Evidence map›Paper›PMID 35082136›Full record

Trial reportOpen heart2022

Uncovering the treatable burden of severe aortic stenosis in the UK.

Geoffrey A Strange, Simon Stewart, Nick Curzen, Simon Ray, Simon Kendall, Peter Braidley, Keith Pearce, Renzo Pessotto, David Playford, Huon H Gray

Open access · goldAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Open heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Same-Day Discharge After Transcatheter Aortic Valve Implantation: Who, When, and How?Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Machine learning-enabled screening for aortic stenosis with handheld ultrasound.European heart journal. Imaging methods and practice · 2025
    Article
  16. Article
  17. 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

10 authors at 10 institutions in 2 countries.

Geoffrey A StrangeSchool of Medicine, University of Notre Dame, Freemantle, Western Australia, Australia gstrange@neda.net.au.ORCID 0000-0001-6800-7119
Simon StewartCentre for Cardiopulmonary Health, Torrens University Australia, Adelaide, South Australia, Australia.ORCID 0000-0001-9032-8998
Nick CurzenConsultant Cardiologist, Faculty of Medicine, University of Southampton & Wessex Cardiothoracic Unit, University Hospital Southampton NHS Trust, Southampton, UK.ORCID 0000-0001-9651-7829
Simon RayConsultant Cardiologist, Manchester University Hospitals Foundation Trust, Manchester, UK.ORCID 0000-0001-7775-1900
Simon KendallPresident, Society of Cardiothoracic Surgeons of Great Britain & Ireland, UK.
Peter BraidleyConsultant Cardiothoracic Surgeon, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Keith PearceConsultant Cardiac Scientist, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK.
Renzo PessottoConsultant Cardiac Surgeon, Royal Infirmary, Edinburgh, UK.
David PlayfordSchool of Medicine, University of Notre Dame, Freemantle, Western Australia, Australia.ORCID 0000-0003-4492-1103
Huon H GrayEmeritus National Clinical Director for Heart Disease, NHS England, UK.
Association of Surgeons of Great Britain and Ireland · GBEdinburgh Royal Infirmary · GBManchester University NHS Foundation Trust · GBNHS EnglandRoyal Prince Alfred Hospital · AUSheffield Teaching Hospitals NHS Foundation Trust · GBThe University of Notre Dame Australia · AUTorrens University Australia · AUUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the population prevalence and treatable burden of severe aortic stenosis (AS) in the UK.

methodsWe adapted a contemporary model of the population profile of symptomatic and asymptomatic severe AS in Europe and North America to estimate the number of people aged ≥55 years in the UK who might benefit from surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVI).

resultsWith a point prevalence of 1.48%, we estimate that 291 448 men and women aged ≥55 years in the UK had severe AS in 2019. Of these, 68.3% (199 059, 95% CI 1 77 201 to 221 355 people) would have been symptomatic and, therefore, more readily treated according to their surgical risk profile; the remaining 31.7% of cases (92 389, 95% CI 70 093 to 144 247) being asymptomatic. Based on historical patterns of intervention, 58.4% (116 251, 95% CI 106 895 to 1 25 606) of the 199 059 symptomatic cases would qualify for SAVR, with 7208 (95% CI 7091 to 7234) being assessed as being in a high, preoperative surgical risk category. Among the remaining 41.6% (82 809, 95% CI 73 453 to 92 164) of cases potentially unsuitable for SAVR, an estimated 61.7% (51 093, 95% CI 34 780 to 67 655) might be suitable for TAVI. We estimate that 172 859 out of 291 448 prevalent cases of severe AS (59.3%) will subsequently die within 5 years without proactive management.

conclusionsThese data suggest a high burden of severe AS in the UK requiring surgical or transcatheter intervention that challenges the ongoing capacity of the National Health Service to meet the needs of those affected.

Indexed as

Heart Valve ProsthesisAgedAortic ValveAortic Valve StenosisFemaleHealth Care CostsHumansMaleMorbidityRisk FactorsSeverity of Illness IndexState MedicineSurvival RateTranscatheter Aortic Valve ReplacementUnited Kingdomaortic valve stenosiscardiac surgical procedurestranscatheter aortic valve replacement

Identifiers

PMID35082136
PMCPMC8739674
OpenAlexW4210487386

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.