Evidence map›Paper›PMID 32782658›Full record

ArticleJournal of arrhythmia2020

Catheter vs thoracoscopic ablation for atrial fibrillation: Meta-analysis of randomized trials.

Tom Kai Ming Wang, Yi-Wen Becky Liao, Michael Tzu Min Wang, Andrew Martin

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 23% 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, 9 citations in OpenAlex.

  1. Article
  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

4 authors at 3 institutions in 2 countries.

Tom Kai Ming WangGreen Lane Cardiovascular Service Auckland City Hospital Auckland New Zealand.ORCID https://orcid.org/0000-0002-4547-6892
Yi-Wen Becky LiaoGreen Lane Cardiovascular Service Auckland City Hospital Auckland New Zealand.
Michael Tzu Min WangGreen Lane Cardiovascular Service Auckland City Hospital Auckland New Zealand.
Andrew MartinGreen Lane Cardiovascular Service Auckland City Hospital Auckland New Zealand.
Auckland City Hospital · NZCleveland Clinic · USMiddlemore Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe meta-analyzed the efficacy and safety of catheter (CA) vs thoracoscopic (TA) ablation for atrial fibrillation (AF).

methodsPubMed, Embase, and Cochrane databases were searched until 31/12/2019 for relevant randomized trials and subsequent pooled analyses.

resultsIn six trials totaling 465 patients (254 CA/211 TA), 1-year AF recurrences were higher for CA (46% vs 26%, odds ratio 2.90 [95% CI 1.32-6.38]), whereas total adverse events were lower (10% vs 25%, 0.35 [0.14-0.86], respectively).

conclusionCA has lower efficacy but higher safety than TA. CA should remain the first-line AF ablation strategy, and TA reserved for selected CA-resistant patients where rhythm control is clinically necessary.

Indexed as

arrhythmiaatrial fibrillationcatheter ablationmeta‐analysisthoracoscopic ablation

Identifiers

PMID32782658
PMCPMC7411189
OpenAlexW3038264966

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.