Evidence map›Paper›PMID 28066862›Full record

Observational studyJournal of immigrant and minority health2018

Impact of Race on Outcome of Patients Undergoing Rhythm Control of Atrial Fibrillation.

Asad F Durrani, Siva Soma, Andrew D Althouse, George Leef, Dingxin Qin, Samir Saba

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of immigrant and minority health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Article
  4. 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.

Asad F DurraniHeart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Siva SomaHeart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Andrew D AlthouseHeart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
George LeefDepartment of Medicine, Stanford University, Palo Alto, CA, USA.
Dingxin QinHeart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Samir SabaHeart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. sabas@upmc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Racial disparities between African American (AA) and White patients have been documented in cardiovascular disease. We investigated whether these disparities exist in patients undergoing rhythm control for atrial fibrillation (AF). 5873 AF patients (241 AA) were followed to the endpoint of death, stroke, or AF recurrence. Invasive procedures for AF rhythm control were examined in both racial groups. Over a mean follow-up time of 40 months, AA patients had a higher adjusted risk of death [HR 1.39, 95% CI 1.00-1.92, p = 0.043] and stroke [HR 1.90, 95% CI 1.13-3.15, p = 0.013] but a lower risk of AF recurrence [HR 0.79, 95% CI 0.63-0.97, p = 0.026]. In addition, AA patients were less likely to undergo AF ablation (p = 0.006) or surgical maze (p = 0.032) procedures compared to White patients, possibly due to the lower rates of AF recurrence. Significant racial disparities exist in the management and outcomes of AA and White patients undergoing rhythm control management for AF.

Indexed as

Outcome Assessment, Health CareRacial GroupsAgedAged, 80 and overAtrial FibrillationDeathHealth Status DisparitiesHeart RateHumansMiddle AgedRegistriesStrokeAtrial fibrillationDeathOutcomesRaceStroke

Identifiers

PMID28066862

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.