Evidence map›Paper›PMID 29915615›Full record

ArticleJournal of geriatric cardiology : JGC2018

Long-term follow-up of quality of life in high-risk patients undergoing transcatheter aortic valve implantation for symptomatic aortic valve stenosis.

Marjo Jag De Ronde-Tillmans, Tom Aj de Jager, Jeannette A Goudzwaard, Nahid El Faquir, Nicolas M van Mieghem, Felix Zijlstra, Elisabeth Mwj Utens, Francesco Us Mattace-Raso, Mattie J Lenzen, Peter Pt de Jaegere

Abstract read
In one paragraph

Article in Journal of geriatric cardiology : JGC, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
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  3. Review
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  8. Observational
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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

10 authors.

Marjo Jag De Ronde-TillmansErasmus Medical Center, Department of Cardiology, Thorax Center, Rotterdam, the Netherlands.
Tom Aj de JagerErasmus Medical Center, Department of Cardiology, Thorax Center, Rotterdam, the Netherlands.
Jeannette A GoudzwaardErasmus Medical Center, Section of Geriatrics, Department of Internal Medicine, Rotterdam, the Netherlands.
Nahid El FaquirErasmus Medical Center, Department of Cardiology, Thorax Center, Rotterdam, the Netherlands.
Nicolas M van MieghemErasmus Medical Center, Department of Cardiology, Thorax Center, Rotterdam, the Netherlands.
Felix ZijlstraErasmus Medical Center, Department of Cardiology, Thorax Center, Rotterdam, the Netherlands.
Elisabeth Mwj UtensErasmus Medical Center, Department of Child and Adolescent Psychiatry/Psychology, Sophia Children's Hospital, Rotterdam, the Netherlands.
Francesco Us Mattace-RasoErasmus Medical Center, Section of Geriatrics, Department of Internal Medicine, Rotterdam, the Netherlands.
Mattie J LenzenErasmus Medical Center, Department of Cardiology, Thorax Center, Rotterdam, the Netherlands.
Peter Pt de JaegereErasmus Medical Center, Department of Cardiology, Thorax Center, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscatheter aortic valve implantation (TAVI) has become the standard treatment for patients with severe symptomatic aortic stenosis (AS) considered at very high risk for surgical aortic valve replacement. The purpose of this sub-study was to evaluate long-term (> 4 years) health-related quality of life (QoL) in octogenarians who underwent TAVI.

methodsA single center observational registry in twenty patients who underwent frame analysis assessment ≥ 4 years after TAVI. Health-related QoL was evaluated, using the Short Form-36 (SF-36), the EuroQoL-5D (EQ-5D) and the visual analogue score (EQ-VAS) questionnaires.

resultsThe mean SF-36 subscale scores at follow-up were physical functioning 40.8 ± 26.3, role physical functioning 67.7 ± 34.9, vitality 54.6 ± 21.6, general health 52.1 ± 20.4, social functioning 63.8 ± 37.7, role emotional functioning 70.2 ± 36.0, mental health 73.2 ± 23.3 and bodily pain 80.9 ± 22.9. The mean EQ-VAS score > 4 years after TAVI was 64.7 ± 15.1. With respect to functional class, 80% of the patients were in NYHA class I/II at follow-up compared to 15% prior to TAVI.

conclusionsThis sub-study reports a significant improvement in functional class (NYHA) in a selected group of very elderly patients > 4 years after TAVI. Furthermore, all patients showed a satisfactory QoL despite their age and multiple comorbidities. In addition, our study reveals a lower QoL when compared with the general age matched Dutch population.

Indexed as

OctogenariansQuality of lifeTranscatheter aortic valve implantation

Identifiers

PMID29915615
PMCPMC5997614

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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.