Evidence map›Paper›PMID 35919127›Full record

ArticleEuropean heart journal open2022

Evaluation of the cardiac amyloidosis clinical pathway implementation: a real-world experience.

Maaike Brons, Steven A Muller, Frans H Rutten, Manon G van der Meer, Alexander F J E Vrancken, Monique C Minnema, Annette F Baas, Folkert W Asselbergs, Marish I F J Oerlemans

Abstract read
In one paragraph

Article in European heart journal open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Pre-symptomatic scintigraphic and genetic cascade screening in cardiac transthyretin amyloidosis.European journal of nuclear medicine and molecular imaging · 2025
    Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Observational
  10. Cardio-Hepatic Interaction in Cardiac Amyloidosis.Journal of clinical medicine · 2024
    Article
  11. Current Perspectives on Atrial Amyloidosis: A Narrative Review.Reviews in cardiovascular medicine · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
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

9 authors.

Maaike BronsDepartment of Cardiology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Steven A MullerDepartment of Cardiology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Frans H RuttenDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Manon G van der MeerDepartment of Cardiology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Alexander F J E VranckenDepartment of Neurology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Monique C MinnemaDepartment of Haematology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Annette F BaasDepartment of Genetics, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Folkert W AsselbergsDepartment of Cardiology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Marish I F J OerlemansDepartment of Cardiology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: The aim of this study is to evaluate the implementation of the cardiac amyloidosis (CA) clinical pathway on awareness among referring cardiologists, diagnostic delay, and severity of CA at diagnosis. Methods and results: Patients with CA were retrospectively included in this study and divided into two periods: pre-implementation of the CA clinical pathway (2007-18; T1) and post-implementation (2019-20; T2). Patients' and disease characteristics were extracted from electronic health records and compared. In total, 113 patients (mean age 67.8 ± 8.5 years, 26% female) were diagnosed with CA [T1 (2007-18): 56; T2 (2019-20): 57]. The number of CA diagnoses per year has increased over time. Reasons for referral changed over time, with increased awareness of right ventricular hypertrophy (9% in T1 vs. 36% in T2) and unexplained heart failure with preserved ejection fraction (22% in T1 vs. 38% in T2). Comparing T1 with T2, the diagnostic delay also improved (14 vs. 8 months, Conclusion: After implementation of the CA clinical pathway, the awareness among referring cardiologists improved, diagnostic delay was decreased, and patients had less severe CA at diagnosis. Further studies are warranted to assess the prognostic impact of CA clinical pathway implementation.

Indexed as

Cardiac amyloidosisClinical pathwayLight chain amyloidTransthyretin

Identifiers

PMID35919127
PMCPMC9242028

What OpenQuestion holds

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Registered trials

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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.