Evidence map›Paper›PMID 36013561›Full record

Observational studyMedicina (Kaunas, Lithuania)2022

Chronic Thromboembolic Pulmonary Hypertension: An Observational Study.

Barbara Ruaro, Paola Confalonieri, Gaetano Caforio, Elisa Baratella, Riccardo Pozzan, Stefano Tavano, Chiara Bozzi, Selene Lerda, Pietro Geri, Marco Biolo and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 21 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Observational
  14. Article
  15. Article
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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

13 authors at 1 institution in 1 country.

Barbara RuaroDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.ORCID 0000-0001-8990-859X
Paola ConfalonieriDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.ORCID 0000-0002-7284-5016
Gaetano CaforioDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.
Elisa BaratellaDepartment of Radiology, Cattinara Hospital, University of Trieste, 34149 Trieste, Italy.ORCID 0000-0002-1061-9507
Riccardo PozzanDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.
Stefano TavanoDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.
Chiara BozziDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.
Selene Lerda24ore Business School, Via Monte Rosa, 91, 20149 Milan, Italy.
Pietro GeriDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.
Marco BioloDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.
Maurizio CortaleDepartment of Medical, Surgical, & Health Sciences, Cattinara Hospital, University of Trieste, 34127 Trieste, Italy.
Marco ConfalonieriDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.ORCID 0000-0002-4791-768X
Francesco SaltonDepartment of Pulmonology, University Hospital of Cattinara, University of Trieste, 34149 Trieste, Italy.ORCID 0000-0002-0864-9766
University of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Chronic thromboembolic pulmonary hypertension (CTEPH) has a high mortality. The treatment of CTEPH could be balloon pulmonary angioplasty (BPA), medical (MT) or pulmonary endarterectomy (PEA). This study aims to assess the clinical characteristics of CTEPH patients, surgically or medically treated, in a pulmonology referral center. Materials and Methods: A total of 124 patients with PH with suspected CTEPH (53 male subjects and 71 female subjects; mean age at diagnosis 67 ± 6) were asked to give informed consent and then were evaluated. The presence of CTEPH was ascertained by medical evaluations, radiology and laboratory tests. Results: After the evaluation of all clinical data, 65 patients met the inclusion criteria for CTEPH and they were therefore enrolled (22 males and 43 females; mean age at diagnosis was 69 ± 8). 26 CTEPH patients were treated with PEA, 32 with MT and 7 with BPA. There was a statistically significant age difference between the PEA and MT groups, at the time of diagnosis, the PEA patients were younger than the MT patients, whereas there was no statistically significant difference in other clinical characteristics (e.g., smoking habit, thrombophilia predisposition), as well as functional and hemodynamic parameters (e.g., 6-min walk test, right heart catheterization). During three years of follow-up, no patients in the PEA groups died; conversely, eleven patients in the MT group died during the same period (p < 0.05). Furthermore, a significant decrease in plasma BNP values and an increase in a meter at the six-minute walk test, 1 and 3 years after surgery, were observed in the PEA group (p < 0.05). Conclusions: This study seems to confirm that pulmonary endarterectomy (PEA) can provide an improvement in functional tests in CTEPH.

Indexed as

Angioplasty, BalloonHypertension, PulmonaryPulmonary EmbolismChronic DiseaseEndarterectomyFemaleHumansMalechronic thromboembolic pulmonary hypertension (CTEPH)chronic thromboembolismpulmonary artery pressure (PAP)pulmonary thromboendarterectomypulmonary vasodilator therapy

Identifiers

PMID36013561
PMCPMC9415110
OpenAlexW4291511523

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.