Evidence map›Paper›PMID 36237909›Full record

SynthesisFrontiers in cardiovascular medicine2022

Outcomes of hemi- vs. total arch replacement in acute type A aortic dissection: A systematic review and meta-analysis.

Likang Ma, Tianci Chai, Xiaojie Yang, Xinghui Zhuang, Qingsong Wu, Liangwan Chen, Zhihuang Qiu

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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  12. Observational
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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

7 authors at 2 institutions in 1 country.

Likang MaDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China.
Tianci ChaiDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China.
Xiaojie YangDepartment of Thoracic Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China.
Xinghui ZhuangDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China.
Qingsong WuDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China.
Liangwan ChenDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China.
Zhihuang QiuDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China.
Union Hospital · CNFujian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute type A aortic dissections (ATAAD) pose a challenge to surgeons due to high mortality, and decision making regarding the appropriate procedure is controversial. This study compared the outcomes of hemiarch and total arch replacement for ATAAD. Methods: The PubMed, Web of Science, Embase and Cochrane databases were searched for comparative studies on hemiarch versus total arch replacement that were published before May 1, 2022. Results: We included 23 observational studies with a total of 4,576 patients. Combined data analysis showed that early mortality (RR = 0.82; 95% CI: 0.70-0.97; Conclusion: In this study, hemiarch replacement had better early outcomes but a higher late mortality rate than total arch replacement. Decisions regarding the extent of arch repair should be made according to location and extent of ATAAD and the experience of surgeons to ensure the most favorable prognosis. Systematic review registration: [INPLASY.COM], identifier [INPLASY202250088].

Indexed as

adulthemiarch replacementmeta-analysistotal arch replacementtype A aortic dissection

Identifiers

PMID36237909
PMCPMC9552831
OpenAlexW4297312264

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.