Evidence map›Paper›PMID 40025902›Full record

ArticleScience progress

Long-term outcomes and prognostic factors of major amputation in thromboangiitis obliterans after drug therapy and endovascular procedures: A real-world cohort study.

Hailiang Xie, Jiying Lu, Guofu Zheng, Xiaochun Liu, Weiqing Chen

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Article in Science progress. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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3citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hailiang XieDepartment of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China.
Jiying LuSchool of medical Jiangsu university, Zhenjiang, Jiangsu, People's Republic of China.
Guofu ZhengDepartment of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China.
Xiaochun LiuDepartment of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China.ORCID 0000-0002-6324-2328
Weiqing ChenDepartment of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesData regarding the long-term outcomes of patients with thromboangiitis obliterans (TAO) after drug therapy (DT) alone and endovascular procedure (EP)+ drug therapy (DT) are limited. In this study, we compared the long-term outcomes and prognostic factors of major amputation in TAO patients treated with DT alone and those treated with EP+ DT.

methodsConsecutive patients with TAO treated at Ganzhou People's Hospital between 2012 and 2022 were included in this real-world study. All patients were administered DT. Some patients were treated with EP in addition to DT. The patients were classified into two groups: the DT group and the EP+ DT group. Long-term follow-up was sustained for all patients after treatment, and limb events were documented throughout the follow-up period. Cox regression analyses were used to analyze the factors associated with major amputation of the TAO.

resultsA total of 150 TAO patients with 175 lower limb lesions were included in the study and the number of patients in DT group and EP+ DT group was 81 and 69, respectively. The technical success rate in the EP group was 82.6%. The major amputation was performed in 19 and 21 patients in the respective groups, accounting for 26.7% of the total patients. The Kaplan-Meier curves for major amputation did not significantly differ between the two groups. Cox regression analysis revealed that disease duration (hazard ratio (HR), 0.865; 95% confidence interval (CI) [0.783-0.979],

conclusionIn terms of long-term outcomes, major amputation in TAO patients did not seem to be related to the treatment methods despite a higher immediate patency rate observed after endovascular procedures. Additionally, we identified independent factors for major amputation.

Indexed as

Amputation, SurgicalEndovascular ProceduresThromboangiitis ObliteransAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedPrognosisTreatment Outcomedrug therapyendovascular proceduresLower extremitymajor amputationthromboangiitis obliterans

Identifiers

PMID40025902
PMCPMC11874488

What Socratic holds

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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.