Evidence map›Paper›PMID 32736981›Full record

ReviewCardiovascular revascularization medicine : including molecular interventions2020

Guidelines for Balancing Priorities in Structural Heart Disease During the COVID-19 Pandemic.

Jaffar M Khan, Nauman Khalid, Evan Shlofmitz, Brian J Forrestal, Charan Yerasi, Brian C Case, Chava Chezar-Azerrad, Anees Musallam, Toby Rogers, Ron Waksman

Open access · greenAbstract readReview
In one paragraph

Review in Cardiovascular revascularization medicine : including molecular interventions, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 16% 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, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Transcatheter Aortic Valve Implantation During COVID-19 Pandemic: The Device Also Matters.Cardiovascular revascularization medicine : including molecular interventions · 2021
    Article
  8. Reply: Transcatheter Aortic Valve Implantation During COVID-19 Pandemic: The Device Also Matters.Cardiovascular revascularization medicine : including molecular interventions · 2021
    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

10 authors at 2 institutions in 1 country.

Jaffar M KhanSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
Nauman KhalidSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
Evan ShlofmitzSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
Brian J ForrestalSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
Charan YerasiSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
Brian C CaseSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
Chava Chezar-AzerradSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
Anees MusallamSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
Toby RogersSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America; Cardiovascular Branch, Division of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, United States of America.
Ron WaksmanSection of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America. Electronic address: ron.waksman@medstar.net.
MedStar Washington Hospital Center · USNational Institutes of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the novel coronavirus disease 2019 (COVID-19) pandemic, many hospitals have been asked to postpone elective and surgical cases. This begs the question, "What is elective in structural heart disease intervention?" The recently proposed Society for Cardiovascular Angiography and Interventions/American College of Cardiology consensus statement is, unfortunately, non-specific and insufficient in its scope and scale of response to the COVID-19 pandemic. We propose guidelines that are practical, multidisciplinary, implementable, and urgent. We believe that this will provide a helpful framework for our colleagues to manage their practices during the surge and peak phases of the pandemic. General principles that apply across structural heart disease interventions include tracking and reporting cardiovascular outcomes, "healthcare distancing," preserving vital resources and personnel, shared decision-making between the heart team and hospital administration on resource-intensive cases, and considering delaying research cases. Specific guidance for transcatheter aortic valve replacement and MitraClip procedures varies according to pandemic phase. During the surge phase, treatment should broadly be limited to those at increased risk of complications in the near term. During the peak phase, treatment should be limited to inpatients for whom it may facilitate discharge. Keeping our patients and ourselves safe is paramount, as well as justly rationing resources.

Indexed as

BetacoronavirusDisease ManagementPandemicsPractice Guidelines as TopicSocieties, MedicalCardiologyComorbidityCoronavirus InfectionsCOVID-19Global HealthHeart DiseasesHumansPneumonia, ViralSARS-CoV-2Aortic stenosisMitral regurgitationNovel coronavirus disease 2019Structural heart diseaseTranscatheter aortic valve repairTranscatheter mitral valve repair

Identifiers

PMID32736981
PMCPMC7261108
OpenAlexW3030415849

What OpenQuestion holds

Textmetadata
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.