Evidence map›Paper›PMID 33236221›Full record

ArticleHeart and vessels2021

Clinical outcomes of ablation versus non-ablation therapy for atrial fibrillation in Japan: analysis of pooled data from the AF Frontier Ablation Registry and SAKURA AF Registry.

Kazuki Iso, Koichi Nagashima, Masaru Arai, Ryuta Watanabe, Katsuaki Yokoyama, Naoya Matsumoto, Takayuki Otsuka, Shinya Suzuki, Akio Hirata, Masato Murakami and 30 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2021. 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
1.8field-weighted citation impact, top 12% 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, 14 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

40 authors at 20 institutions in 1 country.

Kazuki IsoDivision of Cardiology, Department of Medicine, Itabashi Hospital, Nihon University School of Medicine, Ohyaguchi-Kamicho, Itabashi-ku, Tokyo, 173-8610, Japan.
Koichi NagashimaDivision of Cardiology, Department of Medicine, Itabashi Hospital, Nihon University School of Medicine, Ohyaguchi-Kamicho, Itabashi-ku, Tokyo, 173-8610, Japan.
Masaru AraiDivision of Cardiology, Department of Medicine, Itabashi Hospital, Nihon University School of Medicine, Ohyaguchi-Kamicho, Itabashi-ku, Tokyo, 173-8610, Japan.
Ryuta WatanabeDivision of Cardiology, Department of Medicine, Itabashi Hospital, Nihon University School of Medicine, Ohyaguchi-Kamicho, Itabashi-ku, Tokyo, 173-8610, Japan.
Katsuaki YokoyamaDepartment of Cardiology, Nihon University Hospital, Tokyo, Japan.
Naoya MatsumotoDepartment of Cardiology, Nihon University Hospital, Tokyo, Japan.
Takayuki OtsukaDepartment of Cardiology, The Cardiovascular Institute, Tokyo, Japan.
Shinya SuzukiDepartment of Cardiology, The Cardiovascular Institute, Tokyo, Japan.
Akio HirataCardiovascular Division, Osaka Police Hospital, Osaka, Japan.
Masato MurakamiDivison of Cardiology, Shonan-Kamakura General Hospital, Kanagawa, Japan.
Mitsuru TakamiSaiseikai Nakatsu Hospital, Osaka, Japan.
Masaomi KimuraDepartment of Cardiology, Hirosaki University Hospital, Aomori, Japan.
Hidehira FukayaKitasato University Hospital, Kanagawa, Japan.
Shiro NakaharaDokkyo Medical University Saitama Medical Center, Saitama, Japan.
Takeshi KatoKanazawa University Hospital, Ishikawa, Japan.
Hiroshi HayashiNippon Medical Hospital, Tokyo, Japan.
Yu-Ki IwasakiNippon Medical Hospital, Tokyo, Japan.
Wataru ShimizuNippon Medical Hospital, Tokyo, Japan.
Ikutaro NakajimaSt. Marianna University School of Medicine Hospital, Kanagawa, Japan.
Tomoo HaradaSt. Marianna University School of Medicine Hospital, Kanagawa, Japan.
Junjiroh KoyamaSaiseikai Kumamoto Hospital, Kumamoto, Japan.
Ken OkumuraSaiseikai Kumamoto Hospital, Kumamoto, Japan.
Michifumi TokudaTokyo Jikei University School of Medicine Hospital, Tokyo, Japan.
Teiichi YamaneTokyo Jikei University School of Medicine Hospital, Tokyo, Japan.
Kojiro TanimotoNational Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Yukihiko MomiyamaNational Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Noriko NonoguchiKyorin University Hospital, Tokyo, Japan.
Kyoko SoejimaKyorin University Hospital, Tokyo, Japan.
Koichiro EjimaTokyo Women's Medical University Hospital, Tokyo, Japan.
Nobuhisa HagiwaraTokyo Women's Medical University Hospital, Tokyo, Japan.
Masahide HaradaFujita Health University Hospital, Aichi, Japan.
Kazumasa SonodaTokyo Rinkai Hospital, Tokyo, Japan.
Masaru InoueIshikawa Prefectural Central Hospital, Ishikawa, Japan.
Koji KumagaiGunma Cardiovascular Center, Gunma, Japan.
Hidemori HayashiJuntendo University, Tokyo, Japan.
Yoshinao YazakiTokyo Medical University Hospital, Tokyo, Japan.
Kazuhiro SatomiTokyo Medical University Hospital, Tokyo, Japan.
Yuji WatariTeikyo University, Tokyo, Japan.
Yasuo OkumuraDivision of Cardiology, Department of Medicine, Itabashi Hospital, Nihon University School of Medicine, Ohyaguchi-Kamicho, Itabashi-ku, Tokyo, 173-8610, Japan. okumura.yasuo@nihon-u.ac.jp.ORCID http://orcid.org/0000-0002-2960-4241
AF Ablation Frontier Registry investigators
Nihon University Itabashi Hospital · JPJikei University School of Medicine · JPNihon University · JPSt. Marianna University School of Medicine · JPTokyo Women's Medical University Hospital · JPCardiovascular Institute Hospital · JPIshikawa Prefectural Central Hospital · JPKanazawa University Hospital · JPKitasato University Hospital · JPSaiseikai Nakatsu Hospital · JPTeikyo University Hospital · JPTokyo Medical Center · JPTokyo Medical University Hospital · JPFujita Health University Hospital · JPGunma Prefectural Cardiovascular Center · JPJuntendo University Hospital · JPKyorin University Hospital · JPNippon Medical School Hospital · JPOsaka Police Hospital · JPSaiseikai Kumamoto Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whether ablation for atrial fibrillation (AF) is, in terms of clinical outcomes, beneficial for Japanese patients has not been clarified. Drawing data from 2 Japanese AF registries (AF Frontier Ablation Registry and SAKURA AF Registry), we compared the incidence of clinically relevant events (CREs), including stroke/transient ischemic attack (TIA), major bleeding, cardiovascular events, and death, between patients who underwent ablation (n = 3451) and those who did not (n = 2930). We also compared propensity-score matched patients (n = 1414 in each group). In propensity-scored patients who underwent ablation and those who did not, mean follow-up times were 27.2 and 35.8 months, respectively. Annualized rates for stroke/TIA (1.04 vs. 1.06%), major bleeding (1.44 vs. 1.20%), cardiovascular events (2.15 vs. 2.49%) were similar (P = 0.96, 0.39, and 0.35, respectively), but annualized death rates were lower in the ablation group than in the non-ablation group (0.75 vs.1.28%, P = 0.028). After multivariate adjustment, the risk of CREs was statistically equivalent between the ablation and non-ablation groups (hazard ratio [HR] 0.89, 95% confidence interval [CI] 0.71-1.11), but it was significantly low among patients who underwent ablation for paroxysmal AF (HR 0.68 [vs. persistent AF], 95% CI 0.49-0.94) and had a CHA

Indexed as

Propensity ScoreRegistriesAgedAnticoagulantsAtrial FibrillationCatheter AblationFemaleFollow-Up StudiesHumansIncidenceJapanMaleMiddle AgedRecurrenceRisk AssessmentRisk FactorsAnticoagulantsAblationAtrial fibrillationBleedingClinically relevant eventsStroke

Identifiers

PMID33236221
OpenAlexW3110572298

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.