UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000050988
Receipt number R000058119
Scientific Title Prognostic significance of CAD-RADS categories for patients with suspected coronary artery disease: A Systematic Review and Meta-analysis
Date of disclosure of the study information 2023/05/04
Last modified on 2024/05/31 16:59:26

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Basic information

Public title

Prognostic significance of CAD-RADS categories for patients with suspected coronary artery disease: A Systematic Review and Meta-analysis

Acronym

Prognostic significance of CAD-RADS categories for patients with suspected coronary artery disease: A Systematic Review and Meta-analysis

Scientific Title

Prognostic significance of CAD-RADS categories for patients with suspected coronary artery disease: A Systematic Review and Meta-analysis

Scientific Title:Acronym

Prognostic significance of CAD-RADS categories for patients with suspected coronary artery disease: A Systematic Review and Meta-analysis

Region

Japan


Condition

Condition

Coronary artery disease

Classification by specialty

Cardiology Radiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this meta-analysis was to assess the prognostic importance of CAD-RADS, a reporting system for coronary artery CTA, for individuals who are suspected to have coronary artery disease.

Basic objectives2

Others

Basic objectives -Others

The aim of this meta-analysis was to assess the prognostic importance of CAD-RADS, a reporting system for coronary artery CTA, for individuals who are suspected to have coronary artery disease.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome of this meta-analysis was the hazard ratio of CAD-RADS categories in heart disease. Two reviewers (SK and MA) extracted hazard ratios of CAD-RADS categories (categories 1-5) to category = 0 from the articles. Patient characteristics such as author name, year of publication, country, patient disease, age, and gender were also investigated. Furthermore, we extracted hazard ratios for the addition of CAD-RADS for articles that demonstrated an incremental value of CAD-RADS over traditional clinical risk factors or CAC and conducted a meta-analysis.

Key secondary outcomes



Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

90 years-old >

Gender

Male and Female

Key inclusion criteria

On April 21, 2023, we conducted a thorough database search using PubMed, Web of Science Core Collection, Cochrane advanced search, and EMBASE electronic database. The search was performed using the following keywords: Coronary Artery Disease Reporting and Data System, CAD-RADS, coronary computed tomography, coronary CTA, coronary artery disease and stable angina pectoris

Key exclusion criteria

We excluded case reports, animal studies, and non-English articles.

Target sample size



Research contact person

Name of lead principal investigator

1st name Shingo
Middle name
Last name Kato

Organization

Yokohama City University

Division name

Department of Diagnostic Radiology

Zip code

236-0004

Address

3-9, Fukuura, Kanazawaku, Yokohama

TEL

0457872800

Email

shingo.m12226@gmail.com


Public contact

Name of contact person

1st name Shingo
Middle name
Last name Kato

Organization

Yokohama City University Hospital

Division name

Department of Diagnostic Radiology

Zip code

236-0004

Address

3-9, Fukuura, Kanazawaku, Yokohama

TEL

07026335766

Homepage URL


Email

shingo.m12226@gmail.com


Sponsor or person

Institute

Yokohama City University

Institute

Department

Personal name

Shingo Kato


Funding Source

Organization

Yokohama City University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB of Yokohama City University

Address

3-9, Fukuura, Kanazawaku, Yokohama

Tel

0457872800

Email

shingo.m12226@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 05 Month 04 Day


Related information

URL releasing protocol

Not applicable for meta-analysis.

Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.1093/radadv/umae007

Number of participants that the trial has enrolled

0

Results

Coronary Artery Disease-Reporting and Data System (CAD-RADS) is a standardized system for interpreting and reporting coronary computed tomography angiography results. from 37,596 exams in 13 studies were analyzed. Pooled HRs were significant for all CAD-RADS categories, with higher categories showing increased HRs. For all-cause mortality, all categories except CAD-RADS 1 showed significant HR compared to CAD-RADS 0.



Results date posted

2024 Year 05 Month 31 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Not applicable for meta-analysis.

Participant flow

Not applicable for meta-analysis.

Adverse events

Not applicable for meta-analysis.

Outcome measures

This meta-analysis aimed to evaluate the prognostic value of CAD-RADS in individuals with suspected CAD.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 05 Month 04 Day

Date of IRB

2023 Year 05 Month 04 Day

Anticipated trial start date

2023 Year 05 Month 04 Day

Last follow-up date

2023 Year 05 Month 05 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The primary outcome of this meta-analysis was the hazard ratio of CAD-RADS categories in heart disease. Two reviewers (SK and MA) extracted hazard ratios of CAD-RADS categories (categories 1-5) to category = 0 from the articles. Patient characteristics such as author name, year of publication, country, patient disease, age, and gender were also investigated. Furthermore, we extracted hazard ratios for the addition of CAD-RADS for articles that demonstrated an incremental value of CAD-RADS over traditional clinical risk factors or CAC and conducted a meta-analysis.


Management information

Registered date

2023 Year 05 Month 04 Day

Last modified on

2024 Year 05 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058119