Evidence map›Paper›PMID 32301369›Full record

ArticleJournal of the American Heart Association2020

Late Outcomes of Valve Repair Versus Replacement in Isolated and Concomitant Tricuspid Valve Surgery: A Nationwide Cohort Study.

Wang-Kin Wong, Shao-Wei Chen, An-Hsun Chou, Hsiu-An Lee, Yu-Ting Cheng, Feng-Chun Tsai, Kuang-Tso Lee, Victor Chien-Chia Wu, Chun-Li Wang, Shang-Hung Chang and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% 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, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Outcomes of isolated tricuspid valve replacement: a systematic review and meta-analysis of 5,316 patients from 35 studies.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Pooled it
  3. Pooled it
  4. Review
  5. Transcatheter tricuspid valve treatment: a growing armamentarium of devices.European heart journal supplements : journal of the European Society of Cardiology · 2026
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  17. Tricuspid Regurgitation: A Review of Current Interventional Management.Journal of the American Heart Association · 2024
    Review
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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

11 authors at 2 institutions in 1 country.

Wang-Kin WongSchool of Medicine Chang Gung University Taoyuan City Taiwan.
Shao-Wei ChenDivision of Cardiac Surgery Department of Surgery Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
An-Hsun ChouDepartment of Anesthesiology Chang Gung Memorial Hospital Linkou Medical Center Chang Gung University Taoyuan City Taiwan.
Hsiu-An LeeDivision of Cardiac Surgery Department of Surgery Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Yu-Ting ChengDivision of Cardiac Surgery Department of Surgery Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Feng-Chun TsaiDivision of Cardiac Surgery Department of Surgery Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Kuang-Tso LeeDepartment of Cardiology Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Victor Chien-Chia WuDepartment of Cardiology Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Chun-Li WangDepartment of Cardiology Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Shang-Hung ChangCenter for Big Data Analytics and Statistics Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Pao-Hsien ChuDepartment of Cardiology Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Chang Gung Memorial Hospital · TWChang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Surgery for tricuspid valve (TV) diseases is associated with poor prognosis, but few studies have described the long-term outcomes by comparing TV repair and replacement in isolated and concomitant TV surgeries separately. Methods and Results Between 2000 and 2013, adult patients who underwent TV repair or replacement surgeries were identified from the Taiwan National Health Insurance Research Database. Outcomes of interest included all-cause mortality, composite outcome, and readmission attributable to any cause. Inverse probability of treatment weighting was used to reduce confounding effects. A total of 2644 patients with a mean follow-up of 4.9 years were included. Of them, 12.6% and 87.4% underwent isolated and concomitant TV surgery, respectively. The in-hospital mortality rates for isolated and concomitant TV surgery were 8.7% and 8.6%, respectively, whereas all-cause mortality rates were 41.7% and 36.8%, respectively. Compared with TV replacement, TV repair demonstrated significantly lower risks of all-cause mortality (concomitant: hazard ratio [HR], 0.76; 95% CI, 0.59-0.99), composite outcome (isolated: subdistribution HR, 0.55; 95% CI, 0.35-0.89; concomitant: subdistribution HR, 0.63; 95% CI, 0.46-0.86), and readmission (isolated: subdistribution HR, 0.64; 95% CI, 0.46-0.91; concomitant: subdistribution HR, 0.72; 95% CI, 0.60-0.86), except insignificant difference in all-cause mortality in isolated surgery. Conclusions Compared with replacement, TV repair is associated with better short- and long-term outcomes in both isolated and concomitant TV surgery. However, further prospective clinical trials are warranted.

Indexed as

Cardiac Valve AnnuloplastyHeart Valve Prosthesis ImplantationAdultAgedAged, 80 and overDatabases, FactualFemaleHeart Valve DiseasesHospital MortalityHumansMaleMiddle AgedPostoperative ComplicationsRecovery of FunctionRetrospective StudiesRisk Assessmenttricuspid valve diseasetricuspid valve repairtricuspid valve replacementtricuspid valve surgery

Identifiers

PMID32301369
PMCPMC7428522
OpenAlexW3017267802

What OpenQuestion holds

Textmetadata
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.