Evidence map›Paper›PMID 31929898›Full record

ArticleCardiology research and practice2019

Elderly Patients with Moderate Chronic Ischemic Mitral Regurgitation: Coronary Artery Bypass Grafting Alone or Concomitant Mitral Annuloplasty?

Qiang Ji, Yun Zhao, JinQiang Shen, YuLin Wang, Ye Yang, LiMin Xia, Kai Song, ChunSheng Wang

Open access · goldAbstract read
In one paragraph

Article in Cardiology research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 73% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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

8 authors at 2 institutions in 1 country.

Qiang JiDepartment of Cardiovascular Surgery of Zhongshan Hospital Fudan University, Shanghai 180 Fenglin Road, Shanghai 200032, China.
Yun ZhaoShanghai Institute of Cardiovascular Diseases, 1609 Xietu Road, Shanghai 200032, China.
JinQiang ShenDepartment of Cardiovascular Surgery of Zhongshan Hospital Fudan University, Shanghai 180 Fenglin Road, Shanghai 200032, China.
YuLin WangDepartment of Cardiovascular Surgery of Zhongshan Hospital Fudan University, Shanghai 180 Fenglin Road, Shanghai 200032, China.
Ye YangDepartment of Cardiovascular Surgery of Zhongshan Hospital Fudan University, Shanghai 180 Fenglin Road, Shanghai 200032, China.
LiMin XiaDepartment of Cardiovascular Surgery of Zhongshan Hospital Fudan University, Shanghai 180 Fenglin Road, Shanghai 200032, China.
Kai SongDepartment of Cardiovascular Surgery of Zhongshan Hospital Fudan University, Shanghai 180 Fenglin Road, Shanghai 200032, China.ORCID https://orcid.org/0000-0002-9500-0200
ChunSheng WangShanghai Institute of Cardiovascular Diseases, 1609 Xietu Road, Shanghai 200032, China.ORCID https://orcid.org/0000-0002-6745-458X
Fudan University · CNShanghai Institute of Hematology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increasing number of elderly patients with ischemic mitral regurgitation (IMR) are referred for coronary artery bypass grafting (CABG). However, data about the management of elderly patients with moderate IMR are scanty. This study evaluates the impacts of two surgical approaches (CABG alone or concomitant mitral annuloplasty (MAP)) on in-hospital and midterm outcomes, to attempt to determine an appropriate treatment option for elderly patients with moderate chronic IMR.

methodsAll eligible patients over 65 years of age were included and were entered into either a MAP group (patients undergoing CABG plus MAP,

resultsUsing propensity score-matching, 82 pairs of patients were successfully established in a 1 : 1 ratio. No significant differences between the two matched groups were found regarding surgical mortality (4.9% vs. 1.2%,

conclusionCompared with CABG alone, concomitant mitral annuloplasty is associated with improved midterm outcomes (including reduced IMR recurrence and improved cardiac functional class) but shares similar surgical mortality and major postoperative morbidity and may be a promising treatment option for elderly patients with moderate chronic IMR.

Identifiers

PMID31929898
PMCPMC6935804
OpenAlexW2995633103

What OpenQuestion holds

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Registered trials

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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.