Evidence map›Paper›PMID 37792028›Full record

SynthesisActa diabetologica2024

Bypass surgery versus endovascular revascularization for occlusive infrainguinal peripheral artery disease: a meta-analysis of randomized controlled trials for the development of the Italian Guidelines for the treatment of diabetic foot syndrome.

Alessia Scatena, Matteo Apicella, Michele Mantuano, Francesco Liistro, Giorgio Ventoruzzo, Pasquale Petruzzi, Cesare Miranda, Luca Monge, Benedetta Ragghianti, Antonio Silverii and 10 more

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Acta diabetologica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 4 pooled it
5.1field-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

7 citing papers in PubMed, 4 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Observational
  7. 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

20 authors at 9 institutions in 2 countries.

Alessia ScatenaSan Donato Hospital, Arezzo, Health Authorities South East Tuscany, Italy, Via Pietro Nenni, 20, 52100, Arezzo, Italy. alessia.scatena@uslsudest.toscana.it.ORCID http://orcid.org/0000-0003-3989-6484
Matteo ApicellaSan Donato Hospital, Arezzo, Health Authorities South East Tuscany, Italy, Via Pietro Nenni, 20, 52100, Arezzo, Italy.
Michele MantuanoSan Donato Hospital, Arezzo, Health Authorities South East Tuscany, Italy, Via Pietro Nenni, 20, 52100, Arezzo, Italy.
Francesco LiistroSan Donato Hospital, Arezzo, Health Authorities South East Tuscany, Italy, Via Pietro Nenni, 20, 52100, Arezzo, Italy.
Giorgio VentoruzzoSan Donato Hospital, Arezzo, Health Authorities South East Tuscany, Italy, Via Pietro Nenni, 20, 52100, Arezzo, Italy.
Pasquale PetruzziSan Donato Hospital, Arezzo, Health Authorities South East Tuscany, Italy, Via Pietro Nenni, 20, 52100, Arezzo, Italy.
Cesare MirandaPordenone Hospital, Pordenone, Italy.
Luca MongeAMD - Italian Association of Clinical Diabetologists, Rome, Italy.
Benedetta RagghiantiAzienda Ospedaliero Universitaria Careggi and University of Florence, Florence, Italy.
Antonio SilveriiAzienda Ospedaliero Universitaria Careggi and University of Florence, Florence, Italy.
Isabella FerraroSkidmore College, New York, USA.
Luigi UccioliDiabetes Section CTO Hospital and Dept of Biomedicine and Prevention Tor Vergata, University of Rome, Rome, Italy.
Cristiana VermigliUniversity Hospital Perugia, Perugia, Italy.
Edoardo MannucciAzienda Ospedaliero Universitaria Careggi and University of Florence, Florence, Italy.
Germano ScevolaOspedale Sandro Pertini, Rome, Italy.
Eugenio StabileAzienda Ospedaliera Regionale "San Carlo", Potenza, Italy.
Mauro GargiuloVascular Surgery, University of Bologna - DIMEC, Bologna, Italy.
Matteo MonamiAzienda Ospedaliero Universitaria Careggi and University of Florence, Florence, Italy.
Panel of the Italian Guidelines for the Treatment of Diabetic Foot Syndrome
SID and AMD
Ospedale San Donato · ITAzienda Ospedaliero-Universitaria Careggi · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITOspedale Sandro Pertini · ITUniversity of Perugia · ITUniversity of Rome Tor Vergata · ITAzienda Ospedaliera Carlo Poma · ITAssociazione Medici Diabetologi · ITSkidmore College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To report a review and meta-analysis of all randomized controlled trials (RCTs) comparing bypass surgery (BS) and endovascular treatment (ET) in infrainguinal peripheral arterial disease (PAD) for several endpoints, such as major and minor amputation, major adverse limb events (MALEs), ulcer healing, time to healing, and all-cause mortality to support the development of the Italian Guidelines for the Treatment of Diabetic Foot Syndrome (DFS). A MEDLINE and EMBASE search was performed to identify RCTs, published since 1991 up to June 21, 2023, enrolling patients with lower limb ischemia due to atherosclerotic disease (Rutherford I-VI). Any surgical BS or ET was allowed, irrespective of the approach, route, or graft employed, from iliac to below-the-knee district. Primary endpoint was major amputation rate. Secondary endpoints were amputation-free survival major adverse limb events (MALEs), minor amputation rate, all-cause mortality, ulcer healing rate, time to healing, pain, transcutaneous oxygen pressure (T

Indexed as

Diabetes MellitusDiabetic FootPeripheral Arterial DiseaseHumansIschemiaItalyPainRandomized Controlled Trials as TopicRetrospective StudiesRisk FactorsTreatment OutcomeUlcerBypassCritical-threatening limb ischemiaDiabetesMajor amputationPercutaneous transluminal angioplastyRevascularization

Identifiers

PMID37792028
OpenAlexW4387326432

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.