Evidence map›Paper›PMID 40571591›Full record

ArticleJournal of atherosclerosis and thrombosis2025

Regional Disparities in Incidence, Therapeutic Approaches, and In-hospital Mortality of Critical Limb Ischemia in Japan.

Manabu Nitta, Kiwamu Iwata, Makoto Kaneko, Kiyohide Fushimi, Shinichiro Ueda, Sayuri Shimizu

Abstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 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. Article
  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

6 authors.

Manabu NittaDepartment of Cardiology, Yokohama City University Graduate School of Medicine.
Kiwamu IwataDepartment of Cardiology, Yokohama City University Graduate School of Medicine.
Makoto KanekoDepartment of Health Data Science, Graduate School of Data Science, Yokohama City University.
Kiyohide FushimiDepartment of Health Policy and Informatics, Institute of Science Tokyo.
Shinichiro UedaDepartment of Health Data Science, Graduate School of Data Science, Yokohama City University.
Sayuri ShimizuDepartment of Health Data Science, Graduate School of Data Science, Yokohama City University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study investigated regional disparities in the incidence, management, and in-hospital outcomes of critical limb ischemia (CLI) in Japan to inform standardized care practices.

methodsWe conducted a retrospective cohort study using the nationwide Diagnosis Procedure Combination database, including patients ≥ 18 years old who were discharged from acute-care hospitals between April 2018 and March 2020. Patients with CLI were identified using ICD-10 codes and restricted to those undergoing invasive treatments including endovascular therapy (EVT), bypass surgery, or amputation. Regional differences in patient demographics, in-hospital management, and outcomes were analyzed across seven regions in Japan.

resultsIn total, 19,699 records were identified. CLI admissions per million population were highest in the Kyushu region (112.1) and lowest in the Kanto region (59.9). The proportion of patients with a body mass index (BMI) <18.5 kg/m

conclusionsThis study revealed significant regional disparities in CLI incidence, management, and outcomes across Japan. These findings highlight the need for standardized, evidence-based care strategies that address regional disparities to improve outcomes for patients with CLI.

Indexed as

Healthcare DisparitiesHospital MortalityIschemiaAgedAged, 80 and overAmputation, SurgicalCritical IllnessEndovascular ProceduresFemaleHumansIncidenceJapanMaleMiddle AgedRetrospective StudiesCritical limb ischemiaDiagnosis Procedure CombinationIn-hospital mortalityRegional disparities

Identifiers

PMID40571591
PMCPMC12685383

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LicenceCC BY-NC-SA
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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.