Evidence map›Paper›PMID 33046595›Full record

SynthesisOpen heart2020

Ultrathin-strut biodegradable polymer versus durable polymer drug-eluting stents: a meta-analysis.

Mohammad Riashad Monjur, Christian F Said, Paul Bamford, Michael Parkinson, Richard Szirt, Thomas Ford

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Open heart, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Observational
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 at 2 institutions in 2 countries.

Mohammad Riashad MonjurDepartment of Cardiology, Central Coast Local Health District, Gosford, New South Wales, Australia.ORCID 0000-0003-1493-953X
Christian F SaidDepartment of Cardiology, Central Coast Local Health District, Gosford, New South Wales, Australia.
Paul BamfordDepartment of Cardiology, Central Coast Local Health District, Gosford, New South Wales, Australia.
Michael ParkinsonDepartment of Cardiology, Central Coast Local Health District, Gosford, New South Wales, Australia.
Richard SzirtDepartment of Cardiology, St George Hospital, Sydney, New South Wales, Australia.
Thomas FordDepartment of Cardiology, Central Coast Local Health District, Gosford, New South Wales, Australia tom.ford@health.nsw.gov.au.ORCID 0000-0003-4009-6652
Central Coast Local Health District · AUSt George Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDetermine whether an ultrathin biodegradable polymer sirolimus-eluting stent ('Orsiro'-BP-SES) has clinical benefits over second-generation durable polymer drug-eluting stents (DP-DES).

methodsWe conducted a prospective systematic review and meta-analysis of randomised clinical trials comparing Orsiro BP-SES against DP-DES (PROSPERO Registration: CRD42019147136). The primary outcome was target lesion failure (TLF): composite of cardiac death, target vessel myocardial infarction (TVMI) and clinically indicated target lesion revascularisation (TLR)) evaluated at the longest available follow-up.

resultsNine trials randomised 11 302 patients to either Orsiro BP-SES or DP-DES. At mean weighted follow-up of 2.8 years, the primary outcome (TLF) occurred in 501 of 6089 (8.2%) participants with BP-SES compared with 495 of 5213 (9.5%) participants with DP-DES. This equates to an absolute risk reduction of 1.3% in TLF in favour of Orsiro BP-SES (OR 0.82; 95% CI 0.69 to 0.98; p=0.03). This was driven by a reduction in TVMI (OR 0.80; 95% CI 0.65 to 0.98; p=0.03). There were no significant differences in other clinical endpoints: cardiac death, TLR and stent thrombosis.

conclusionThe Orsiro BP-SES shows promising clinical outcomes in patients undergoing percutaneous coronary intervention compared with contemporary second-generation DES at a short to medium term follow-up. More research is warranted to evaluate performance over a longer follow-up period and in different clinical and lesion subsets.

Indexed as

Absorbable ImplantsDrug-Eluting StentsAgedCoronary Artery DiseaseFemaleHumansMaleMiddle AgedPercutaneous Coronary InterventionPolymersProsthesis DesignRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTime FactorsTreatment OutcomePolymersacute coronary syndromecoronary artery diseasecoronary intervention (PCI)coronary stentinginterventional cardiology

Identifiers

PMID33046595
PMCPMC7552849
OpenAlexW3091923999

What Socratic 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 Socratic graph.