Evidence map›Paper›PMID 39886301›Full record

ArticleJACC. Advances2025

Sex Differences in the Safety and Efficacy of Different Durations of DAPT After PCI.

Dae Yong Park, Shiwani Mahajan, Emily Fishman, Alexander P Ambrosini, Laura M Romero Acero, Jiun-Ruey Hu, Greta Campbell, Golsa Babapour, Michelle D Kelsey, Pamela S Douglas and 3 more

Abstract read
In one paragraph

Article in JACC. Advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Dae Yong ParkSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Shiwani MahajanSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Emily FishmanDepartment of Medicine, Yale New Haven Hospital, New Haven, Connecticut, USA.
Alexander P AmbrosiniDepartment of Medicine, Yale New Haven Hospital, New Haven, Connecticut, USA.
Laura M Romero AceroHospital de San Jose, Fundacion Universitaria de Ciencias de la Salud, Bogotá, Colombia.
Jiun-Ruey HuSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Greta CampbellDepartment of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Golsa BabapourSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Michelle D KelseyDivision of Cardiology, Department of Medicine, Duke University, Durham, North Carolina, USA.
Pamela S DouglasDuke Clinical Research Institute, Duke University, Durham, North Carolina, USA.
Aakriti GuptaSmidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Jennifer FramptonSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Michael G NannaSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA. Electronic address: michael.nanna@yale.edu.

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
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026
$37.9M
Generating novel predictive models to estimate the risk of future ASCVD & Dementia in older adultsR03AG074067 · NIA · YALE UNIVERSITY · PI NANNA, MICHAEL · 2021 to 2022
$335k
NCATS NIH HHS UL1 TR001863NIA NIH HHS P30 AG021342NIA NIH HHS R03 AG074067
6 · The paper itself

Abstract

Background: Randomized controlled trials (RCTs) have examined the clinical impact of abbreviating the duration of dual antiplatelet therapy (DAPT) and have reported outcomes in men and women. Objectives: The authors examined the safety and efficacy of different durations of DAPT following percutaneous coronary intervention (PCI) in men and women. Methods: We searched Cochrane, Embase, MEDLINE, PubMed, Scopus, and Web of Science databases for RCTs that compared any 2 of 1, 3, 6, or 12 months of DAPT after PCI and reported outcomes in men and women. We performed a systematic review and network meta-analysis to examine sex-based differences in net adverse clinical events (NACE), major adverse cardiovascular events (MACE), and bleeding. Results: Fifteen RCTs were included, comprising 44,610 men (74.7%) and 15,132 women (25.3%). No difference in NACE or MACE was observed between 1, 3, 6, or 12 months of DAPT in both sexes. In both men and women, 1 and 3 months of DAPT were each associated with lower risk of bleeding compared with 12 months of DAPT. In women, 3 months of DAPT was associated with a lower risk of bleeding compared with 6 months. Similar results were found in sensitivity analysis of acute coronary syndrome-only trials. Conclusions: No significant sex-based differences in NACE or MACE were observed with different durations of DAPT after PCI, while a lower bleeding risk was observed with shorter DAPT (1-3 months) among both sexes. This suggests that shorter DAPT may be preferred in both sexes following PCI, especially in those with high bleeding risk.

Indexed as

dual antiplatelet therapymeta-analysispercutaneous coronary interventionrandomized controlled trialssex differences

Identifiers

PMID39886301
PMCPMC11780104

What OpenQuestion holds

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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.