Evidence map›Paper›PMID 38381283›Full record

ArticleDrugs - real world outcomes2024

Diagnosis and Treatment Patterns of Chronic Thromboembolic Pulmonary Hypertension in Russia, Kazakhstan, Turkey, Lebanon, and Saudi Arabia: A Registry Study.

Hürrem Gül Öngen, Bahri Akdeniz, Mehmet Akif Düzenli, Alexander Chernyavsky, Georges Dabar, Majdy Idrees, Elena Khludeeva, Hakan Kültürsay, Vera Lukianchikova, Tamila Martynyuk and 20 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02637050 (EMEA CTEPH Registry), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02637050 completednot on this map

EMEA CTEPH Registry: An International Prospective Registry Investigating the Epidemiology, Diagnosis and Treatment of CTEPH Patients in EMEA Countries

TypeobservationalSponsorBayerRan2016 to 2020Enrolled231ConditionsHypertension, PulmonaryArmsStandard of care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

30 authors at 20 institutions in 5 countries.

Hürrem Gül ÖngenCerrahpasa Faculty of Medicine, Istanbul University, 34098, Istanbul, Turkey. gulhongen@gmail.com.ORCID 0000-0001-7139-9002
Bahri AkdenizFaculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
Mehmet Akif DüzenliMeram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
Alexander ChernyavskyE. Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Moscow, Russian Federation.
Georges DabarHotel Dieu de France, Beirut, Lebanon.
Majdy IdreesPrince Sultan Military Medical City, Riyadh, Saudi Arabia.
Elena KhludeevaState Budgetary Healthcare Institution, Primorskaya Regional Clinical Hospital No. 1, Vladivostok, Russia.
Hakan KültürsayFaculty of Medicine, Ege University, Izmir, Turkey.
Vera LukianchikovaRegional State Budgetary Healthcare Institution, Regional Clinical Hospital No. 1, Khabarovsk, Russia.
Tamila MartynyukFederal State Budget Institution, National Medical Center of Cardiology, Moscow, Russia.
Nesrin MoğulkoçFaculty of Medicine, Ege University, Izmir, Turkey.
Murat A MukarovNational Research Cardiac Surgery Center, Astana, Kazakhstan.
Bülent MutluFaculty of Medicine, Marmara University, Istanbul, Turkey.
Gülfer OkumuşIstanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Anuar OmarovInstitute of Cardiology in Almaty, Almaty, Kazakhstan.
Zeynep Pinar ÖnenFaculty of Medicine, Ankara University, Ankara, Turkey.
Hussam SakkijhaKing Fahad Medical City, Riyadh, Saudi Arabia.
Nadezhda ShostakState Budgetary Healthcare Institution, Pirogov City Clinical Hospital No. 1 of Moscow City, Moscow, Russia.
Maria SimakovaFederal State Budgetary Institution, Almazov National Medical Research Center, Saint Petersburg, Russia.
Lale TokgözoğluFaculty of Medicine, Hacettepe University, Ankara, Turkey.
Tatyana TomskayaState Budgetary Institution of the Republic of Sakha (Yakutia), Republican Hospital No. 1, Yakutsk, Russia.
Hüseyin YildirimFaculty of Medicine, Osmangazi University, Eskisehir, Turkey.
Dmitry ZateyshchikovState Budgetary Healthcare Institution, City Clinical Hospital No. 51 of Moscow Health Department, Moscow, Russia.
Klaus HechenbichlerInstitut Dr. Schauerte, Munich, Germany.
Stefanie KessnerInstitut Dr. Schauerte, Munich, Germany.
Isabel SchauerteInstitut Dr. Schauerte, Munich, Germany.
Nagihan TurgutBayer AG, Berlin, Germany.
Kai VogtländerBayer AG, Wuppertal, Germany.
Abdullah AldalaanDepartment of Pulmonary Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
CTEPH EMEA Registry Investigators
Institut Dr. Schauerte · DEBayer (Germany) · DECity Clinical Hospital · RUEge University · TRAcademy of Sciences of the Republic of Sakha · RUAnkara University · TRDokuz Eylül University · TREskişehir Osmangazi University · TRFederal Almazov North-West Medical Research Centre · RUHacettepe University · TRHôtel-Dieu de France · LBIstanbul University · TRIstanbul University-Cerrahpaşa · TRKing Fahd Medical City · SAKing Faisal Specialist Hospital & Research Centre · SAMarmara University · TRMinistry of Health of the Russian Federation · RUNational Medical Research Center of Cardiology · RUNecmettin Erbakan University · TRRiyadh Armed Forces Hospital · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic thromboembolic pulmonary hypertension (CTEPH) in countries with limited resources have, to date, been poorly represented in registries.

objectiveThis work assesses the epidemiology, diagnosis, hemodynamic and functional parameters, and treatment of CTEPH in Russia, Kazakhstan, Turkey, Lebanon, and Saudi Arabia.

methodsA prospective, cohort, phase IV, observational registry with 3-year follow-up (n = 212) in patients aged ≥ 18 years diagnosed with CTEPH was created. Clinical, hemodynamic, and functional parameters were obtained at an initial visit, follow-up visits, and a final visit at the end of 3 years' observation or end of follow-up. Data were recorded on electronic case report forms. Parameters evaluated included 6-minute walking distance (6MWD), use of pulmonary endarterectomy (PEA), balloon pulmonary angioplasty (BPA), pulmonary hypertension (PH)-targeted therapy, and survival. All statistical analyses were exploratory and descriptive, and were performed in the overall population.

resultsThe most common symptoms were typical of those expected for CTEPH. Almost 90% of patients underwent right heart catheterization at diagnosis or initial study visit. In total, 66 patients (31%) underwent PEA before the initial visit; 95 patients (45%) were considered operable, 115 (54%) were inoperable, and two (1%) had no operability data. Only 26 patients (12%) had been assessed for BPA at their initial visit. PH-targeted therapy was documented at diagnosis for 77 patients (36%), most commonly a phosphodiesterase type 5 inhibitor (23%). Use of PH-targeted therapy increased to 142 patients (67%) at the initial visit, remaining similar after 3 years. Use of riociguat increased from 6% of patients at diagnosis to 38% at 3 years. Between baseline and end of observation, results for patients with paired data showed an increase in 6MWD. Survival at the end of observation was 88%.

conclusionsThese data highlight the current diagnosis and management of CTEPH in the participating countries. They show that early CTEPH diagnosis remains challenging, and use of off-label PH-targeted therapy is common. ClinicalTrials.gov: NCT02637050; registered December 2015.

Identifiers

PMID38381283
PMCPMC10928021
OpenAlexW4392001714

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.