Evidence map›Paper›PMID 27843325›Full record

ReviewJournal of multidisciplinary healthcare2016

The role of the multidisciplinary health care team in the management of patients with Marfan syndrome.

Yskert von Kodolitsch, Meike Rybczynski, Marina Vogler, Thomas S Mir, Helke Schüler, Kerstin Kutsche, Georg Rosenberger, Christian Detter, Alexander M Bernhardt, Axel Larena-Avellaneda and 20 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Oral Health Status in Marfan Syndrome: A Systematic Review and Meta-Analysis of 353 Cases.International journal of environmental research and public health · 2022
    Pooled it
  3. King Aorta: Narrative anatomy education.Anatomical sciences education · 2025
    Trial
  4. Article
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  16. Review
  17. Review
  18. Article
  19. Ocular manifestation in Marfan syndrome: corneal biomechanical properties relate to increased systemic score points.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2018
    Observational
  20. 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

30 authors at 9 institutions in 6 countries.

Yskert von KodolitschClinic of Cardiology, University Heart Centre.
Meike RybczynskiClinic of Cardiology, University Heart Centre.
Marina VoglerMarfan Hilfe Deutschland e.V., Zentrumsehstärke.
Thomas S MirClinic for Pediatric Cardiology, University Heart Centre.
Helke SchülerClinic of Cardiology, University Heart Centre.
Kerstin KutscheInstitute of Human Genetics.
Georg RosenbergerInstitute of Human Genetics.
Christian DetterClinic of Cardiovascular Surgery, University Heart Centre.
Alexander M BernhardtClinic of Cardiovascular Surgery, University Heart Centre.
Axel Larena-AvellanedaClinic of Vascular Medicine, University Heart Centre.
Tilo KölbelClinic of Vascular Medicine, University Heart Centre.
E Sebastian DebusClinic of Vascular Medicine, University Heart Centre.
Malte SchroederDepartment of Trauma, Hand, and Reconstructive Surgery; Department of Orthopedics.
Stephan J LinkeClinic of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Smilow Center for Translational Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Bettina FuistingClinic of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Barbara NappClinic of Cardiology, University Heart Centre.
Anna Lena KammalDepartment of Legal Medicine.
Klaus PüschelDepartment of Legal Medicine.
Peter BannasDiagnostic and Interventional Radiology Department and Clinic.
Boris A HoffmannClinic of Electrophysiology, University Heart Centre.
Nele GesslerClinic of Electrophysiology, University Heart Centre.
Eva Vahle-HinzDepartment of Orthodontics, Center for Dental and Oral Medicine.
Bärbel Kahl-NiekeDepartment of Orthodontics, Center for Dental and Oral Medicine.
Götz ThomallaClinic of Neurology.
Christina Weiler-NormannMartin Zeitz Center for Rare Diseases.
Gunda OhmStrategic Business Development.
Stefan NeumannBusiness Unit Quality Management, University Medical Center Hamburg-Eppendorf.
Dieter BenninghovenMühlenberg-Clinic for Rehabilitation, Bad Malente-Gremsmühlen.
Stefan BlankenbergClinic of Cardiology, University Heart Centre.
Reed E PyeritzZentrumsehstärke, Hamburg, Germany.
Art Research Centre of the Slovak Academy of Sciences · SKUniversity of Dental Medicine · MMCenter For Reconstructive Urethral Surgery · ITCenter for Strategic Research · RULehigh Valley Hospital Muhlenberg · USSociety of Interventional Radiology · USUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Marfan syndrome (MFS) is a rare, severe, chronic, life-threatening disease with multiorgan involvement that requires optimal multidisciplinary care to normalize both prognosis and quality of life. In this article, each key team member of all the medical disciplines of a multidisciplinary health care team at the Hamburg Marfan center gives a personal account of his or her contribution in the management of patients with MFS. The authors show how, with the support of health care managers, key team members organize themselves in an organizational structure to create a common meaning, to maximize therapeutic success for patients with MFS. First, we show how the initiative and collaboration of patient representatives, scientists, and physicians resulted in the foundation of Marfan centers, initially in the US and later in Germany, and how and why such centers evolved over time. Then, we elucidate the three main structural elements; a team of coordinators, core disciplines, and auxiliary disciplines of health care. Moreover, we explain how a multidisciplinary health care team integrates into many other health care structures of a university medical center, including external quality assurance; quality management system; clinical risk management; center for rare diseases; aorta center; health care teams for pregnancy, for neonates, and for rehabilitation; and in structures for patient centeredness. We provide accounts of medical goals and standards for each core discipline, including pediatricians, pediatric cardiologists, cardiologists, human geneticists, heart surgeons, vascular surgeons, vascular interventionists, orthopedic surgeons, ophthalmologists, and nurses; and of auxiliary disciplines including forensic pathologists, radiologists, rhythmologists, pulmonologists, sleep specialists, orthodontists, dentists, neurologists, obstetric surgeons, psychiatrist/psychologist, and rehabilitation specialists. We conclude that a multidisciplinary health care team is a means to maximize therapeutic success.

Indexed as

health caremanagementMarfan syndromemultidisciplinaryprofessionsociologyteam

Identifiers

PMID27843325
PMCPMC5098778
OpenAlexW2548693679

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.