Trial reportAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2009
Examination of the effect of implantable cardioverter-defibrillators on health-related quality of life: based on results from the Multicenter Automatic Defibrillator Trial-II.
Trial report in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.
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.
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.
Catheter Ablation for Ventricular Tachycardia in Patients With an Implantable Cardioverter Defibrillator (CALYPSO) PILOT TRIAL
Primary Preventive Ventricular Tachycardia Ablation In High-Risk Patients Who Receive A Prophylactic Implantable Cardioverter Defibrillator (PRIMARY PREVENT-VT TRIAL)
Who cites it
16 citing papers in PubMed.
- The effects of empagliflozin on ventricular arrhythmias in heart failure patients with an implantable cardioverter-defibrillator: a double-blind randomized controlled trial.Naunyn-Schmiedeberg's archives of pharmacology · 2024Trial
- Psychological trauma and health-related quality of life following ventricular tachycardia ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Implantable Cardiac Devices in Patients with Brady- and Tachy-Arrhythmias: An Update of the Literature.Reviews in cardiovascular medicine · 2024Review
- Outcomes of permanent pacemakers and implantable cardioverter-defibrillators in an adult congenital heart disease population.International journal of cardiology. Congenital heart disease · 2024Article
- Assessing the Cost and Resource Use Impact of Implantable Cardiac Defibrillator Shocks in the UK CareLink Population.ClinicoEconomics and outcomes research : CEOR · 2023Article
- Optimal Timing of VT Ablation for Patients with ICD Therapies.Current cardiology reports · 2020Review
- Health-related quality of life and economic implications of cutaneous T-cell lymphoma.The British journal of dermatology · 2020Article
- The Value of the Tei Index in Predicting Implantable Cardioverter Defibrillator Shocks.Sisli Etfal Hastanesi tip bulteni · 2018Article
- Inappropriate ICD Shocks in Pediatric and Congenital Heart Disease Patients.The Journal of innovations in cardiac rhythm management · 2017Review
- Inappropriate shocks in a patient with a subcutaneous implantable cardioverter-defibrillator.HeartRhythm case reports · 2016Article
- The Significance of Shocks in Implantable Cardioverter Defibrillator Recipients.Arrhythmia & electrophysiology review · 2016Article
- Psychological effects of implantable cardioverter defibrillator shocks. A review of study methods.Frontiers in psychology · 2015Review
- Bilateral Vestibular Deficiency: Quality of Life and Economic Implications.JAMA otolaryngology-- head & neck surgery · 2014Article
- Psychiatric disorders and quality of life in patients with implantable cardioverter defibrillators: a systematic review.The primary care companion for CNS disorders · 2013Article
- [Psychological comorbidity and quality of life in patients with an implantable cardioverter/defribrillator (ICD)].Herzschrittmachertherapie & Elektrophysiologie · 2010Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
While implantable cardioverter-defibrillators (ICDs) improve survival, their benefit in terms of health-related quality of life (HRQOL) is negligible. To examine how shocks and congestive heart failure (CHF) mediate the effect of ICDs on HRQOL. The US patients from the MADIT-II (Multicenter Automatic Defibrillator Trial-II) trial (n = 983) were randomized to receive an ICD or medical treatment only. HRQOL was assessed using the Health Utility Index 3 at baseline and 3, 12, 24, and 36 months following randomization. Logistic regressions were used to test for the effect of ICDs on the CHF indicator, and linear regressions were used to examine the effect of ICD shocks and CHF on HRQOL in living patients. We used a Monte Carlo simulation and a parametric Weibull distribution survival model to test for the effect of selective attrition. Observations were clustered by patients and robust standard errors (RSEs) were used to control for the non-independence of multiple observations provided by the same patient. Patients in the ICD arm had 41% higher odds of experiencing CHF since their last assessment compared with those in the control arm (RSE = 0.19, p = 0.01). Developing CHF reduced HRQOL at the subsequent visit by 0.07 (p < 0.01). Having ICD shocks reduced overall HRQOL by 0.04 (p = 0.04) at the subsequent assessment. The negative effect of ICD firing on HRQOL was an order of magnitude greater than the effect of CHF. A higher prevalence of CHF and shocks among patients with ICDs and their negative effect on HRQOL may partially explain the lack of HRQOL benefit of ICD therapy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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 OpenQuestion graph.