Evidence map›Paper›PMID 34622676›Full record

ArticleJournal of the American Heart Association2021

Health Care Policy and Congenital Heart Disease: 2020 Focus on Our 2030 Future.

Devyani Chowdhury, Jonathan N Johnson, Carissa M Baker-Smith, Robert D B Jaquiss, Arjun K Mahendran, Valerie Curren, Aarti Bhat, Angira Patel, Audrey C Marshall, Stephanie Fuller and 13 more

Abstract 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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–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

30 citing papers in PubMed.

  1. Establishing polysomnographic criteria for initiation of non-invasive ventilation in children with neuromuscular diseases.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
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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

23 authors.

Devyani ChowdhuryCardiology Care for Children Lancaster PA.ORCID 0000-0003-3380-3929
Jonathan N JohnsonDivision of Pediatric Cardiology Mayo Clinic Rochester MN.
Carissa M Baker-SmithSidney Kimmel Medical College of Thomas Jefferson UniversityNemours'/Alfred I duPont Hospital for Children Cardiac Center Wilmington DE.
Robert D B JaquissDepartment of Cardiothoracic Surgery and Pediatrics Children's Hospital and University of Texas, Southwestern Medical Center Dallas TX.
Arjun K MahendranDepartment of Pediatrics University of Florida-Congenital Heart Center Gainesville FL.ORCID 0000-0001-9963-4043
Valerie CurrenDivision of Cardiology Children's National Hospital Washington DC.
Aarti BhatSeattle Children's Hospital and University of Washington Seattle WA.
Angira PatelDivision of Cardiology Ann & Robert H. Lurie Children's Hospital of Chicago Chicago IL.
Audrey C MarshallCardiac Diagnostic and Interventional Unit The Hospital for Sick Children Toronto Ontario Canada.
Stephanie FullerDivision of Cardiothoracic Surgery Children's Hospital of Philadelphia Philadelphia PA.
Bradley S MarinoDivision of Cardiology Ann & Robert H. Lurie Children's Hospital of Chicago Chicago IL.
Christina M FinkDepartment of Pediatric Cardiology Cleveland Clinic Cleveland OH.ORCID 0000-0001-9106-535X
Keila N LopezLillie Frank Abercrombie Section of Cardiology Department of Pediatrics Texas Children's HospitalBaylor College of Medicine Houston TX.ORCID 0000-0002-2710-6257
Lowell H FrankDivision of Cardiology Children's National Hospital Washington DC.
Mishaal AtherCardiology Care for Children Lancaster PA.
Natalie TorentinosAmerican College of Cardiology Washington DC.
Olivia KranzAmerican College of Cardiology Washington DC.
Vivian ThorneAmerican Academy of Pediatrics Itasca IL.
Ryan R DaviesDepartment of Cardiothoracic Surgery and Pediatrics Children's Hospital and University of Texas, Southwestern Medical Center Dallas TX.
Stuart BergerDivision of Cardiology Ann & Robert H. Lurie Children's Hospital of Chicago Chicago IL.
Christopher SnyderDivision of Pediatric Cardiology The Congenital Heart Collaborative University Hospital Rainbow Babies and Children's Hospital Cleveland OH.
Arwa SaidiDepartment of Pediatrics University of Florida-Congenital Heart Center Gainesville FL.
Kenneth ShafferTexas Center for Pediatric and Congenital Heart Disease University of Texas Dell Medical School/Dell Children's Medical Center Austin TX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The congenital heart care community faces a myriad of public health issues that act as barriers toward optimum patient outcomes. In this article, we attempt to define advocacy and policy initiatives meant to spotlight and potentially address these challenges. Issues are organized into the following 3 key facets of our community: patient population, health care delivery, and workforce. We discuss the social determinants of health and health care disparities that affect patients in the community that require the attention of policy makers. Furthermore, we highlight the many needs of the growing adults with congenital heart disease and those with comorbidities, highlighting concerns regarding the inequities in access to cardiac care and the need for multidisciplinary care. We also recognize the problems of transparency in outcomes reporting and the promising application of telehealth. Finally, we highlight the training of providers, measures of productivity, diversity in the workforce, and the importance of patient-family centered organizations in advocating for patients. Although all of these issues remain relevant to many subspecialties in medicine, this article attempts to illustrate the unique needs of this population and highlight ways in which to work together to address important opportunities for change in the cardiac care community and beyond. This article provides a framework for policy and advocacy efforts for the next decade.

Indexed as

Health PolicyHeart Defects, CongenitalAdultForecastingHealthcare DisparitiesHumansWorkforceadvocacycongenital heart diseasehealth care disparitieshealth care policyhealth care workforcevalue‐based health care

Identifiers

PMID34622676
PMCPMC8751886

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.