Evidence map›Paper›PMID 37575202›Full record

ArticleJACC. Advances2023

A Geriatric Approach to Percutaneous Coronary Interventions in Older Adults, Part II: A

Michael G Nanna, Nadia R Sutton, Ajar Kochar, Jennifer A Rymer, Angela M Lowenstern, Grace Gackenbach, Scott L Hummel, Parag Goyal, Michael W Rich, James N Kirkpatrick and 6 more

Open access · diamondAbstract read
In one paragraph

Article in JACC. Advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. The Impact of Cognitive Impairment on Cardiovascular Disease.Journal of the American College of Cardiology · 2025
    Review
  11. Article
  12. Review
  13. Frailty and Cardiovascular Health.Journal of the American Heart Association · 2024
    Review
  14. Chronic Coronary Disease in Older Adults.The Medical clinics of North America · 2024
    Review
  15. Review
  16. Review
  17. Review
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

16 authors at 13 institutions in 1 country.

Michael G NannaYale University School of Medicine, New Haven, Connecticut, USA.
Nadia R SuttonDepartment of Internal Medicine, Division of Cardiovascular Medicine, Michigan Medicine, Ann Arbor, Michigan, USA.
Ajar KocharBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Jennifer A RymerDuke University, School of Medicine, Durham, North Carolina, USA.
Angela M LowensternVanderbilt University Medical Center, Nashville, Tennessee, USA.
Grace GackenbachUniversity of Michigan School of Medicine, Ann Arbor, Michigan, USA.
Scott L HummelUniversity of Michigan School of Medicine and VA Ann Arbor Health System, Ann Arbor, Michigan, USA.
Parag GoyalDepartment of Medicine, Weill Cornell Medicine, New York, New York, USA.
Michael W RichDivision of Cardiology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
James N KirkpatrickDivision of Cardiology, Department of Bioethics and Humanities, University of Washington School of Medicine, Seattle, Washington, USA.
Ashok KrishnaswamiDivision of Cardiology, Kaiser Permanente San Jose Medical Center, San Jose, California, USA.
Karen P AlexanderDuke University, School of Medicine, Durham, North Carolina, USA.
Daniel E FormanDivisions of Geriatrics and Cardiology, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Anna E BortnickMontefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
Wayne BatchelorInova Center of Outcomes Research, Fairfax, Virginia, USA.
Abdulla A DamlujiInova Center of Outcomes Research, Fairfax, Virginia, USA.
Duke University · USUniversity of Michigan · USAlbert Einstein College of Medicine · USBrigham and Women's Hospital · USCornell University · USJohns Hopkins University · USKaiser Permanente San Jose Medical Center · USUniversity of Pittsburgh · USUniversity of Washington · USVanderbilt University · USVanderbilt University Medical Center · USWashington University in St. Louis · USYale University · 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
Ectonucleotidase modulation of age-dependent vascular calcification and stiffnessK76AG064426 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SUTTON, NADIA RAZAQ · 2020 to 2024
$1.2M
Frailty and Resiliency in Older Adults with Acute Myocardial InfarctionK23HL153771 · NHLBI · INOVA HEALTH CARE SERVICES · PI DAMLUJI, ABDULLA AL · 2020 to 2024
$916k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL153771NIA NIH HHS K76 AG064426
6 · The paper itself

Abstract

We review a comprehensive risk assessment approach for percutaneous coronary interventions in older adults and highlight the relevance of geriatric syndromes within that broader perspective to optimize patient-centered outcomes in interventional cardiology practice. Reflecting the influence of geriatric principles in older adults undergoing percutaneous coronary interventions, we propose a "geriatric" heart team to incorporate the expertise of geriatric specialists in addition to the traditional heart team members, facilitate uptake of the geriatric risk assessment into the preprocedural risk assessment, and address ways to mitigate these geriatric risks. We also address goals of care in older adults, highlighting common priorities that can impact shared decision making among older patients, as well as frequently encountered pharmacotherapeutic considerations in the older adult population. Finally, we clarify gaps in current knowledge and describe crucial areas for future investigation.

Indexed as

acute coronary syndromecardiac catheterizationcardiovascular diseasegeriatric assessmentmultimorbidityolder adultspercutaneous coronary interventionpolypharmacy

Identifiers

PMID37575202
PMCPMC10419335
OpenAlexW4385335802

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.