Evidence map›Paper›PMID 37534512›Full record

Trial reportStroke2023

Ameliorating Racial Disparities in Vascular Risk Factor Management With Aggressive Medical Management in the SAMMPRIS Trial.

Eyad Almallouhi, Ashley M Nelson, George Cotsonis, William Harris, Marc I Chimowitz, Tanya N Turan

Open access · bronzeAbstract readRandomized Controlled TrialObservational Study
In one paragraph

Trial report in Stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

6 authors at 5 institutions in 2 countries.

Eyad Almallouhi *Department of Neurology (E.A., A.M.N., M.I.C., T.N.T.), Medical University of South Carolina.ORCID 0000-0002-6873-7901
Ashley M Nelson *Department of Neurology (E.A., A.M.N., M.I.C., T.N.T.), Medical University of South Carolina.ORCID 0000-0002-8632-8570
George CotsonisRollins School of Public Health, Emory University, GA (G.C.).
William HarrisCollege of Medicine (W.H.), Medical University of South Carolina.ORCID 0000-0001-8103-9465
Marc I ChimowitzDepartment of Neurology (E.A., A.M.N., M.I.C., T.N.T.), Medical University of South Carolina.ORCID 0000-0001-5437-9245
Tanya N TuranDepartment of Neurology (E.A., A.M.N., M.I.C., T.N.T.), Medical University of South Carolina.ORCID 0000-0001-5399-8845
Medical University of South Carolina · USAnna Needs Neuroblastoma Answers · USEmory University · USMACOM (United States) · USUniversity of Rochester Medical Center · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
SAMMPRIS (Stenting vs. Aggressive Medical Management for Preventing . . .U01NS058728 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI CHIMOWITZ, MARC IVOR · 2008 to 2011
$20.0M
UF CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029890 · NCRR · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2009 to 2011
$14.4M
SOUTH CAROLINA CLINICAL & TRANSLATIONAL RESEARCH INSTITUTE (SCTR)UL1RR029882 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2009 to 2011
$10.1M
UF Clinical and Translational Science AwardTL1RR029889 · NCRR · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2009 to 2011
$498k
NCRR NIH HHS TL1 RR029889NCRR NIH HHS UL1 RR024131NCRR NIH HHS UL1 RR029882NCRR NIH HHS UL1 RR029890NINDS NIH HHS U01 NS058728
6 · The paper itself

Abstract

backgroundThe WASID trial (Warfarin-Aspirin Symptomatic Intracranial Disease) and the SAMMPRIS trial (Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis) evaluated optimal management of symptomatic intracranial atherosclerotic stenosis. The aim of this retrospective, observational study was to determine whether aggressive medical management used in the SAMMPRIS trial ameliorated disparities in risk factor control between Black and non-Black patients.

methodsThe SAMMPRIS trial was a randomized controlled trial that enrolled patients with symptomatic intracranial atherosclerotic stenosis between November 2008 and April 2011. The frequency of risk factors at study entry (baseline) and mean levels of systolic blood pressure, diastolic blood pressure, LDL (low-density lipoprotein), hemoglobin A1c, and exercise level (quantified by physician-based assessment and counseling for exercise score) at baseline and at 1 year of follow-up were compared between Black (n=104) versus non-Black patients (n=347).

resultsSignificant differences at baseline in Black patients (listed first) versus non-Black patients were age (57.5 versus 61.0 years;

conclusionsSignificant differences in important risk factors (physical activity and diastolic blood pressure) at baseline between Black and non-Black patients resolved at 1 year, suggesting that aggressive medical management may have an important role in ameliorating disparities in risk factor control between Black and non-Black patients.

Indexed as

Intracranial ArteriosclerosisStrokeConstriction, PathologicHumansMiddle AgedRetrospective StudiesRisk FactorsStentsTreatment Outcomeaspirinfollow-up studieshumansrisk factorswarfarin

Identifiers

PMID37534512
PMCPMC10526717
OpenAlexW4385514878

What OpenQuestion holds

Textmetadata
LicenceTDM
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.