Evidence map›Paper›PMID 33028389›Full record

SynthesisSystematic reviews2020

Outcomes after corrective surgery for congenital dextro-transposition of the arteries using the arterial switch technique: a scoping systematic review.

Frederick Morfaw, Alvin Leenus, Lawrence Mbuagbaw, Laura N Anderson, Rejane Dillenburg, Lehana Thabane

Open access · goldAbstract readMeta-AnalysisScoping Review
In one paragraph

Synthesis in Systematic reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 21 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

6 authors at 3 institutions in 2 countries.

Frederick MorfawDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Alvin LeenusDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Lawrence MbuagbawDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada. mbuagblc@mcmaster.ca.
Laura N AndersonDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Rejane DillenburgDepartments of Pediatrics and Anesthesia, McMaster University, Hamilton, Ontario, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
McMaster University · CAImpact · CAUniversity of Bamenda · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDextro-transposition of the great arteries (D-TGA) is the most frequent cyanotic congenital heart pathology in neonates. Surgical correction of this condition is possible using the arterial switch operation (ASO) which was first performed by Jatene in 1975.

objectivesThe aim of this study was to summarise the evidence on short- (less than 1 year), medium- (1-20 years), and long-term (more than 20 years) outcomes of children with D-TGA treated with the ASO. The primary outcome was survival. Secondary outcomes were freedom from cardiac reoperations, occurrence of aortic insufficiency, pulmonary stenosis, coronary artery anomalies, neuropsychological development problems and quality of life.

methodsWe searched MEDLINE, EMBASE, CINAHL, LILACS, and reference lists of included articles for studies reporting outcomes after ASO for D-TGA. Screening, data extraction and risk of bias assessment were done independently by two reviewers. We pooled data using a random-effects meta-analysis of proportions and, where not possible, outcomes were synthesized narratively. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to assess the certainty of the evidence for each outcome. MAIN

resultsFollowing ASO for TGA, short-term survival was 92.0% (95% CI 91.0-93.0%; I

conclusionsPooled data from many sources suggests that the ASO for D-TGA leads to high rates of survival in the short, medium, and long term.

Indexed as

Arterial Switch OperationTransposition of Great VesselsArteriesChildHumansInfant, NewbornQuality of LifeReoperationTreatment OutcomeArterial switch operationJatene procedureOutcomesSurvivalSystematic review registration: PROSPERO CRD42014007590Transposition of great arteries

Identifiers

PMID33028389
PMCPMC7542944
OpenAlexW3092560681

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.