Evidence map›Paper›PMID 31718445›Full record

ArticleJournal of the American Heart Association2019

Sex-Specific Differences in Survival and Heart Failure Hospitalization After Cardiac Resynchronization Therapy With or Without Defibrillation.

Francisco Leyva, Tian Qiu, Abbasin Zegard, David McNulty, Felicity Evison, Daniel Ray, Maurizio Gasparini

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Italian Association of Hospital Cardiologists Position Paper 'Gender discrepancy: time to implement gender-based clinical management'.European heart journal supplements : journal of the European Society of Cardiology · 2024
    Article
  4. A disease of her own? Unique features of heart failure in women.Climacteric : the journal of the International Menopause Society · 2024
    Review
  5. Sex Disparities in Cardiovascular Disease.Methodist DeBakey cardiovascular journal · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Review
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 4 institutions in 2 countries.

Francisco LeyvaAston Medical Research Institute Aston Medical School Aston University Birmingham United Kingdom.
Tian QiuQuality and Outcomes Research Unit Queen Elizabeth Hospital Birmingham United Kingdom.
Abbasin ZegardAston Medical Research Institute Aston Medical School Aston University Birmingham United Kingdom.
David McNultyQuality and Outcomes Research Unit Queen Elizabeth Hospital Birmingham United Kingdom.
Felicity EvisonQuality and Outcomes Research Unit Queen Elizabeth Hospital Birmingham United Kingdom.
Daniel RayNHS Digital and Farr Institute London United Kingdom.
Maurizio GaspariniElectrophysiology and Pacing Unit Humanitas Research Hospital IRCCS Rozzano-Milano Italy.
Queen Elizabeth Hospital Birmingham · GBIRCCS Humanitas Research Hospital · ITAston University · GBNHS Digital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Women are underrepresented in cardiac resynchronization therapy (CRT) trials. Some studies suggest that women fare better than men after CRT. We sought to explore clinical outcomes in women and men undergoing CRT-defibrillation or CRT-pacing in real-world clinical practice. Methods and Results A national database (Hospital Episode Statistics for England) was used to quantify clinical outcomes in 43 730 patients (women: 10 890 [24.9%]; men: 32 840 [75.1%]) undergoing CRT over 7.6 years, (median follow-up 2.2 years, interquartile range, 1-4 years). In analysis of the total population, the primary end point of total mortality (adjusted hazard ratio [aHR], 0.73; 95% CI, 0.69-0.76) and the secondary end point of total mortality or heart failure hospitalization (aHR, 0.79, 95% CI 0.75-0.82) were lower in women, independent of known confounders. Total mortality (aHR, 0.73; 95% CI, 0.70-0.76) and total mortality or heart failure hospitalization (aHR, 0.79; 95% CI, 0.75-0.82) were lower for CRT-defibrillation than for CRT-pacing. In analyses of patients with (aHR, 0.89; 95% CI, 0.80-0.98) or without (aHR, 0.70; 95% CI, 0.66-0.73) a myocardial infarction, women had a lower total mortality. In sex-specific analyses, total mortality was lower after CRT-defibrillation in women (aHR, 0.83;

Indexed as

Cardiac Resynchronization Therapy DevicesDefibrillators, ImplantableMortalityAgedAged, 80 and overCardiac Resynchronization TherapyElectric CountershockFemaleHeart FailureHospitalizationHumansMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesSex Factorscardiac resynchronization therapyfemale seximplantable cardioverter defibrillator

Identifiers

PMID31718445
PMCPMC6915284
OpenAlexW2989323641

What OpenQuestion holds

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LicenceCC BY-NC
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.