Evidence map›Paper›PMID 34380540›Full record

Trial reportJournal of cardiothoracic surgery2021

A three-dimensional printed model in preoperative consent for ventricular septal defect repair.

Xicheng Deng, Siping He, Peng Huang, Jinwen Luo, Guangxian Yang, Bing Zhou, Yunbin Xiao

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiothoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Xicheng DengHeart Center, Hunan Children's Hospital, No. 86 Ziyuan Road, Changsha, 410007, China. justindxc@gmail.com.
Siping HeDepartment of Radiology, Hunan Children's Hospital, Changsha, 410007, China.
Peng HuangHeart Center, Hunan Children's Hospital, No. 86 Ziyuan Road, Changsha, 410007, China.
Jinwen LuoHeart Center, Hunan Children's Hospital, No. 86 Ziyuan Road, Changsha, 410007, China.
Guangxian YangHeart Center, Hunan Children's Hospital, No. 86 Ziyuan Road, Changsha, 410007, China.
Bing ZhouDepartment of Radiology, The Second Xiangya Hospital, Central South University, Changsha, 410007, Hunan, China.
Yunbin XiaoHeart Center, Hunan Children's Hospital, No. 86 Ziyuan Road, Changsha, 410007, China.

Funding

Natural Science Foundation of Hunan Province, China 2019JJ80106Natural Sciences Foundation of China 81500041
6 · The paper itself

Abstract

backgroundThe 3D printing technology in congenital cardiac surgery has been widely utilized to improve patients' understanding of their disease. However, there has been no randomized controlled study on its usefulness in surgical consent for congenital heart disease repair.

methodsA randomized controlled study was performed during consent process in which guardians of candidates for ventricular septal defect repair were given detailed explanation of the anatomy, indication for surgery and potential complication and risks using 3D print ventricular septal defect model (n = 20) versus a conventional 2D diagram (n = 20). A questionnaire was finished by each guardian of the patients. Data collected from questionnaires as well as medical records were statistically analyzed.

resultsStatistically significant improvements in ratings of understanding of ventricular septal defect anatomy (p = 0.02), and of the surgical procedure and potential complications (p = 0.02) were noted in the group that used the 3D model, though there was no difference in overall ratings of the consent process (p = 0.09). There was no difference in questionnaire score between subjects with different education levels. The clinical outcomes, as represented by the duration of intensive care unit stay, intubation duration was comparable between the two groups.

conclusionsThe results indicated that it was an effective tool which may be used to consent for congenital heart surgery. Different education levels do not affect guardians' understanding in consent. The impact of 3D printing used in this scenario on long term outcomes remains to be defined.

Indexed as

Cardiac Surgical ProceduresConsent FormsHeart Septal Defects, VentricularInformed ConsentPrinting, Three-DimensionalAdultAudiovisual AidsChild, PreschoolCommunicationFemaleHumansInfantLegal GuardiansMaleModels, AnatomicPatient-Specific Modeling3D printing—heart defectsCongenital—surgical proceduresOperative—informed consent

Identifiers

PMID34380540
PMCPMC8359557

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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.