Evidence map›Paper›PMID 38879461›Full record

ArticleJournal of the American Heart Association2024

Deciphering Popliteal Artery Aneurysm Patient Diversity: Insights From a Cluster Analysis of the POPART Registry.

Maria Elisabeth Leinweber, Thomas Schmandra, Thomas Karl, Giovanni Torsello, Dittmar Böckler, Mikolaj Walensi, Phillip Geisbuesch, Thomas Schmitz-Rixen, Georg Jung, Amun Georg Hofmann and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  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

11 authors.

Maria Elisabeth LeinweberFIFOS-Forum for Integrative Research and Systems Biology Vienna Austria.ORCID 0009-0003-8439-8860
Thomas SchmandraDepartment of Vascular Surgery, Sana Klinikum Offenbach Offenbach Germany.ORCID 0009-0001-0968-2074
Thomas KarlDepartment of Vascular and Endovascular Surgery, Klinikum am Plattenwald, SLK-Kliniken Heilbronn GmbH Bad Friedrichshall Germany.ORCID 0000-0001-5946-1264
Giovanni TorselloDepartment for Vascular Surgery Franziskus Hospital Münster Münster Germany.
Dittmar BöcklerDepartment of Vascular and Endovascular Surgery University Hospital Heidelberg Heidelberg Germany.ORCID 0000-0003-2421-2019
Mikolaj WalensiDepartment of Vascular Surgery and Phlebology, Contilia Heart and Vascular Center Essen Germany.ORCID 0009-0000-1675-4585
Phillip GeisbueschDepartment of Vascular and Endovascular Surgery, Klinikum Stuttgart Stuttgart Germany.
Thomas Schmitz-RixenGerman Society of Surgery, Langenbeck-Virchow-Haus Berlin Germany.
Georg JungDepartment of Vascular and Endovascular Surgery, Luzerner Kantonsspital Lucern Switzerland.ORCID 0000-0002-5509-357X
Amun Georg HofmannFIFOS-Forum for Integrative Research and Systems Biology Vienna Austria.ORCID 0000-0001-8264-7796
POPART Registry collaborators *

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPopliteal artery aneurysms (PAAs) are the most common peripheral aneurysm. However, due to its rarity, the cumulative body of evidence regarding patient patterns, treatment strategies, and perioperative outcomes is limited. This analysis aims to investigate distinct phenotypical patient profiles and associated treatment and outcomes in patients with a PAA by performing an unsupervised clustering analysis of the POPART (Practice of Popliteal Artery Aneurysm Repair and Therapy) registry. METHODS AND

resultsA cluster analysis (using k-means clustering) was performed on data obtained from the multicenter POPART registry (42 centers from Germany and Luxembourg). Sensitivity analyses were conducted to explore validity and stability. Using 2 clusters, patients were primarily separated by the absence or presence of clinical symptoms. Within the cluster of symptomatic patients, the main difference between patients with acute limb ischemia presentation and nonemergency symptomatic patients was PAA diameter. When using 6 clusters, patients were primarily grouped by comorbidities, with patients with acute limb ischemia forming a separate cluster. Despite markedly different risk profiles, perioperative complication rates appeared to be positively associated with the proportion of emergency patients. However, clusters with a higher proportion of patients having any symptoms before treatment experienced a lower rate of perioperative complications.

conclusionsThe conducted analyses revealed both an insight to the public health reality of PAA care as well as patients with PAA at elevated risk for adverse outcomes. This analysis suggests that the preoperative clinic is a far more crucial adjunct to the patient's preoperative risk assessment than the patient's epidemiological profile by itself.

Indexed as

AneurysmPopliteal ArteryRegistriesAgedAged, 80 and overCluster AnalysisEndovascular ProceduresFemaleGermanyHumansMaleMiddle AgedPopliteal Artery AneurysmPostoperative ComplicationsRisk AssessmentRisk Factorscluster analysisoutcomesperipheral aneurysmphenomappingpopliteal artery aneurysm

Identifiers

PMID38879461
PMCPMC11255753

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Registered trials

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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.