Evidence map›Paper›PMID 29492379›Full record

ReviewAnnals of cardiothoracic surgery2018

Heart transplantation versus left ventricular assist devices as destination therapy or bridge to transplantation for 1-year mortality: a systematic review and meta-analysis.

Christina A Theochari, George Michalopoulos, Evangelos K Oikonomou, Stefanos Giannopoulos, Ilias P Doulamis, M Alvarez Villela, Damianos G Kokkinidis

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of cardiothoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Christina A TheochariSchool of Medicine, University of Athens, Athens, Greece.
George MichalopoulosSchool of Medicine, University of Athens, Athens, Greece.
Evangelos K OikonomouDivision of Internal Medicine, Society of Junior Doctors, Marousi, Greece.
Stefanos GiannopoulosDivision of Internal Medicine, Society of Junior Doctors, Marousi, Greece.
Ilias P DoulamisSchool of Medicine, University of Athens, Athens, Greece.
M Alvarez VillelaDivision of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Damianos G KokkinidisDivision of Internal Medicine, Society of Junior Doctors, Marousi, Greece.
National and Kapodistrian University of Athens · GRJacobi Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal treatment for advanced heart failure (HF) patients with regards to mortality remains unknown. Heart transplantation (HTx) and left ventricular assist devices (LVAD) used either as a bridge to transplant (BTT) or destination therapy (DT) have been compared in a number of studies, without definite conclusions with regards to mortality benefit. We sought to systematically review the pertinent literature and perform a meta-analysis of all the available studies presenting head-to-head comparisons between HTx and LVAD BTT or LVAD DT for late (>6 months) all-cause mortality.

methodsWe performed a systematic search of Medline and Cochrane Central databases in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We conducted a meta-analysis of late mortality comparing HTx

resultsEight studies were included in our meta-analysis, reporting data on 7,957 patients in total. Although the available studies are of high quality [8 stars in Newcastle-Ottawa Scale (NOS) on average], there is paucity of mortality data. Specifically, seven studies compared HTx with BTT and five studies compared HTx with DT for 1-year mortality. Our pooled estimates showed that there was no difference in late mortality among these strategies.

conclusionsOur meta-analysis highlights the small number and the heterogeneity of available studies referring to the optimal invasive management of advanced HF, and shows that there are no differences between HTx and LVAD for these patients with regards to late mortality.

Indexed as

bridge to transplantation (BTT)Heart failure (HF)heart transplantation (HTx)left ventricular assist devices (LVAD)

Identifiers

PMID29492379
PMCPMC5827119
OpenAlexW2766558098

What OpenQuestion holds

Textmetadata
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.