Evidence map›Paper›PMID 34041920›Full record

ArticleJournal of the American Heart Association2021

Complications Associated With Catheter Ablation in Patients With Atrial Fibrillation: A Report From the JROAD-DPC Study.

Yasuhiro Yokoyama, Koji Miyamoto, Michikazu Nakai, Yoko Sumita, Nobuhiko Ueda, Kenzaburo Nakajima, Tsukasa Kamakura, Mitsuru Wada, Kenichiro Yamagata, Kohei Ishibashi and 7 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Ethanol infusion of the vein of marshall-based strategies for persistent atrial fibrillation: a systematic review and meta-analysis of randomized trials.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Pre-procedural high serum visfatin and tumor necrosis factor-α might predict recurrent atrial fibrillation after catheter ablation.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023
    Article
  17. Article
  18. Article
  19. Cost-effectiveness analysis of cardiac implantable electronic devices with reactive atrial-based antitachycardia pacing.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  20. Observational
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

17 authors at 3 institutions in 1 country.

Yasuhiro YokoyamaDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Koji MiyamotoDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Michikazu NakaiCenter for Cerebral and Cardiovascular Disease Information National Cerebral and Cardiovascular Center Suita Japan.
Yoko SumitaCenter for Cerebral and Cardiovascular Disease Information National Cerebral and Cardiovascular Center Suita Japan.
Nobuhiko UedaDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Kenzaburo NakajimaDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Tsukasa KamakuraDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Mitsuru WadaDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Kenichiro YamagataDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Kohei IshibashiDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Yuko InoueDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Satoshi NagaseDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Takashi NodaDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Takeshi AibaDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Yoshihiro MiyamotoCenter for Cerebral and Cardiovascular Disease Information National Cerebral and Cardiovascular Center Suita Japan.
Satoshi YasudaDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Kengo KusanoDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
National Cerebral and Cardiovascular Center · JPNagase (Japan) · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Aging is one of the major concerns and determinants of the indications for catheter ablation (CA) for atrial fibrillation. This study aimed to assess the safety of CA in older patients with atrial fibrillation undergoing CA. Methods and Results The JROAD-DPC (Japanese Registry of All Cardiac and Vascular Diseases-Diagnosis Procedure Combination) is a nationwide claims database using data from the Japanese Diagnosis Procedure Combination/Per Diem Payment System. Among 6 632 484 records found between April 2012 and March 2018 from 1058 hospitals, 135 299 patients with atrial fibrillation (aged 65±10 years, 38 952 women) who underwent CA in 456 hospitals were studied and divided into the following age groups: <60, 60 to 64, 65 to 69, 70 to 74, 75 to 79, 80 to 84, and ≥85 years. The overall in-hospital complication rate was 3.4% (cardiac tamponade 1.2%), and in-hospital mortality was 0.04%. Older patients had a higher prevalence of women, lower body mass index, and a higher burden of comorbidities such as hypertension, and all of those characteristics were predictors for complications in multivariate analysis. A multivariate adjusted odds ratio revealed that increased age was independently and significantly associated with overall complications (60-64 years, 1.19; 65-69 years, 1.29; 70-74 years, 1.57; 75-79 years, 1.63; 80-84 years, 1.90; and ≥85 years, 2.86; the reference was <60 years). Conclusions The nationwide JROAD-DPC database demonstrated that the frequency of complications following CA in patients with atrial fibrillation increased according to age.

Indexed as

RegistriesAgedAged, 80 and overAtrial FibrillationCatheter AblationCross-Sectional StudiesFemaleFollow-Up StudiesHospital MortalityHumansJapanMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk Assessmentatrial fibrillationcatheter ablationcomplicationsJapanese Registry of All Cardiac and Vascular Diseasesolder

Identifiers

PMID34041920
PMCPMC8483553
OpenAlexW3164022293

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.