Evidence map›Paper›PMID 34584893›Full record

ReviewTranslational pediatrics2021

Counseling for fetal heart disease-current standards and best practice.

Alexander Kovacevic, Michael Elsässer, Herbert Fluhr, Andreas Müller, Sebastian Starystach, Stefan Bär, Matthias Gorenflo

Open access · diamondAbstract readReview
In one paragraph

Review in Translational pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Current foetal cardiology practice in Italian centres: a survey among SICP members.International journal of cardiology. Congenital heart disease · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Ethics of Fetal Cardiac Intervention.Asian bioethics review · 2025
    Article
  8. Review
  9. Article
  10. Ethical Considerations in Fetal Cardiology.Journal of cardiovascular development and disease · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. 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

7 authors at 2 institutions in 1 country.

Alexander KovacevicDepartment of Pediatric and Congenital Cardiology, Heidelberg University Hospital, Heidelberg, Germany.
Michael ElsässerDepartment of Gynecology and Obstetrics, Heidelberg University Hospital, Heidelberg, Germany.
Herbert FluhrDepartment of Gynecology and Obstetrics, Heidelberg University Hospital, Heidelberg, Germany.
Andreas MüllerDepartment of Pediatric and Congenital Cardiology, Heidelberg University Hospital, Heidelberg, Germany.
Sebastian StarystachMax Weber Institute for Sociology, Ruprecht Karls University Heidelberg, Heidelberg, Germany.
Stefan BärMax Weber Institute for Sociology, Ruprecht Karls University Heidelberg, Heidelberg, Germany.
Matthias GorenfloDepartment of Pediatric and Congenital Cardiology, Heidelberg University Hospital, Heidelberg, Germany.
Heidelberg University · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital heart disease (CHD) is the most common cause of major congenital anomalies affecting newborns. Prenatal detection of CHD has been improving continuously during the last two decades due to technical advances and thus optimized fetal cardiac imaging. Besides the in-utero diagnosis of CHD effective parental counseling is an integral part of any Fetal Cardiology Program. However, studies on the most effective techniques are scarce, as well as data on empirical assessment of counseling and its effectiveness. In this review article, we summarize current guidelines from different international associations and societies. We provide an updated literature overview evaluating current standards of counseling with regard to parental needs. This includes ethical aspects, counseling for univentricular disease and in-utero cardiac interventions. We discuss our method to assess counseling success for fetal heart defects by exploring different analytical dimensions that may be considered helpful in order to improve efficacy. Finally, we present a proposal of how to optimize a setting for counseling based on the current literature and our own data. In summary, parental counseling for fetal heart disease is complex and multidimensional. Significant expertise in fetal cardiology and physiology, potential progression of CHD, postnatal treatment strategies and knowledge of long-term sequelae is necessary. A structured approach, together with continuous improvement of communicative skills, may lead to more effective counseling for parents following a diagnosis of CHD in the fetus.

Indexed as

congenital heart disease (CHD)counselingFetal cardiologyinterdisciplinary approach

Identifiers

PMID34584893
PMCPMC8429860
OpenAlexW3092098143

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.