Evidence map›Paper›PMID 34729526›Full record

ArticleJACC. CardioOncology2021

Temporal Trends of Wild-Type Transthyretin Amyloid Cardiomyopathy in the Transthyretin Amyloidosis Outcomes Survey.

Jose Nativi-Nicolau, Alfonso Siu, Angela Dispenzieri, Mathew S Maurer, Claudio Rapezzi, Arnt V Kristen, Pablo Garcia-Pavia, Samantha LoRusso, Márcia Waddington-Cruz, Olivier Lairez and 5 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in JACC. CardioOncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
3.5field-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.

NCT00628745 completednot on this map

Transthyretin Amyloidosis Outcomes Survey (THAOS): A Global, Multi-Center, Longitudinal, Observational Survey of Patients With Documented Transthyretin Gene Mutations or Wild-Type Transthyretin Amyloidosis.

TypeobservationalSponsorPfizerRan2008 to 2023Enrolled6,718ConditionsTransthyretin Gene Mutations, Transthyretin AmyloidosisArmsNone. Observational Study.
NCT06034405 recruitingnot on this mapstarted 2023, after this paper: background citation

Analysis of Lumbar Spine Stenosis Specimens for Identification of Transthyretin Cardiac Amyloidosis

TypeobservationalSponsorColumbia UniversityRan2023 to 2028Enrolled1,663ConditionsLumbar Spinal Stenosis, Cardiac Amyloidosis, ATTR Amyloidosis Wild Type, ATTR Gene MutationArmsTc99-PYP or Tc99-HDMP Scan
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Annual Cardiovascular-Related Hospitalization Days Avoided with Tafamidis in Patients with Transthyretin Amyloid Cardiomyopathy.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Prognostic value ofJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2025
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. QuantitativeJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2024
    Article
  18. Article
  19. Article
  20. 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

15 authors at 11 institutions in 6 countries.

Jose Nativi-NicolauUniversity of Utah Health & Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Alfonso SiuUniversity of Utah Health & Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Angela DispenzieriDivision of Hematology, Mayo Clinic, Rochester, Minnesota, USA.
Mathew S MaurerColumbia University College of Physicians and Surgeons, New York, New York, USA.
Claudio RapezziCardiological Centre, University of Ferrara, Italy.
Arnt V KristenDepartment of Cardiology, Angiology, Respiratory Medicine, Medical University of Heidelberg, Heidelberg, Germany.
Pablo Garcia-PaviaHospital Universitario Puerta de Hierro Majadahonda, CIBERCV, Madrid, Spain.
Samantha LoRussoThe Ohio State University, Columbus, Ohio, USA.
Márcia Waddington-CruzFederal University of Rio de Janeiro, National Amyloidosis Referral Center, CEPARM, Rio de Janeiro, Brazil.
Olivier LairezDepartment of Cardiology and Nuclear Medicine, Toulouse University Hospital, Toulouse, France.
Ronald WittelesStanford University School of Medicine, Stanford, California, USA.
Doug ChapmanPfizer Inc, New York, New York, USA.
Leslie AmassPfizer Inc, New York, New York, USA.
Martha GroganDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA.
THAOS Investigators
University of Utah · USMayo Clinic · USPfizer (United States) · USColumbia University · USHeidelberg University · DEStanford University · USThe Ohio State University · USUniversidade Federal do Rio de Janeiro · BRUniversidad Francisco de Vitoria · ESUniversité Fédérale de Toulouse Midi-Pyrénées · FRUniversity of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransthyretin amyloid cardiomyopathy results from the accumulation of wild-type (ATTRwt) or variant (ATTRv) transthyretin amyloid fibrils in the myocardium. THAOS (Transthyretin Amyloidosis Outcomes Survey) is a global, longitudinal, observational survey of patients with ATTRv and ATTRwt amyloidosis and asymptomatic patients with transthyretin mutations.

objectivesThis study explored temporal trends in ATTRwt amyloidosis diagnoses using data from THAOS.

methodsUsing THAOS data from December 2007 to January 2020, the following comparisons were made according to year: ATTRwt amyloidosis diagnoses in the United States versus rest of the world, ATTRwt versus ATTRv amyloidosis with cardiac-associated mutations diagnoses, and ATTRwt amyloidosis diagnoses by tissue biopsy versus bone scintigraphy.

resultsThere were 1,069 patients with ATTRwt amyloidosis and 525 with ATTRv amyloidosis with cardiac mutations enrolled in THAOS. The median time from symptom onset to ATTRwt amyloidosis diagnosis did not change over the past 5 years (>60 months from 2015-2019). ATTRwt amyloidosis diagnoses increased from 2 in 2005 to >100 per year from 2016, with a more pronounced increase in the United States compared with the rest of the world. Diagnoses of ATTRwt amyloidosis by tissue biopsy increased yearly and peaked in 2014 before declining, whereas diagnoses by bone scintigraphy increased markedly since 2011. ATTRv amyloidosis with cardiac mutation diagnoses increased from 3 in 2005 to 37 in 2011, then plateaued. The proportion of patients with ATTRwt amyloidosis diagnosed with New York Heart Association functional class III/IV heart failure decreased from 2012 (46.4%) to 2019 (16.0%).

conclusionsIn the past decade, ATTRwt amyloidosis diagnoses increased worldwide. Despite the growing utilization of bone scintigraphy, patients are diagnosed several years after symptom onset. (Transthyretin Amyloidosis Outcomes Survey [THAOS]; NCT00628745).

Indexed as

ATTR amyloidosis, transthyretin amyloidosisATTR-CM, transthyretin amyloid cardiomyopathyATTRv amyloidosis, variant transthyretin amyloidosisATTRwt amyloidosis, wild-type transthyretin amyloidosisbone scintigraphyNYHA, New York Heart AssociationQ, quartileregistryTTR, transthyretinwild-type transthyretin amyloidosis

Identifiers

PMID34729526
PMCPMC8543133
OpenAlexW3206653600

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.