Evidence map›Paper›PMID 26294934›Full record

ArticleHeart Asia

Rheumatic heart disease among adults in a mining community of Papua, Indonesia: findings from an occupational cohort.

Rodrigo Rodriguez-Fernandez, Rachel Amiya, Rosemary Wyber, Wishnu Widdodow, Johnathan Carapetis

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Heart Asia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Clinical and Hemodynamic Factors Associated with Low Gradient Severe Rheumatic Mitral Stenosis.The International journal of angiology : official publication of the International College of Angiology, Inc · 2023
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Prognostic Value of Late Gadolinium Enhancement in Postoperative Morbidity following Mitral Valve Surgery in Rheumatic Mitral Stenosis.The International journal of angiology : official publication of the International College of Angiology, Inc · 2019
    Article
  9. Survival analysis of patients with rheumatic MS after PBMV compared with MVS in a low-to-middle-income country.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

Rodrigo Rodriguez-FernandezFreeport Public Health and Malaria Control , International SOS , Kuala Kencana, Papua , Indonesia ; NCD Asia Pacific Alliance , Tokyo , Japan.
Rachel AmiyaNCD Asia Pacific Alliance , Tokyo , Japan ; Department of Family Nursing , University of Tokyo, Graduate School of Medicine , Tokyo , Japan.
Rosemary WyberUniversity of Western Australia, Telethon Kids Institute , Subiaco, Western Australia , Australia.
Wishnu WiddodowDepartment of Cardiology and Vascular Medicine , University of Indonesia , Jakarta , Indonesia.
Johnathan CarapetisUniversity of Western Australia, Telethon Kids Institute , Subiaco, Western Australia , Australia.
The Kids Research Institute Australia · AUThe University of Tokyo · JPUniversity of Indonesia · IDUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRheumatic heart disease (RHD) remains a significant cause of cardiovascular morbidity and mortality in developing countries such as Indonesia. Yet, despite being one of the most readily preventable chronic diseases, RHD has received scant research or policy attention, particularly in South-East Asia.

aimTo describe the pattern of RHD occurrence in a sample of presenting cases from an occupational cohort in Papua Province, Indonesia.

methodsClinical records of 15 608 mining workers (96.4% men, mean age 36.3±7.4 years) were reviewed retrospectively to identify and extract data on all rheumatic fever (RF) and RHD cases admitted to two hospitals in Papua during 2008-2013. Collected data included basic demographics, employment history and echocardiographic findings.

results83 RHD cases (95.6% men, mean age 39.6±12.5 years) and 3 RF cases were identified between 2008 and 2013. Increased RHD risk was observed among those aged 35-44 (HR=3.60) and 45-68 (HR=4.46) years relative to the youngest age group (p<0.01). RHD incidence density was 6.84 per 10 000 person years of follow-up. Among cases, mitral stenosis was the most common valvular lesion at initial presentation (41.0%), and 6.0% were multivalvular.

conclusionsThe prevalence of RHD in Papuan mining workers correlates with adult prevalence data in other populations with a high RHD burden, highlighting RHD as a significant health issue into adulthood. The late stage at which most patients presented points to a strong need for earlier intervention. Both primary and secondary preventive measures must be considered critical tools to prevent and reduce RHD burden, particularly among older age groups.

Identifiers

PMID26294934
PMCPMC4537650
OpenAlexW2335658573

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.