Evidence map›Paper›PMID 21440885›Full record

ArticleThe American journal of cardiology2011

Effect of gender on treatment and outcomes in severe aortic stenosis.

Maryanne Hartzell, Rajeev Malhotra, Kibar Yared, Hannah R Rosenfield, Jennifer D Walker, Malissa J Wood

Abstract readComparative Study
In one paragraph

Article in The American journal of cardiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 36 citations in OpenAlex.

  1. Aortic Stenosis: Time for a Sex-Based Approach?Journal of clinical medicine · 2025
    Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Gender Differences in Predictors and Long-Term Mortality of New-Onset Postoperative Atrial Fibrillation Following Isolated Aortic Valve Replacement Surgery.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2020
    Article
  8. Sex Influence on Heart Failure Prognosis.Frontiers in cardiovascular medicine · 2020
    Review
  9. The gender paradox in TAVR.Annals of translational medicine · 2017
    Article
  10. Article
  11. 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

6 authors at 2 institutions in 2 countries.

Maryanne HartzellMassachusetts General Hospital, Boston, MA, USA. maryannehartzell@gmail.com
Rajeev Malhotra
Kibar Yared
Hannah R Rosenfield
Jennifer D Walker
Malissa J Wood
Massachusetts General Hospital · USThe Scarborough Hospital · CA

Funding

The Role of Bone Morphogenetic Proteins in Vascular CalcificationK08HL111210 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MALHOTRA, RAJEEV · 2014 to 2018
$796k
NHLBI NIH HHS K08 HL111210
6 · The paper itself

Abstract

The aim of this study was to evaluate the effect of gender on operative rates and outcomes in men and women with severe aortic stenosis. An institutional echocardiographic database was used to identify all adult patients with severe aortic stenosis from 2004 through 2005. Only patients with class I indication for aortic valve replacement (AVR) during the period of follow-up were included in the study. Three hundred sixty-two patients were identified with severe aortic stenosis and class I indication for AVR (52% women). Overall operative rate for the cohort was 72%. In patients who underwent AVR, Kaplan-Meier survival rates were the same for men and women. Sixty-four percent of women versus 81% of men underwent AVR (p <0.001). After adjusting for multiple covariates, women had a 2.1-fold lower odds of undergoing AVR compared to men (p = 0.02). After matching for age and Society of Thoracic Surgery risk score, women underwent AVR at a 19% lower relative rate compared to men (p = 0.03); when stratified by gender, there was no difference in reasons for not undergoing AVR. In conclusion, despite similar outcomes after surgery, women with severe aortic stenosis are less likely than men to undergo AVR.

Indexed as

AgedAged, 80 and overAortic Valve StenosisFemaleHumansMaleMiddle AgedRisk AssessmentSeverity of Illness IndexSex FactorsTreatment OutcomeUltrasonography

Identifiers

PMID21440885
PMCPMC5758865
OpenAlexW1971848114

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.