Evidence map›Paper›PMID 27317583›Full record

Observational studyClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis2017

Association of the von Willebrand Factor-ADAMTS13 Ratio With Incident Cardiovascular Events in Patients With Peripheral Arterial Disease.

David Green, Lu Tian, Philip Greenland, Kiang Liu, Melina Kibbe, Russell Tracy, Sanjiv Shah, John T Wilkins, Mark D Huffman, Yihua Liao and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis, 2017. 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
0.5field-weighted citation impact, top 31% of its field
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, 19 citations in OpenAlex.

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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 at 4 institutions in 1 country.

David Green1 Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Lu Tian2 Department of Health Research and Policy, Stanford University, Stanford, CA, USA.
Philip Greenland3 Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Kiang Liu3 Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Melina Kibbe4 Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Russell Tracy6 Department of Pathology-Colchester Research Facility, University of Vermont College of Medicine, Colchester, VT, USA.
Sanjiv Shah1 Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
John T Wilkins1 Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Mark D Huffman1 Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Yihua Liao3 Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Donald Lloyd Jones1 Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Mary M McDermott1 Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Northwestern University · USJesse Brown VA Medical Center · USStanford University · USUniversity of Vermont · US

Funding

Blood Markers of Vulnerability in High Risk Vascular PatientsR01HL089619 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MCDERMOTT, MARY MCGRAE · 2009 to 2012
$2.9M
NHLBI NIH HHS R01 HL089619
6 · The paper itself

Abstract

backgroundPlatelet adhesion is mediated by von Willebrand factor (vWF), and disintegrin-like and metalloprotease domain with thrombospondin type-1 motif, number 13 (ADAMTS13) is a protease that cleaves vWF. A change in the balance between vWF and ADAMTS13 in favor of thrombosis might occur shortly before ischemic cardiovascular (CV) events.

objectiveTo determine whether vWF, ADAMTS13, and the ratio of vWF and ADAMTS13 change during the months preceding an acute CV event.

designProspective longitudinal observational study.

settingOutpatient. PATIENTS: A total of 595 participants with peripheral artery disease (PAD). MEASUREMENTS: Blood samples were obtained every 2 months for up to 3 years and hemostatic factors examined at intervals preceding events.

resultsSixty-one participants (cases) experienced events and were matched to 122 PAD controls. During the 2-month interval prior to an event, cases (n = 48) had higher levels of the vWF and ADAMTS13 than controls (n = 95; P = .05), but significance was lost after adjusting for the baseline differences in myocardial infarction, unstable angina, and stroke. During the 10 months prior to an event, median values for vWF and the ratio of vWF and ADAMTS13 were higher in cases than in controls, but the differences were not statistically significant. However, in a subset of 20 patients with complete bimonthly data, there was a trend toward an increase in the ratio in the 10 months prior to a CV event ( P = .04).

conclusionIn patients with PAD experiencing an ischemic CV event, a significant increase in the ratio of vWF to ADAMTS13 prior to the event could not be confirmed, although there was a weak trend in this direction.

Indexed as

ADAMTS13 ProteinAgedCardiovascular DiseasesCase-Control StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedPeripheral Arterial DiseaseProspective Studiesvon Willebrand FactorADAMTS13 ProteinADAMTS13 protein, humanvon Willebrand FactorADAMTS13 proteinbiomarkershumanischemic strokemyocardial infarctionperipheral vascular diseasevon Willebrand factor

Identifiers

PMID27317583
PMCPMC6689399
OpenAlexW2429063415

What Socratic holds

Textmetadata
LicenceTDM
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.