Evidence map›Paper›PMID 25896479›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2015

The impact of transcatheter aortic valve implantation on quality of life: results from the German transcatheter aortic valve interventions registry.

Janine Biermann, Martin Horack, Philipp Kahlert, Steffen Schneider, Georg Nickenig, Ralf Zahn, Jochen Senges, Raimund Erbel, Jürgen Wasem, Till Neumann

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Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Thrombosis of TAVI prosthesis-cause for concern or innocent bystander? A comment and review of currently available data.Clinical research in cardiology : official journal of the German Cardiac Society · 2017
    Article
  13. Prognostic value of body mass index and body surface area on clinical outcomes after transcatheter aortic valve implantation.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Observational
  14. Article
  15. 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

10 authors.

Janine BiermannClinic of Cardiology, University Hospital Essen, Essen, Germany. janine.biermann@medman.uni-due.de.
Martin HorackStiftung IHF, Foundation IHF, Institute of Myocardial Infarction Research, Ludwigshafen, Germany.
Philipp KahlertClinic of Cardiology, University Hospital Essen, Essen, Germany.
Steffen SchneiderStiftung IHF, Foundation IHF, Institute of Myocardial Infarction Research, Ludwigshafen, Germany.
Georg NickenigDepartment of Medicine II, Cardiology, University Hospital Bonn, Bonn, Germany.
Ralf ZahnStiftung IHF, Foundation IHF, Institute of Myocardial Infarction Research, Ludwigshafen, Germany.
Jochen SengesStiftung IHF, Foundation IHF, Institute of Myocardial Infarction Research, Ludwigshafen, Germany.
Raimund ErbelClinic of Cardiology, University Hospital Essen, Essen, Germany.
Jürgen WasemInstitute for Health Care Management and Research, University of Duisburg-Essen, Thea-Leymann-Str. 9, 45127, Essen, Germany.
Till NeumannClinic of Cardiology, University Hospital Essen, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTranscatheter aortic valve implantation (TAVI) has proven a survival benefit in patients with severe symptomatic aortic stenosis (AS). Recently published data from the German TAVI registry reported a 1-year mortality rate of 19.9 %. However, there are limited data for the effect of TAVI on quality of life (QoL), especially in real life settings.

methodsThe German TAVI registry was launched to evaluate safety, effectiveness and QoL of TAVI in daily clinical routine. We analyzed health-related QoL, using the EQ-5D questionnaire.

resultsQuality-of-life data were eligible for 460 patients who survived 12 months after TAVI (82.5 ± 6.0 years; 32.2 % men). At baseline, QoL (EQ-5D-index: 0.63 ± 0.26) was markedly depressed, but significantly improved 30 days and 12 months (0.67 ± 0.24; 0.70 ± 0.24; p < 0.0001) after TAVI procedure. In addition, the visual analogue health scale, recording the patient's self-rated health, significantly (p < 0.0001) increased from 42.0 ± 15.9 % at baseline to 57.0 ± 17.2 % (30 days) and 57.7 ± 19.6 % (12 months). A lower EQ-5D-index at baseline, a percutaneous transfemoral/transaxillar TAVI procedure, and indications other than frailty for TAVI were determinants for an improved QoL 1 year after TAVI.

conclusionsAmong patients with AS, TAVI resulted in meaningful improvements in QoL. This benefit was present shortly after TAVI and maintained for at least 1 year. Different gains in QoL regarding patient-subgroups and determinants for improved QoL could give further impetus for patient selection.

Indexed as

RegistriesActivities of Daily LivingAged, 80 and overAortic Valve StenosisFemaleGermanyHumansLongitudinal StudiesMaleQuality of LifeSurveys and QuestionnairesTranscatheter Aortic Valve ReplacementTreatment OutcomeEQ-5DQuality of lifeRegistryTAVITranscatheter aortic valve implantation

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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 OpenQuestion graph.