Evidence mapPaperPMID 33926268Full record

SynthesisDiabetes & vascular disease research

Coronary revascularization in patients with stable coronary disease and diabetes mellitus.

Salman Bhat, Yan Yatsynovich, Umesh C Sharma

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Diabetes & vascular disease research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

3 authors at 2 institutions in 1 country.

Salman BhatDepartment of Medicine, University at Buffalo, NY, USA.ORCID 0000-0003-0304-4044
Yan YatsynovichDepartment of Medicine, University at Buffalo, NY, USA.
Umesh C SharmaDepartment of Medicine, University at Buffalo, NY, USA.ORCID 0000-0003-0476-2523
University at Buffalo, State University of New York · USSouthern California Clinical and Translational Science Institute · US

Funding

University of Buffalo Clinical and Translational Science InstituteUL1TR001412 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Timothy F Murphy · 2022 to 2024
$11.9M
Institutional Career DevelopmentKL2TR001413 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Margarita L Dubocovich · 2022 to 2024
$1.7M
NCATS NIH HHS KL2 TR001413NCATS NIH HHS UL1 TR001412NHLBI NIH HHS K08 HL131987
6 · The paper itself

Abstract

purpose of studyDiabetes mellitus accelerates the development of atherosclerosis. Patients with diabetes mellitus have higher incidence and mortality rates from cardiovascular disease and undergo a disproportionately higher number of coronary interventions compared to the general population. Proper selection of treatment modalities is thus paramount. Treatment strategies include medical management and interventional approaches including coronary artery bypass graft (CABG) surgery and percutaneous coronary interventions (PCI). The purpose of this review is to assimilate emerging evidence comparing CABG to PCI in patients with diabetes and present an outlook on the latest advances in percutaneous interventions, in addition to the optimal medical therapies in patients with diabetes. KEY

methodsA systematic search of PubMed, Web of Science and EMBASE was performed to identify prospective, randomized trials comparing outcomes of CABG and PCI, and also PCI with different generations of stents used in patients with diabetes. Additional review of bibliography of selected studies was also performed. MAIN

conclusionsMost of the trials discussed above demonstrate a survival advantage of CABG over PCI in patients with diabetes. However, recent advances in PCI technology are starting to challenge this narrative. Superior stent designs, use of specific drug-eluting stents, image-guided stent deployment, and the use of contemporary antiplatelet and lipid-lowering therapies are continuing to improve the PCI outcomes. Prospective data for such emerging interventional technologies in diabetes is however lacking currently and is the need of the hour.

Indexed as

Coronary Artery BypassDiabetes MellitusPercutaneous Coronary InterventionCoronary Artery DiseaseHumansRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsStentsTime FactorsTreatment OutcomeatherosclerosisCABGCoronary artery diseasecoronary interventionsdiabetes mellitusPCI

Identifiers

PMID33926268
PMCPMC8482730
OpenAlexW3157034496

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.