Evidence map›Paper›PMID 10894451›Full record

ReviewClinical cardiology2000

Class effects and evidence-based medicine.

C D Furberg

Abstract readReview
In one paragraph

Review in Clinical cardiology, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Effectiveness of statins for secondary prevention in elderly patients after acute myocardial infarction: an evaluation of class effect.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005
    Article
  8. 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

1 author.

C D FurbergWake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1063, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drugs grouped into a therapeutic class on the basis of a common mechanism of action often have considerably different pharmacodynamic and pharmacokinetic properties. Among angiotensin-converting enzyme (ACE) inhibitors, differences with potential clinical relevance include potency, whether the drug is an active compound or requires metabolic activation, lipophilicity, route(s) of elimination, and half-life. Large clinical trials have documented the clinical benefits of several ACE inhibitors in various patient populations, and many clinical effects of ACE inhibitors are likely to be the same. However, there are possible quantitative differences among ACE inhibitors that may alter the overall therapeutic benefits for specific patient populations and indications. Equipotency in terms of clinical efficacy is difficult to determine. Since the concept of "class effect" is a term of convenience that has no universally accepted definition and subsequently should not form the basis for the practice of evidence-based medicine, untested drugs of a "class" should be considered to be unproven drugs.

Indexed as

Angiotensin-Converting Enzyme InhibitorsCardiovascular DiseasesClinical Trials as TopicEvidence-Based MedicineGlobal HealthHumansIncidenceSurvival RateTreatment OutcomeAngiotensin-Converting Enzyme Inhibitors

Identifiers

PMID10894451
PMCPMC6655019

What Socratic holds

Textmetadata
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 Socratic graph.