Evidence mapPaperPMID 39389261Full record

SynthesisIndian heart journal

Gender differences in the management and outcomes of acute coronary syndrome in indians: A systematic review and meta-analysis.

Deep Dutta, Kunal Mahajan, Lokesh Verma, Gunjan Gupta, Meha Sharma

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Indian heart journal. 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
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

3 citing papers in PubMed.

  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

5 authors.

Deep DuttaDepartment of Endocrinology, Center for Endocrinology Diabetes Arthritis & Rheumatism (CEDAR) Superspeciality Healthcare, Dwarka, New Delhi, India. Electronic address: deepdutta2000@yahoo.com.
Kunal MahajanDepartment of Cardiology, Himachal Heart Institute, Mandi, Himachal Pradesh, India. Electronic address: Kunalmahajan442@gmail.com.
Lokesh VermaDepartment of Medicine, Shri Lal Bahadur Shastri (SLBS) Government Medical College, Nerchowk Himachal Pradesh, India. Electronic address: dvdrlokesh@gmail.com.
Gunjan GuptaDepartment of Otorhinolaryngology, Himachal Heart Institute, Mandi, India. Electronic address: gunji.2@gmail.com.
Meha SharmaDepartment of Rheumatology, CEDAR Superspeciality Healthcare, New Delhi, India. Electronic address: docmsharma@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGender differences in acute coronary syndrome (ACS) outcomes have been noted in global data, which however did not analyse Indian data. No prior systematic review and meta-analysis (SRM) has addressed this important aspect of gender bias in Indian women with ACS. Hence this SRM aimed to address this knowledge gap.

methodsElectronic databases were searched for studies in ACS comparing cardiovascular disease presentation, treatment received and outcomes in women and men from India. Primary outcomes were to evaluate gender-differences in 30-day death and major adverse cardiovascular events (MACE). Secondary outcomes were to evaluate gender-differences in presentation, management and mortality. The SRM is registered with PROSPERO (CRD42023477286).

resultsFrom initially screened 3753 articles, data from 9 studies (61,185 patients) were analysed. Women with ACS had higher prevalence of diabetes [Odds ratio (OR) 1.65(95%CI:1.33-2.04); p < 0.001; I

conclusionOur study highlights worse outcomes in Indian women with ACS. Higher burden of diabetes and hypertension, decreased used of PCI and lesser aggressive pharmacotherapy may be some of the contributing factors.

Indexed as

Acute Coronary SyndromeDisease ManagementFemaleHumansIndiaMaleRisk FactorsSex FactorsSurvival RateAcute coronary syndromeGender differencesGender disparityMeta-analysisOutcomes

Identifiers

PMID39389261
PMCPMC11584376

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.