Evidence map›Paper›PMID 35366320›Full record

ArticleEuropean heart journal2022

Survival of patients undergoing cardiac resynchronization therapy with or without defibrillator: the RESET-CRT project.

Moritz Hadwiger, Nikolaos Dagres, Janina Haug, Michael Wolf, Ursula Marschall, Jan Tijssen, Alexander Katalinic, Fabian Simon Frielitz, Gerhard Hindricks

Open access · bronzeAbstract read
In one paragraph

Article in European heart journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
8.0field-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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Time-trend treatment effect of cardiac resynchronization therapy with or without defibrillator on mortality: a systematic review and meta-analysis.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Pooled it
  3. Article
  4. Article
  5. Left bundle branch pacing vs. biventricular pacing for cardiac resynchronization therapy in the long-term: a prospective, non-randomized, cohort study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
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  18. CRT-D or CRT-P?: the endless debate!Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  19. Article
  20. Effectiveness of adding a defibrillator with cardiac resynchronization therapy in heart failure according to the modified Model for End-stage Liver Disease-Albumin score.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Moritz HadwigerInstitute of Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.ORCID 0000-0001-7891-0096
Nikolaos DagresDepartment of Electrophysiology, Heart Center Leipzig at University of Leipzig, Leipzig, Germany.ORCID 0000-0003-0323-4956
Janina HaugThe Clinical Research Institute, Munich, Germany.ORCID 0000-0002-5069-830X
Michael WolfThe Clinical Research Institute, Munich, Germany.
Ursula MarschallDepartment of Medicine and Health Services Research, BARMER, Wuppertal, Germany.
Jan TijssenLeipzig Heart Institute, Russenstraβe 69A, 04289 Leipzig, Germany.
Alexander KatalinicInstitute of Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.ORCID 0000-0003-0490-1554
Fabian Simon FrielitzInstitute of Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.ORCID 0000-0002-9414-347X
Gerhard HindricksDepartment of Electrophysiology, Heart Center Leipzig at University of Leipzig, Leipzig, Germany.
Leipzig Heart Institute · DEUniversity of Lübeck · DEInstitute of Clinical Cancer Research · DEBARMER GEK · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCardiac resynchronization therapy (CRT) is an established treatment for heart failure. There is contradictory evidence whether defibrillator capability improves prognosis in patients receiving CRT. We compared the survival of patients undergoing de novo implantation of a CRT with defibrillator (CRT-D) option and CRT with pacemaker (CRT-P) in a large health claims database. METHODS AND

resultsUsing health claims data of a major German statutory health insurance, we analysed patients with de novo CRT implantation from 2014 to 2019 without indication for defibrillator implantation for secondary prevention of sudden cardiac death. We performed age-adjusted Cox proportional hazard regression and entropy balancing to calculate weights to control for baseline imbalances. The analysis comprised 847 CRT-P and 2722 CRT-D patients. Overall, 714 deaths were recorded during a median follow-up of 2.35 years. A higher cumulative incidence of all-cause death was observed in the initial unadjusted Kaplan-Meier time-to-event analysis [hazard ratio (HR): 1.63, 95% confidence interval (CI): 1.38-1.92]. After adjustment for age, HR was 1.13 (95% CI: 0.95-1.35) and after entropy balancing 0.99 (95% CI: 0.81-1.20). No survival differences were found in different age groups. The results were robust in sensitivity analyses.

conclusionIn a large health claims database of CRT implantations performed in a contemporary setting, CRT-P treatment was not associated with inferior survival compared with CRT-D. Age differences accounted for the greatest part of the survival difference that was observed in the initial unadjusted analysis.

Indexed as

Cardiac Resynchronization TherapyDefibrillators, ImplantableHeart FailurePacemaker, ArtificialCardiac Resynchronization Therapy DevicesDeath, Sudden, CardiacHumansRisk FactorsTreatment OutcomeBiventricular pacemakerCardiac resynchronization therapyHealth claims dataMortalitySurvival

Identifiers

PMID35366320
PMCPMC9279111
OpenAlexW4210363947

What OpenQuestion holds

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LicenceCC BY-NC
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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.