Evidence map›Paper›PMID 28329463›Full record

ArticleWorld journal for pediatric & congenital heart surgery2017

Current Practices in the Timing of Stage 2 Palliation.

James M Meza, Robert D B Jaquiss, Brett R Anderson, Michael-Alice Moga, James K Kirklin, George Sarris, William G Williams, Brian W McCrindle, Congenital Heart Surgeons’ Society

Open access · greenAbstract read
In one paragraph

Article in World journal for pediatric & congenital heart surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

0 citing papers in PubMed, 10 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 6 institutions in 3 countries.

James M Meza1 John W. Kirklin/David Ashburn Fellow, Congenital Heart Surgeons' Society Data Center, The Hospital for Sick Children, Toronto, Ontario, Canada.
Robert D B Jaquiss2 Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA.
Brett R Anderson3 Division of Cardiology, Department of Pediatrics, Morgan-Stanley Children's Hospital/New York Presbyterian Hospital, New York, NY, USA.
Michael-Alice Moga4 Division of Critical Care Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
James K Kirklin5 Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
George Sarris6 Department of Pediatric Heart Surgery, IASO Children's Hospital, Athens, Greece.
William G Williams7 Division of Cardiovascular Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Brian W McCrindle8 Division of Pediatric Cardiology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Congenital Heart Surgeons’ Society
Hospital for Sick Children · CADuke Medical Center · USIaso Children’s Hospital · GRMorgan Stanley Children's Hospital · USSickKids Foundation · CAUniversity of Alabama at Birmingham · US

Funding

The Congenital Heart Technical Skill Study: Improving Outcomes for Infants and Children with Congenital Heart DiseaseK23HL133454 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ANDERSON, BRETT ROMEO · 2017 to 2019
$572k
NHLBI NIH HHS K23 HL133454
6 · The paper itself

Abstract

backgroundMortality through single-ventricle palliation remains high and the effect of the timing of stage 2 palliation (S2P) is not well understood. We investigated current practice patterns in the timing of S2P across two professional societies and compared them to actual practice patterns from two databases of patients who underwent S2P.

methodsA ten-question survey was distributed to the members of the Congenital Heart Surgeons' Society (CHSS) and the European Congenital Heart Surgeons' Association (ECHSA). Results were summarized using descriptive statistics. Surgeon-reported preferences were compared to clinical data from the CHSS Critical Left Ventricular Outflow Tract Obstruction (LVOTO) Registry and the Pediatric Heart Network Single Ventricle Reconstruction (SVR) database.

resultsOverall, 38% (88 of 232) of surgeons from 74 institutions responded, of which 70% (62 of 88) were CHSS members and 30% (26 of 88) were ECHSA members. Surgeons reported performing S2P at a median of five months after stage 1 (interquartile range [IQR]: 4.5-6), with no difference between CHSS and ECHSA surgeons. Surgeons reported performing nonelective S2P at a median of 4.5 months after stage 1 (IQR: 3.5-5.5), again with no difference by society. No difference existed between the surgeon-reported preferences and patient data in the Critical LVOTO and SVR databases for the timing of elective (5 vs 5.1 vs 5.3 months, P = .19) or nonelective S2P (4.5 vs 4.6 vs 4.2 months, P = .06).

conclusionThere was a remarkable lack of variation in surgeon preferences regarding the timing of S2P. This may represent a natural standardization of practice across congenital heart surgery, which is notable, given the current lack of guidelines regarding the timing of S2P.

Indexed as

Outcome Assessment, Health CareRegistriesCardiac Surgical ProceduresDatabases, FactualFemaleHeart Defects, CongenitalHeart VentriclesHumansMalePalliative CareTime FactorsTreatment Outcomecavopulmonary anastamosiscongenital heart surgerydatabasehypoplastic left heart syndrome

Identifiers

PMID28329463
PMCPMC6335642
OpenAlexW2599066431

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.