Evidence map›Paper›PMID 36200280›Full record

SynthesisActa paediatrica (Oslo, Norway : 1992)2023

Somatic growth in single ventricle patients: A systematic review and meta-analysis.

Jef Van den Eynde, Simone Bartelse, Friso M Rijnberg, Shelby Kutty, Monique R M Jongbloed, Christiaan de Bruin, Mark G Hazekamp, Saskia Le Cessie, Arno A W Roest

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Acta paediatrica (Oslo, Norway : 1992), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

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

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

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Jef Van den EyndeDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-5606-376X
Simone BartelseDivision of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.
Friso M RijnbergDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Shelby KuttyDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Monique R M JongbloedDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Christiaan de BruinDivision of Paediatric Endocrinology, Department of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands.
Mark G HazekampDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Saskia Le CessieDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Arno A W RoestDivision of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.

Funding

Belgian American Educational Foundation
6 · The paper itself

Abstract

aimTo map somatic growth patterns throughout Fontan palliation and summarise evidence on its key modifiers.

methodsDatabases were searched for relevant articles published from January 2000 to December 2021. Height and weight z scores at each time point (birth, Glenn procedure, Fontan procedure and >5 years after Fontan completion) were pooled using a random effects meta-analysis. A random effects meta-regression model was fitted to model the trend in z scores over time.

resultsNineteen studies fulfilled eligibility criteria, yielding a total of 2006 participants. The z scores for height and weight were markedly reduced from birth to the interstage period, but recovered by about 50% following the Glenn procedure. At >10 years after the Fontan procedure, the z scores for weight seemed to normalise despite persistent lower height, resulting in increased body mass index. The review revealed a number of modifiers of somatic growth, including aggressive nutritional management, timing of Glenn/Fontan, prompt resolution of complications and obesity prevention programmes in adolescence and adulthood.

conclusionThis review mapped the somatic growth of single ventricle patients and summarised key modifiers that may be amendable to improvement. These data provide guidance on strategies to further optimise somatic growth in this population and may serve as a benchmark for clinical follow-up.

Indexed as

Fontan ProcedureHeart Defects, CongenitalBody Mass IndexBody WeightHeart VentriclesHumansInfantRetrospective StudiesTreatment Outcomecongenital heart diseasedevelopmentFontan procedurefunctionally univentricular heartsgrowth

Identifiers

PMID36200280
PMCPMC10092582

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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.