Evidence map›Paper›PMID 33784909›Full record

SynthesisTherapeutic advances in cardiovascular disease

Epidemiology of infective endocarditis before

Michael L Williams, Mathew P Doyle, Nicholas McNamara, Daniel Tardo, Manish Mathew, Benjamin Robinson

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Therapeutic advances in cardiovascular disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Article
  7. ENDOCOR: a nationwide consortium of endocarditis teams-initiating a registry for infective endocarditis within the Netherlands Heart Registration.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Novel Diagnostic Methods for Infective Endocarditis.International journal of molecular sciences · 2024
    Review
  19. Article
  20. Eustachian Valve Endocarditis: A Case Report and Literature Review.Journal of community hospital internal medicine perspectives · 2024
    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

6 authors at 3 institutions in 1 country.

Michael L WilliamsDepartment of Cardiothoracic Surgery, Royal Prince Alfred Hospital, 50 Missenden Road, Camperdown, NSW 2050, Australia.ORCID https://orcid.org/0000-0002-7002-9728
Mathew P DoyleDepartment of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Nicholas McNamaraDepartment of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
Daniel TardoDepartment of Medicine, St Vincents Hospital, Sydney, NSW, Australia.
Manish MathewDepartment of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
Benjamin RobinsonDepartment of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
Royal Prince Alfred Hospital · AUSt Vincent's Hospital Sydney · AUUniversity of Wollongong · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAll major international guidelines for the management of infective endocarditis (IE) have undergone major revisions, recommending antibiotic prophylaxis (AP) restriction to high-risk patients or foregoing AP completely. We performed a systematic review to investigate the effect of these guideline changes on the global incidence of IE.

methodsElectronic database searches were performed using Ovid Medline, EMBASE and Web of Science. Studies were included if they compared the incidence of IE prior to and following any change in international guideline recommendations. Relevant studies fulfilling the predefined search criteria were categorized according to their inclusion of either adult or pediatric patients. Incidence of IE, causative microorganisms and AP prescription rates were compared following international guideline updates.

resultsSixteen studies were included, reporting over 1.3 million cases of IE. The crude incidence of IE following guideline updates has increased globally. Adjusted incidence increased in one study after European guideline updates, while North American rates did not increase. Cases of IE with a causative pathogen identified ranged from 62% to 91%. Rates of streptococcal IE varied across adult and pediatric populations, while the relative proportion of staphylococcal IE increased (range pre-guidelines 16-24.8%, range post-guidelines 26-43%). AP prescription trends were reduced in both moderate and high-risk patients following guideline updates. DISCUSSION: The restriction of AP to only high-risk patients has not resulted in an increase in the incidence of streptococcal IE in North American populations. The evidence of the impact of AP restriction on IE incidence is still unclear for other populations. Future population-based studies with adjusted incidence of IE, AP prescription rates and accurate pathogen identification are required to delineate findings further in these other regions.

Indexed as

AdolescentAgedAged, 80 and overAntibiotic ProphylaxisAntimicrobial StewardshipChildChild, PreschoolClinical Decision-MakingEndocarditis, BacterialFemaleHumansIncidenceMaleMiddle AgedPractice Guidelines as TopicRisk Assessmentantibiotic prophylaxisguidelineinfective endocarditissystematic review

Identifiers

PMID33784909
PMCPMC8020745
OpenAlexW3146994378

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.