Evidence map›Paper›PMID 37382924›Full record

ReviewEuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology2023

Impact of chronic kidney disease and diabetes on clinical outcomes in women undergoing PCI.

Alessandro Spirito, Dipti Itchhaporia, Samantha Sartori, Edoardo Camenzind, Alaide Chieffo, George D Dangas, Soren Galatius, Raban V Jeger, David E Kandzari, Adnan Kastrati and 19 more

Open access · greenAbstract readReview
In one paragraph

Review in EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

29 authors at 19 institutions in 10 countries.

Alessandro SpiritoThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Dipti ItchhaporiaHoag Memorial Hospital Presbyterian, Newport Beach, CA, USA.
Samantha SartoriThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Edoardo CamenzindInstitut Lorrain du Coeur et des Vaisseaux (ILCV), Centre Hospitalier Régional Universitaire Nancy-Brabois, Vandoeuvre-lès-Nancy, France.
Alaide ChieffoDivision of Cardiology, San Raffaele Hospital, Milan, Italy.
George D DangasThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Soren GalatiusBispebjerg University Hospital, Copenhagen, Denmark.
Raban V JegerTriemli Hospital, Zurich, Switzerland.
David E KandzariPiedmont Heart Institute, Atlanta, GA, USA.
Adnan KastratiDeutsches Herzzentrum München, Technische Universität München, Munich, Germany and DZHK (German Center for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
Hyo-Soo KimResearch Institute, Seoul National University Hospital, Seoul, Republic of Korea.
Takeshi KimuraDepartment of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Martin B LeonDepartment of Medicine, Columbia University Medical Center, New York, NY, USA.
Laxmi S MehtaDivision of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Ghada W MikhailImperial College Healthcare NHS Trust, London, UK.
Marie-Claude MoriceDepartment of Cardiology, Institut Hospitalier Jacques Cartier, Ramsay Générale de Santé, Massy, France.
Johny NicolasThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Brunna PileggiThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Patrick W SerruysUniversity of Galway, Galway, Ireland.
Pieter C SmitsDepartment of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands.
P Gabriel StegDépartement Hospitalo-Universitaire FIRE, AP-HP, Hôpital Bichat, Paris, France.
Gregg W StoneThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Marco ValgimigliIstituto Cardiocentro Ticino, Lugano, Switzerland.
Birgit VogelThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Clemens von BirgelenDepartment of Health Technology and Services Research, Technical Medical Centre, Faculty of Behavioural, Management, and Social Sciences, University of Twente, Enschede, the Netherlands.
Giora WeiszColumbia University Medical Center and Cardiovascular Research Foundation, New York, NY, USA.
William WijnsUniversity of Galway, Saolta University Healthcare Group, Galway, Ireland; 27. Department of Cardiology, Inselspital, University of Bern, Bern, Switzerland.
Stephan WindeckerDepartment of Cardiology, Inselspital, University of Bern, Bern, Switzerland.
Roxana MehranThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Cardiovascular Institute of the South · USIcahn School of Medicine at Mount Sinai · USBispebjerg Hospital · DKCardiovascular Research Foundation · USColumbia University Irving Medical Center · USGénérale de Santé · FRHoag Memorial Hospital Presbyterian · USHôpital Bichat-Claude-Bernard · FRImperial College Healthcare NHS Trust · GBKyoto University · JPMaasstad Ziekenhuis · NLMedisch Spectrum Twente · NLOllscoil na Gaillimhe – University of Galway · IEPiedmont Atlanta Hospital · USSeoul National University Hospital · KRThe Ohio State University Wexner Medical Center · USTriemli Hospital · CHUniversità della Svizzera italiana · CHUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor women undergoing drug-eluting stent (DES) implantation, the individual and combined impact of chronic kidney disease (CKD) and diabetes mellitus (DM) on outcomes is uncertain.

aimsWe sought to assess the impact of CKD and DM on prognosis in women after DES implantation.

methodsWe pooled patient-level data on women from 26 randomised controlled trials comparing stent types. Women receiving DES were stratified into 4 groups based on CKD (defined as creatine clearance <60 mL/min) and DM status. The primary outcome at 3 years after percutaneous coronary intervention was the composite of all-cause death or myocardial infarction (MI); secondary outcomes included cardiac death, stent thrombosis and target lesion revascularisation.

resultsAmong 4,269 women, 1,822 (42.7%) had no CKD/DM, 978 (22.9%) had CKD alone, 981 (23.0%) had DM alone, and 488 (11.4%) had both conditions. The risk of all-cause death or MI was not increased in women with CKD alone (adjusted hazard ratio [adj. HR] 1.19, 95% confidence interval [CI]: 0.88-1.61) nor DM alone (adj. HR 1.27, 95% CI: 0.94-1.70), but was significantly higher in women with both conditions (adj. HR 2.64, 95% CI: 1.95-3.56; interaction p-value <0.001). CKD and DM in combination were associated with an increased risk of all secondary outcomes, whereas alone, each condition was only associated with all-cause death and cardiac death.

conclusionsAmong women receiving DES, the combined presence of CKD and DM was associated with a higher risk of the composite of death or MI and of any secondary outcome, whereas alone, each condition was associated with an increase in all-cause and cardiac death.

Indexed as

Coronary Artery DiseaseDiabetes MellitusDrug-Eluting StentsMyocardial InfarctionPercutaneous Coronary InterventionRenal Insufficiency, ChronicDeathFemaleHumansRandomized Controlled Trials as TopicRisk FactorsTreatment Outcome

Identifiers

PMID37382924
PMCPMC10436070
OpenAlexW4382502373

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.