Evidence map›Paper›PMID 30393980›Full record

ArticleMolecular genetics & genomic medicine2018

Survival, causes of death, and cardiovascular events in patients with Marfan syndrome.

Thy Thy Vanem, Odd Ragnar Geiran, Kirsten Krohg-Sørensen, Cecilie Røe, Benedicte Paus, Svend Rand-Hendriksen

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Skeletal muscle alterations in Marfan syndrome: a systematic review.Journal of muscle research and cell motility · 2025
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Downregulation ofMolecular therapy. Nucleic acids · 2026
    Article
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  11. Review
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  15. Editorial: Aortopathy in congenital heart disease.Frontiers in cardiovascular medicine · 2023
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Age and sex dependency of thoracic aortopathy in a mouse model of Marfan syndrome.American journal of physiology. Heart and circulatory physiology · 2022
    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 at 2 institutions in 1 country.

Thy Thy VanemInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0003-2792-8864
Odd Ragnar GeiranInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Kirsten Krohg-SørensenInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Cecilie RøeInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Benedicte PausInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Svend Rand-HendriksenTRS, National Resource Centre for Rare Disorders, Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway.
Oslo University Hospital · NOSunnaas sykehus · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore survival, causes of death, and the prevalence of cardiovascular events in a Norwegian Marfan syndrome (MFS) cohort. MFS is a heritable connective tissue disorder associated with reduced life expectancy-primarily due to aortic pathology.

methodsA follow-up study of 84 MFS adults, initially investigated in 2003-2004. In 2014-2015, 16 were deceased, 47 of 68 survivors consented to new clinical investigations. Analyses of events were performed for 47 survivors and 16 deceased at follow-up. Standardized mortality ratios (SMR), using the mortality rate of the Norwegian population as reference, were calculated for all 84 and calculated for men and women separately. Causes of death and information on cardiovascular events were retrieved from death certificates and medical records.

resultsStandardized mortality ratios (95% confidence interval): for the whole cohort: 5.24 (3.00-8.51); for men: 8.20 (3.54-16.16); for women: 3.85 (1.66-7.58). Cardiovascular causes were found in 11 of 16 deceased, eight of these related to aortic pathology. Cancer was the cause of death in three patients. At follow-up, 51% had new cardiovascular events; 59% had undergone aortic surgery. Men experienced aortic events at younger age than women. 32% of the survivors were not followed-up as recommended.

conclusionLife expectancy is reduced in this MFS cohort compared to the Norwegian population. Cardiovascular complications develop throughout life, particularly aortic pathology, the major cause of death in MFS. Death and aortic pathology seem to occur earlier in men. There is a need to improve follow-up according to guidelines.

Indexed as

AdultAgedAortaCause of DeathFemaleHumansMaleMarfan SyndromeMiddle AgedNorwayaortic surgerycardiovascular eventscauses of deathMarfan syndromesurvival

Identifiers

PMID30393980
PMCPMC6305663
OpenAlexW2899759771

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.