Evidence mapPaperPMID 37174152Full record

ReviewInternational journal of environmental research and public health2023

Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review.

Monika Kodeboina, Kerstin Piayda, Inge Jenniskens, Pearl Vyas, Sara Chen, Ramon Julian Pesigan, Nicole Ferko, Barkha P Patel, Annamaria Dobrin, Jayson Habib and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Predictive Scoring Model for In-Stent Restenosis Risk in Coronary Artery Disease Patients.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Special Issue "Coronary Artery Disease Interventions".Journal of clinical medicine · 2024
    Article
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 at 6 institutions in 6 countries.

Monika KodeboinaCardiovascular Center Aalst, OLV Clinic, 9300 Aalst, Belgium.
Kerstin PiaydaCardiovascular Center Frankfurt, 60389 Frankfurt, Germany.ORCID 0000-0002-9746-7592
Inge JenniskensPhilips, 5684 PC Best, The Netherlands.
Pearl VyasPhilips, 5684 PC Best, The Netherlands.
Sara ChenPhilips, San Diego, CA 92130, USA.
Ramon Julian PesiganPhilips, 5684 PC Best, The Netherlands.
Nicole FerkoEVERSANA, Burlington, ON L7N 3H8, Canada.
Barkha P PatelEVERSANA, Burlington, ON L7N 3H8, Canada.ORCID 0000-0003-3966-3226
Annamaria DobrinEVERSANA, Burlington, ON L7N 3H8, Canada.
Jayson HabibEVERSANA, Burlington, ON L7N 3H8, Canada.ORCID 0009-0006-1534-9231
Jennifer FrankeCardiovascular Center Frankfurt, 60389 Frankfurt, Germany.
EVERSANA (Canada) · CAPhilips (Netherlands) · NLCardiovascular Center Frankfurt · DEJustus-Liebig-Universität Gießen · DEOnze Lieve Vrouwziekenhuis Hospital · BEPhilips (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical and economic burdens exist within the coronary artery disease (CAD) care pathway despite advances in diagnosis and treatment and the increasing utilization of percutaneous coronary intervention (PCI). However, research presenting a comprehensive assessment of the challenges across this pathway is scarce. This contemporary review identifies relevant studies related to inefficiencies in the diagnosis, treatment, and management of CAD, including clinician, patient, and economic burdens. Studies demonstrating the benefits of integration and automation within the catheterization laboratory and across the CAD care pathway were also included. Most studies were published in the last 5-10 years and focused on North America and Europe. The review demonstrated multiple potentially avoidable inefficiencies, with a focus on access, appropriate use, conduct, and follow-up related to PCI. Inefficiencies included misdiagnosis, delays in emergency care, suboptimal testing, longer procedure times, risk of recurrent cardiac events, incomplete treatment, and challenges accessing and adhering to post-acute care. Across the CAD pathway, this review revealed that high clinician burnout, complex technologies, radiation, and contrast media exposure, amongst others, negatively impact workflow and patient care. Potential solutions include greater integration and interoperability between technologies and systems, improved standardization, and increased automation to reduce burdens in CAD and improve patient outcomes.

Indexed as

Coronary Artery DiseasePercutaneous Coronary InterventionCritical PathwaysHumansPatientsRisk FactorsTreatment Outcomeautomationburdenscoronary artery diseasediagnostic imagingechocardiographyinefficienciesintegrationmyocardial ischemiapercutaneous coronary interventiontreatment

Identifiers

PMID37174152
PMCPMC10177939
OpenAlexW4366987725

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.