Evidence map›Paper›PMID 32856530›Full record

Trial reportJournal of the American Heart Association2020

Clinical Implications of Physical Function and Resilience in Patients Undergoing Transcatheter Aortic Valve Replacement.

Kashish Goel, Jared M O'Leary, Colin M Barker, Melissa Levack, Vivek Rajagopal, Raj R Makkar, Tanvir Bajwa, Neal Kleiman, Axel Linke, Dean J Kereiakes and 5 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
  8. The Impact of Frailty and Surgical Risk on Health-Related Quality of Life After TAVI.Journal of cardiovascular development and disease · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Patient-Reported Outcomes in Cardiovascular Trials.The Canadian journal of cardiology · 2021
    Review
  14. 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

15 authors at 10 institutions in 2 countries.

Kashish GoelStructural Heart and Valve Center Vanderbilt University Medical Center Nashville TN.
Jared M O'LearyStructural Heart and Valve Center Vanderbilt University Medical Center Nashville TN.
Colin M BarkerStructural Heart and Valve Center Vanderbilt University Medical Center Nashville TN.
Melissa LevackStructural Heart and Valve Center Vanderbilt University Medical Center Nashville TN.
Vivek RajagopalMarcus Heart Valve Center Piedmont Heart Institute Atlanta GA.
Raj R MakkarSmidt Heart Institute, Cedars - Sinai Heart Institute Los Angeles CA.
Tanvir BajwaAurora Cardiovascular Services Aurora Sinai/Aurora St. Luke's Medical Centers Milwaukee WI.
Neal KleimanDepartment of Cardiovascular Surgery Houston Methodist DeBakey Heart and Vascular Center Houston TX.
Axel LinkeDepartment of Internal Medicine and Cardiology Heart Center Dresden Technical University of Dresden Germany.
Dean J KereiakesThe Christ Hospital Heart and Vascular Center Lindner Research Center Cincinnati OH.
Ron WaksmanSection of Interventional Cardiology MedStar Washington Hospital Center Washington DC.
Dominic J AlloccoClinical Sciences Boston Scientific Corp Marlborough MA.
David G RizikHonorHealth and the Scottsdale-Lincoln Health Network Scottsdale AZ.
Michael J ReardonDepartment of Cardiovascular Surgery Houston Methodist DeBakey Heart and Vascular Center Houston TX.
Brian R LindmanStructural Heart and Valve Center Vanderbilt University Medical Center Nashville TN.
Valve (United States) · USHouston Methodist · USAurora St. Luke's Medical Center · USBoston Scientific (United States) · USCedars-Sinai Smidt Heart Institute · USChrist Hospital · USHealth Net · USMedStar Washington Hospital Center · USTechnische Universität Dresden · DEVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Gait speed is a reliable measure of physical function and frailty in patients with aortic stenosis undergoing transcatheter aortic valve replacement (TAVR). Slow gait speed pre-TAVR predicts worse clinical outcomes post-TAVR. The consequences of improved versus worsened physical function post-TAVR are unknown. Methods and Results The REPRISE III (Repositionable Percutaneous Replacement of Stenotic Aortic Valve Through Implantation of Lotus Valve System-Randomized Clinical Evaluation) trial randomized high/extreme risk patients to receive a mechanically-expanded or self-expanding transcatheter heart valve. Of 874 patients who underwent TAVR, 576 with complete data at baseline and 1 year were included in this analysis. Slow gait speed in the 5-m walk test was defined as <0.83 m/s. A clinically meaningful improvement (≥0.1 m/s) in gait speed 1 year after TAVR occurred in 39% of patients, 35% exhibited no change, and 26% declined (≥0.1 m/s). Among groups defined by baseline/1-year post-TAVR gait speeds, 1- to 2-year mortality or hospitalization rates were as follows: 6.6% (normal/normal), 8.0% (slow/normal), 20.9% (normal/slow), and 21.5% (slow/slow). After adjustment, slow gait speed at 1 year (regardless of baseline speed) was associated with a 3.5-fold increase in death/hospitalization between 1 and 2 years compared with those with normal baseline/1-year gait speed. Patients whose slow gait speed normalized at 1 year had no increased risk. One-year, but not baseline, gait speed was associated with death or hospitalization between 1 and 2 years (adjusted hazard ratio, 0.83 per 0.1 m/s faster gait; 95% CI, 0.74-0.93,

Indexed as

AgedAged, 80 and overAortic Valve StenosisCase-Control StudiesFemaleFrailtyHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHospitalizationHumansMalePhysical FitnessPostoperative ComplicationsPrevalenceProportional Hazards ModelsResilience, Psychologicalaortic valve stenosisfrailtygait speedoutcomesphysical functiontranscatheter aortic valve replacement

Identifiers

PMID32856530
PMCPMC7660783
OpenAlexW3082802634

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.