Evidence map›Paper›PMID 39384342›Full record

ArticleOpen heart2024

Association between kidney function, frailty and receipt of invasive management after acute coronary syndrome.

Jemima Kate Scott, Thomas Johnson, Fergus John Caskey, Pippa Bailey, Lucy Ellen Selman, Abdulrahim Mulla, Ben Glampson, Jim Davies, Dimitri Papdimitriou, Kerrie Woods and 17 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Open heart, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03507309 (National Institute for Health Research), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT03507309 active not recruitingnot on this map

National Institute for Health Research (NIHR) Cardiovascular Health Informatics Collaborative

Typeobservational_patient_registrySponsorImperial College LondonRan2016 to 2028Enrolled257,948ConditionsTroponin, Age, Mortality, Acute Coronary Syndrome
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

27 authors.

Jemima Kate ScottPopulation Health Sciences, University of Bristol, Bristol, UK jemima.scott@bristol.ac.uk.ORCID 0000-0001-5180-5464
Thomas JohnsonNIHR Bristol Biomedical Research Centre, Bristol, UK.
Fergus John CaskeyPopulation Health Sciences, University of Bristol, Bristol, UK.
Pippa BaileyPopulation Health Sciences, University of Bristol, Bristol, UK.
Lucy Ellen SelmanPopulation Health Sciences, University of Bristol, Bristol, UK.
Abdulrahim MullaNIHR Imperial Biomedical Research Centre, London, UK.
Ben GlampsonNIHR Imperial Biomedical Research Centre, London, UK.
Jim DaviesNIHR Oxford Biomedical Research Centre, Oxford, UK.
Dimitri PapdimitriouNIHR Imperial Biomedical Research Centre, London, UK.
Kerrie WoodsNIHR Oxford Biomedical Research Centre, Oxford, UK.
Kevin O'GallagherNIHR Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust and King's College, London, UK.
Bryan WilliamsNIHR University College London Hospitals Biomedical Research Centre, London, UK.
Folkert W AsselbergsNIHR University College London Hospitals Biomedical Research Centre, London, UK.
Erik K MayerNIHR Imperial Biomedical Research Centre, London, UK.
Richard LeeRoyal Marsden Hospital NHS Trust, London, UK.
Christopher HerbertLeeds Biomedical Research Centre, Leeds, UK.
Stuart W GrantDepartment of Cardiothoracic Surgery, NIHR Manchester Biomedical Research Centre, Manchester, UK.
Nick CurzenNIHR Southampton Clinical Research Facility, Southampton, UK.
Iain SquireDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Rajesh KharbandaNIHR Oxford Biomedical Research Centre, Oxford, UK.
Ajay ShahCardiology, NIHR Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust and King's College, London, UK.
Divaka PereraCardiology, NIHR Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust and King's College, London, UK.ORCID 0000-0001-6362-1291
Riyaz S PatelEpidemiology and Public Health, NIHR University College London Hospitals Biomedical Research Centre, London, UK.
Keith ChannonDepartment of Cardiovascular Medicine, NIHR Oxford Biomedical Research Centre, Oxford, UK.
Jamil MayetNIHR Imperial Biomedical Research Centre, London, UK.
Amit KauraNIHR Imperial Biomedical Research Centre, London, UK.
Yoav Ben-ShlomoPopulation Health Sciences, University of Bristol, Bristol, UK.

Funding

British Heart Foundation FS/20/18/34972British Heart Foundation FS/CRA/22/23036
6 · The paper itself

Abstract

backgroundReduced estimated glomerular filtration rate (eGFR) is associated with lower use of invasive management and increased mortality after acute coronary syndrome (ACS). The reasons for this are unclear.

methodsA retrospective clinical cohort study was performed using data from the English National Institute for Health Research Health Informatics Collaborative (2010-2017). Multivariable logistic regression was used to investigate whether eGFR<90 mL/min/1.73 m

resultsAmong 10 205 people with ACS, an eGFR of <60 mL/min/1.73m

conclusionsIn people with ACS, lower eGFR was associated with reduced receipt of invasive coronary management and increased mortality. Adjustment for frailty failed to change these observations. Further research is required to explain these disparities and determine whether treatment variation reflects optimal care for people with low eGFR. TRIAL REGISTRATION NUMBER: NCT03507309.

Indexed as

Acute Coronary SyndromeFrailtyGlomerular Filtration RateKidneyAgedAged, 80 and overCoronary AngiographyEnglandFemaleFollow-Up StudiesHumansMaleMiddle AgedMyocardial RevascularizationPercutaneous Coronary InterventionRetrospective StudiesAcute Coronary SyndromeCoronary AngiographyPercutaneous Coronary Intervention

Identifiers

PMID39384342
PMCPMC11474759

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.