Evidence map›Paper›PMID 31840834›Full record

ReviewClinical cardiology2020

Transcatheter aortic valve replacement over age 90: Risks vs benefits.

Christos Galatas, Jonathan Afilalo

Open access · goldAbstract readReview
In one paragraph

Review in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

2 authors at 1 institution in 1 country.

Christos GalatasJewish General Hospital, McGill University, Montreal, Quebec, Canada.
Jonathan AfilaloJewish General Hospital, McGill University, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0003-0555-4937
Jewish General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the population ages, clinicians will encounter a growing number of nonagenarians suffering from severe aortic stenosis who may be candidates for transcatheter aortic valve replacement (TAVR). By virtue of a healthy survivor effect or a referral bias, these patients may paradoxically have greater resilience and fewer comorbidities than their octogenarian counterparts. They tend to, on average, tolerate the TAVR procedure quite well with low in-hospital and 1-year mortality rates of 5.5% and 23%, respectively. Appropriate patient selection should consider individualized estimates of procedural risk, potential for functional recovery and for improved quantity and quality of life. Frailty is much more revealing than chronological age, and it can be measured by brief tools such as the Essential Frailty Toolset. Ultimately, the process of shared decision-making is paramount to ensure that the course of action is patient-centered and balances the procedure's expected risks and benefits with the nonagenarian's preferences and values.

Indexed as

Transcatheter Aortic Valve ReplacementAged, 80 and overAge FactorsAortic ValveAortic Valve StenosisCalcinosisClinical Decision-MakingComorbidityFrail ElderlyFrailtyHealth StatusHemodynamicsHumansPatient SelectionQuality of LifeRecovery of Functionaging and the cardiovascular systemvalvular heart diseasevalvular < surgery/adult

Identifiers

PMID31840834
PMCPMC7021650
OpenAlexW2994849121

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.