Evidence map›Paper›PMID 28161513›Full record

ReviewHeart rhythm2017

The burden of proof: The current state of atrial fibrillation prevention and treatment trials.

Rosita Zakeri, David R Van Wagoner, Hugh Calkins, Tom Wong, Heather M Ross, E Kevin Heist, Timothy E Meyer, Peter R Kowey, Robert J Mentz, John G Cleland and 3 more

Abstract readReview
In one paragraph

Review in Heart rhythm, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.4field-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

18 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Comprehensive metabolomic characterization of atrial fibrillation.Frontiers in cardiovascular medicine · 2022
    Article
  8. Article
  9. Article
  10. Review
  11. Integrated Care in Atrial Fibrillation: A Road Map to the Future.Circulation. Cardiovascular quality and outcomes · 2021
    Review
  12. Application of Insertable Cardiac Monitor in Establishing a Dog Model of Atrial Fibrillation by High-Frequency Right Atrial Pacing.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 4 countries.

Rosita ZakeriRoyal Brompton & Harefield NHS Trust, London, United Kingdom. Electronic address: rosita.zakeri@doctors.org.uk.
David R Van WagonerCleveland Clinic, Cleveland, Ohio.
Hugh CalkinsJohns Hopkins Hospital, Baltimore, Maryland.
Tom WongRoyal Brompton & Harefield NHS Trust, London, United Kingdom.
Heather M RossArizona State University, Phoenix, Arizona.
E Kevin HeistMassachusetts General Hospital, Boston, Massachusetts.
Timothy E MeyerBoston Scientific, St Paul, Minnesota.
Peter R KoweyLankenau Heart Institute and Jefferson Medical College, Wynnewood, Pennsylvania.
Robert J MentzDuke Clinical Research Institute, Durham, North Carolina.
John G ClelandRoyal Brompton & Harefield NHS Trust, London, United Kingdom.
Bertram PittUniversity of Michigan, Ann Arbor, Michigan.
Faiez ZannadINSERM, Centre d'Investigations Cliniques Plurithématique 1433, INSERM U1116, Université de Lorraine, CHRU de Nancy, F-CRIN INI-CRCT, France.
Cecilia LindeKarolinska Institute, Stockholm, Sweden.
Royal Brompton & Harefield NHS Foundation Trust · GBArizona State University · USBoston Scientific (United States) · USCleveland Clinic · USClinical Research Institute · USInserm · FRJohns Hopkins Hospital · USKarolinska Institutet · SELankenau Heart Institute · USMassachusetts General Hospital · USUniversity of Michigan · US

Funding

Functional Genomics of Atrial Fibrillation in Human AtriaR01HL111314 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BARNARD, JOHN, CHUNG, MINA KAY · 2012 to 2019
$6.1M
NHLBI NIH HHS R01 HL111314
6 · The paper itself

Abstract

Atrial fibrillation (AF) is an age-related arrhythmia of enormous socioeconomic significance. In recent years, our understanding of the basic mechanisms that initiate and perpetuate AF has evolved rapidly, catheter ablation of AF has progressed from concept to reality, and recent studies suggest lifestyle modification may help prevent AF recurrence. Emerging developments in genetics, imaging, and informatics also present new opportunities for personalized care. However, considerable challenges remain. These include a paucity of studies examining AF prevention, modest efficacy of existing antiarrhythmic therapies, diverse ablation technologies and practice, and limited evidence to guide management of high-risk patients with multiple comorbidities. Studies examining the long-term effects of AF catheter ablation on morbidity and mortality outcomes are not yet completed. In many ways, further progress in the field is heavily contingent on the feasibility, capacity, and efficiency of clinical trials to incorporate the rapidly evolving knowledge base and to provide substantive evidence for novel AF therapeutic strategies. This review outlines the current state of AF prevention and treatment trials, including the foreseeable challenges, as discussed by a unique forum of clinical trialists, scientists, and regulatory representatives in a session endorsed by the Heart Rhythm Society at the 12th Global CardioVascular Clinical Trialists Forum in Washington, DC, December 3-5, 2015.

Indexed as

Atrial FibrillationClinical Trials as TopicHumansAblationAtrial fibrillationPersonalized medicinePreventionRandomized controlled trial

Identifiers

PMID28161513
PMCPMC5403606
OpenAlexW2584748366

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.