Evidence map›Paper›PMID 35389228›Full record

ReviewJournal of the American Heart Association2022

Addressing Social Determinants of Health and Mitigating Health Disparities Across the Lifespan in Congenital Heart Disease: A Scientific Statement From the American Heart Association.

Keila N Lopez, Carissa Baker-Smith, Glenn Flores, Michelle Gurvitz, Tara Karamlou, Flora Nunez Gallegos, Sara Pasquali, Angira Patel, Jennifer K Peterson, Jason L Salemi and 3 more

Erratum issued Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07700459 (A Randomised-controlled Trial to Assess the Impact of Prehabilitation and a Structured Exercise Programme on Cardiorespiratory Performance in Adults Awaiting Elective Surgery for Congenital Heart Disease), which is not on this map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
–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.

NCT07700459 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Randomised-controlled Trial to Assess the Impact of Prehabilitation and a Structured Exercise Programme on Cardiorespiratory Performance in Adults Awaiting Elective Surgery for Congenital Heart Disease: The ACE-CHD Trial.

TypeinterventionalSponsorLiverpool Heart and Chest Hospital NHS Foundation TrustRan2026 to 2029Enrolled32ConditionsCongenital Heart Disease, Cardiac SurgeryArmsExercise prehabilitation
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Screening of Pediatric Patients at Cardiology Clinic Identifies High Prevalence of Food Insecurity.International journal of environmental research and public health · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Observational
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Keila N Lopez
Carissa Baker-Smith
Glenn Flores
Michelle Gurvitz
Tara Karamlou
Flora Nunez Gallegos
Sara Pasquali
Angira Patel
Jennifer K Peterson
Jason L Salemi
Clyde Yancy
Shabnam Peyvandi
American Heart Association Congenital Cardiac Defects Committee of the Council on Lifelong Congenital Heart Disease and Heart Health in the Young; Council on Epidemiology and Prevention; and Council on Lifestyle and Cardiometabolic Health

Funding

Building Mobile Technologies to Reduce Health Disparities in Congenital Heart DiseaseK23HL127164 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI LOPEZ, KEILA NATILDE · 2016 to 2021
$856k
NHLBI NIH HHS K23 HL127164
6 · The paper itself

Abstract

Despite the overall improvement in life expectancy of patients living with congenital heart disease (congenital HD), disparities in morbidity and mortality remain throughout the lifespan. Longstanding systemic inequities, disparities in the social determinants of health, and the inability to obtain quality lifelong care contribute to poorer outcomes. To work toward health equity in populations with congenital HD, we must recognize the existence and strategize the elimination of inequities in overall congenital HD morbidity and mortality, disparate health care access, and overall quality of health services in the context of varying social determinants of health, systemic inequities, and structural racism. This requires critically examining multilevel contributions that continue to facilitate health inequities in the natural history and consequences of congenital HD. In this scientific statement, we focus on population, systemic, institutional, and individual-level contributions to health inequities from prenatal to adult congenital HD care. We review opportunities and strategies for improvement in lifelong congenital HD care based on current public health and scientific evidence, surgical data, experiences from other patient populations, and recognition of implicit bias and microaggressions. Furthermore, we review directions and goals for both quantitative and qualitative research approaches to understanding and mitigating health inequities in congenital HD care. Finally, we assess ways to improve the diversity of the congenital HD workforce as well as ethical guidance on addressing social determinants of health in the context of clinical care and research.

Indexed as

Health EquityHeart Defects, CongenitalAdultAmerican Heart AssociationHealthcare DisparitiesHumansLongevitySocial Determinants of HealthUnited StatesAHA Scientific Statementscongenitalhealth inequitiesheart defectssocial determinants of health

Identifiers

PMID35389228
PMCPMC9238447

What OpenQuestion holds

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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.