Evidence map›Paper›PMID 40467090›Full record

SynthesisBMJ (Clinical research ed.)2025

P2Y

Daniele Giacoppo, Felice Gragnano, Hirotoshi Watanabe, Takeshi Kimura, Jeehoon Kang, Kyung-Woo Park, Hyo-Soo Kim, Alf-Åge Pettersen, Deepak L Bhatt, Stuart Pocock and 2 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Comparison of P2YArchives of medical sciences. Atherosclerotic diseases · 2026
    Review
  9. Article
  10. Article
  11. Managing patients with a history of arterial disease and new venous thromboembolism.Hematology. American Society of Hematology. Education Program · 2025
    Article
  12. Review
  13. Review
  14. P2YReviews in cardiovascular medicine · 2025
    Article
  15. Review
  16. Article
  17. 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

12 authors.

Daniele GiacoppoDepartment of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.ORCID 0000-0001-9008-3011
Felice GragnanoDepartment of Translational Medical Sciences, University of Campania Luigi Vanvitelli, Caserta, Italy.ORCID 0000-0002-6943-278X
Hirotoshi WatanabeDivision of Cardiology, Hirakata Kohsai Hospital, Hirakata, Japan.ORCID 0000-0002-9443-5915
Takeshi KimuraDivision of Cardiology, Hirakata Kohsai Hospital, Hirakata, Japan.ORCID 0000-0002-5665-4076
Jeehoon KangCardiovascular Centre, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-9078-2231
Kyung-Woo ParkCardiovascular Centre, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0003-2432-4432
Hyo-Soo KimCardiovascular Centre, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0003-0847-5329
Alf-Åge PettersenDepartment of Cardiology, Ringerike Hospital, Vestre Viken HF, Drammen, Norway.ORCID 0000-0001-7543-475X
Deepak L BhattIcahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-1278-6245
Stuart PocockDepartment of Medical Statistics, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-2212-4007
Roxana MehranIcahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-5546-262X
Marco ValgimigliCardiocentro Ticino Institute, Ente Ospedaliero Cantonale, 6900 Lugano, Switzerland marco.valgimigli@eoc.ch.ORCID 0000-0002-4353-7110

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the long term comparative effectiveness of P2Y

designIndividual participant data (IPD) meta-analysis of randomised clinical trials. DATA SOURCES: PubMed/Medline, Scopus, Web of Science, and Ovid/Embase. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Randomised trials investigating monotherapy with a P2Y DATA EXTRACTION AND SYNTHESIS: Anonymised IPD were extracted and transferred to the coordinating centre by dedicated electronic spreadsheets. Data were primarily combined by mixed effects models (one stage analysis) and complemented with multivariable mixed effects models and two stage analyses based on random effects models. The primary and co-primary outcomes were a composite of major adverse cardiac and cerebrovascular events (MACCE) and major bleeding, respectively. The secondary outcomes included a net composite of adverse cardiac and cerebrovascular events (NACCE), derived from the combination of the primary and co-primary outcomes, and individual ischaemic and bleeding events.

resultsA total of 16 117 patients assigned to P2Y

conclusionsIn patients who had undergone PCI and discontinued DAPT, at a follow-up of about 5.5 years, P2Y REVIEW REGISTRATION: PROSPERO CRD42024517983.

Indexed as

AspirinCoronary Artery DiseasePercutaneous Coronary InterventionPlatelet Aggregation InhibitorsPurinergic P2Y Receptor AntagonistsAgedDual Anti-Platelet TherapyFemaleHemorrhageHumansMaleRandomized Controlled Trials as TopicSecondary PreventionTreatment OutcomeAspirinPlatelet Aggregation InhibitorsPurinergic P2Y Receptor Antagonists

Identifiers

PMID40467090
PMCPMC12135077

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.