Evidence map›Paper›PMID 34315235›Full record

ArticleJournal of the American Heart Association2021

Multi-Institutional Practice-Patterns in Fetal Congenital Heart Disease Following Implementation of a Standardized Clinical Assessment and Management Plan.

Yalda Afshar, Whitnee J Hogan, Charlotte Conturie, Sherzana Sunderji, Jennifer Y Duffy, Shabnam Peyvandi, Nina M Boe, Dora Melber, Viviana M Fajardo, Megha D Tandel and 4 more

Open access · goldAbstract read
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Current practice and challenges in fetal cardiac intervention.Frontiers in cardiovascular medicine · 2026
    Review
  4. Impact of isolated fetal congenital heart disease on pregnancy and perinatal outcomes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
  5. Article
  6. 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

14 authors at 5 institutions in 1 country.

Yalda AfsharDivision of Maternal Fetal Medicine Department of Obstetrics and Gynecology University of California Los Angeles CA.
Whitnee J HoganDivision of Pediatric Cardiology Department of Pediatrics University of California San Francisco CA.
Charlotte ConturieDivision of Maternal Fetal Medicine Department of Obstetrics and Gynecology University of California San Diego CA.
Sherzana SunderjiDivision of Pediatric Cardiology Department of Pediatrics University of California Davis CA.
Jennifer Y DuffyDivision of Maternal Fetal Medicine Department of Obstetrics and Gynecology University of California Irvine CA.
Shabnam PeyvandiDivision of Pediatric Cardiology Department of Pediatrics University of California San Francisco CA.
Nina M BoeDivision of Maternal Fetal Medicine Department of Obstetrics and Gynecology University of California Davis CA.
Dora MelberDepartment of Urology University of California Los Angeles CA.
Viviana M FajardoDivision of Neonatology Department of Pediatrics University of California Los Angeles CA.
Megha D TandelDepartment of Urology University of California Los Angeles CA.
Kerry HollimanDivision of Maternal Fetal Medicine Department of Obstetrics and Gynecology University of California Los Angeles CA.
Lorna KwanDepartment of Urology University of California Los Angeles CA.
Gary SatouDivision of Pediatric Cardiology Department of Pediatrics University of California Los Angeles CA.
Anita J Moon-GradyDivision of Pediatric Cardiology Department of Pediatrics University of California San Francisco CA.
University of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of California, Davis · USUniversity of California, Irvine · USUniversity of California San Diego · US

Funding

REPRODUCTIVE SCIENTIST TRAINING PROGRAMK12HD000849 · NICHD · WASHINGTON UNIVERSITY · PI Danny J Schust · 1988 to 2026
$33.2M
NICHD NIH HHS K12 HD000849
6 · The paper itself

Abstract

Background Prenatal diagnosis of congenital heart disease has been associated with early-term delivery and cesarean delivery (CD). We implemented a multi-institutional standardized clinical assessment and management plan (SCAMP) through the University of California Fetal-Maternal Consortium. Our objective was to decrease early-term (37-39 weeks) delivery and CD in pregnancies complicated by fetal congenital heart disease using a SCAMP methodology to improve practice in a high-risk and clinically complex setting. Methods and Results University of California Fetal-Maternal Consortium site-specific management decisions were queried following SCAMP implementation. This contemporary intervention group was compared with a University of California Fetal-Maternal Consortium historical cohort. Primary outcomes were early-term delivery and CD. A total of 496 maternal-fetal dyads with prenatally diagnosed congenital heart disease were identified, 185 and 311 in the historical and intervention cohorts, respectively. Recommendation for later delivery resulted in a later gestational age at delivery (38.9 versus 38.1 weeks,

Indexed as

Cesarean SectionDelivery, ObstetricPatient Care PlanningPrenatal CareAdultCaliforniaFemaleGestational AgeHeart Defects, CongenitalHumansInfant, NewbornMaternal AgePractice Patterns, Physicians'PregnancyPregnancy OutcomePrenatal Diagnosiscesareanfetal CHDobstetricsprenatal congenital heart diseaseSCAMP

Identifiers

PMID34315235
PMCPMC8475692
OpenAlexW3184166237

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.