Evidence map›Paper›PMID 33656080›Full record

ArticleArquivos brasileiros de cardiologia2021

Current Use of Pediatric Cardiac Magnetic Resonance Imaging in Brazil.

Marcelo Felipe Kozak, Jorge Yussef Afiune, Lars Grosse-Wortmann

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 42% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 3 countries.

Marcelo Felipe KozakInstituto de Cardiologia do Distrito Federal - Cardiologia Pediátrica, Brasília, DF - Brasil.ORCID 0000-0002-8946-2492
Jorge Yussef AfiuneInstituto de Cardiologia do Distrito Federal - Cardiologia Pediátrica, Brasília, DF - Brasil.ORCID 0000-0001-7117-5201
Lars Grosse-WortmannDoernbecher Children's Hospital, Oregon Health and Science University - Division of Pediatric Cardiology, Department of Pediatrics, Portland, Oregon - EUA.
Instituto de Cardiologia do Distrito Federal · BRHospital for Sick Children · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the use of cardiac magnetic resonance imaging (CMR) on children in Brazil is lacking.

objectivesThis study sought to provide information on current pediatric CMR practices in Brazil.

methodsA questionnaire was sent out to referring physicians around the country. It covered information on the respondents, their CMR practices, the clinical context of the patients, and barriers to CMR use among children. For statistical analysis, two-sided p < 0.05 was considered significant.

resultsThe survey received 142 replies. CMR was reported to be available to 79% of the respondents, of whom, 52% rarely or never use CMR. The most common indications were found to be cardiomyopathies (84%), status of post-tetralogy of Fallot repair (81%), and aortic arch malformations (53%). Exam complexity correlated with CMR-to-surgery ratio (Rho = 0.48, 95% CI = 0.32-0.62, p < 0.0001) and with the number of CMR exams (Rho = 0.52, 95% CI = 0.38-0.64, p < 0.0001). Further, a high CMR complexity score was associated with pediatric cardiologists conducting the exams (OR 2.14, 95% CI 1.2-3.89, p < 0.01). The main barriers to a more frequent use of CMR were its high cost (65%), the need for sedation (60%), and an insufficient number of qualified professionals (55%).

conclusionPediatric CMR is not used frequently in Brazil. The presence of a pediatric cardiologist who can perform CMR exams is associated with CMR use on more complex patients. Training pediatric CMR specialists and educating referring providers are important steps toward a broader use of CMR in Brazil. (Arq Bras Cardiol. 2021; 116(2):305-312).

Indexed as

Cardiac Surgical ProceduresCardiomyopathiesBrazilChildHeartHumansMagnetic Resonance ImagingMagnetic Resonance Imaging, Cine

Identifiers

PMID33656080
PMCPMC7909959
OpenAlexW3132540551

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.