Evidence map›Paper›PMID 31609463›Full record

ReviewClinical cardiology2019

Critical appraisal of guidelines for coronary artery disease on dual antiplatelet therapy: More consensus than controversies.

Shaozhao Zhang, Huimin Zhou, Xiaodong Zhuang, Daya Yang, Xiuting Sun, Xiangbin Zhong, Xiaoyu Lin, Xun Hu, Yiquan Huang, Xinxue Liao and 1 more

Abstract readReview
In one paragraph

Review in Clinical cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
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

11 authors.

Shaozhao ZhangCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0002-3055-4851
Huimin ZhouCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xiaodong ZhuangCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Daya YangCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xiuting SunCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xiangbin ZhongCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xiaoyu LinDepartment of Anesthesiology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xun HuCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yiquan HuangCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xinxue LiaoCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Zhimin DuCardiology Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Funding

National Natural Science Foundation of China 81600206National Natural Science Foundation of China 81870195Natural Science Foundation of Guangdong Province 20160903Natural Science Foundation of Guangdong Province 2016A030310140
6 · The paper itself

Abstract

backgroundDual antiplatelet therapy (DAPT) in the form of aspirin plus a P

methodsContemporary guidelines in English were searched in MEDLINE, Embase and websites of guideline organizations and professional societies. Guidelines with recommendations on DAPT for CAD patients were included. Guideline quality was appraised with the 6-domain Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. The reporting of conflicts of interest (COI) was assessed individually with supplementary items from the RIGHT (Reporting Item for Practice Guidelines in Healthcare) checklist. Meanwhile, extraction of recommendations was performed.

resultsA total of 18 guidelines fulfilled our inclusion criteria. Most of them were graded with relatively good scores averaging from 42% to 74%. Domains for lower scores were in "stakeholder involvement" and "application." The reporting of COI was satisfactory. For the recommendations on DAPT, most guidelines with high AGREE II scores included consistent recommendations on the timing and P

conclusionsQuality of guidelines for DAPT in CAD was relatively high, though defects existed in "Applicability" and "Stakeholder Involvement." As these guidelines developed, DAPT recommendations gradually converged on a consensus. Clinical decision should be made on an individual basis.

Indexed as

Dual Anti-Platelet TherapyCoronary Artery DiseaseHumansPlatelet Aggregation InhibitorsPractice Guidelines as TopicPlatelet Aggregation InhibitorsAGREE IIcoronary artery diseasedual antiplatelet therapyguideline

Identifiers

PMID31609463
PMCPMC6906997

What Socratic holds

Textmetadata
LicenceCC BY
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.