 patients (early-stage CKD: 94%; severe-stage: 6%). DCB/DES use was 57% versus 51% in patients with early-stage versus severe-stage CKD. Twenty-four-month mortality risk for patients with early-stage CKD receiving DCB/DES (reference) was 21% versus 28% (hazard ratio [HR], 1.47 [95% CI, 1.31-1.65]) for those receiving POBA/BMS; patients with severe-stage CKD: those receiving DCB/DES had a 49% (HR, 2.61 [95% CI, 2.06-3.31]) mortality risk versus 52% (HR, 3.64 [95% CI, 2.91-4.55]) for those receiving POBA/BMS (interaction

Indexed as

Angioplasty, BalloonDrug-Eluting StentsPeripheral Arterial DiseaseAgedCoated Materials, BiocompatibleFemoral ArteryHumansMedicarePopliteal ArteryTreatment OutcomeUnited StatesCoated Materials, Biocompatiblechronic kidney diseasedrug‐coated balloondrug‐eluting stentperipheral artery diseaserevascularization

Identifiers

PMID36974774
PMCPMC10122876
OpenAlexW4361191015

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.