Evidence map›Paper›PMID 32879705›Full record

ArticleWorld journal of cardiology2020

Systematic review and meta-analysis of outcomes of anatomic repair in congenitally corrected transposition of great arteries.

Arka Chatterjee, Neal J Miller, Marc G Cribbs, Amrita Mukherjee, Mark A Law

Open access · diamondAbstract read
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Article in World journal of cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Arka ChatterjeeDivision of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, AL 35294, United States. arkachatterjee2608@gmail.com.
Neal J MillerDivision of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, AL 35294, United States.
Marc G CribbsDivision of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, AL 35294, United States.
Amrita MukherjeeDepartment of Epidemiology, University of Alabama at Birmingham School of Public health, Birmingham, AL 35233, United States.
Mark A LawDepartment of Pediatric Cardiology, University of Alabama at Birmingham, Birmingham, AL 35294, United States.
University of Alabama at Birmingham · USAlabama Department of Public Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of congenitally corrected transposition of great arteries (cc-TGA) with anatomic repair strategy has been considered superior due to restoration of the morphologic left ventricle in the systemic circulation. However, data on long term outcomes are limited to single center reports and include small sample sizes.

aimTo perform a systematic review and meta-analysis for observational studies reporting outcomes on anatomic repair for cc-TGA.

methodsMEDLINE and Scopus databases were queried using predefined criteria for reports published till December 31, 2017. Studies reporting anatomic repair of minimum 5 cc-TGA patients with at least a 2 year follow up were included. Meta-analysis was performed using Comprehensive meta-analysis v3.0 software.

resultsEight hundred and ninety-five patients underwent anatomic repair with a pooled follow-up of 5457.2 patient-years (PY). Pooled estimate for operative mortality was 8.3% [95% confidence interval (CI): 6.0%-11.4%]. 0.2% (CI: 0.1%-0.4%) patients required mechanical circulatory support postoperatively and 1.7% (CI: 1.1%-2.4%) developed post-operative atrioventricular block requiring a pacemaker. Patients surviving initial surgery had a transplant free survival of 92.5% (CI: 89.5%-95.4%) per 100 PY and a low rate of need for pacemaker (0.3/100 PY; CI: 0.1-0.4). 84.7% patients (CI: 79.6%-89.9%) were found to be in New York Heart Association (NYHA) functional class I or II after 100 PY follow up. Total re-intervention rate was 5.3 per 100 PY (CI: 3.8-6.8).

conclusionOperative mortality with anatomic repair strategy for cc-TGA is high. Despite that, transplant free survival after anatomic repair for cc-TGA patients is highly favorable. Majority of patients maintain NYHA I/II functional class. However, monitoring for burden of re-interventions specific for operation type is very essential.

Indexed as

Anatomic repairAtrial switch RastelliAtrio-ventricular blockCongenitally corrected transposition of great arteriesDouble switch operationHemi-Mustard Rastelli

Identifiers

PMID32879705
PMCPMC7439449
OpenAlexW3069414233

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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.