Evidence map›Paper›PMID 36241897›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2023

Epidemiology of cardiac amyloidosis in Germany: a retrospective analysis from 2009 to 2018.

Svenja Ney, Peter Ihle, Thomas Ruhnke, Christian Günster, Guido Michels, Katharina Seuthe, Martin Hellmich, Roman Pfister

Abstract read
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
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  5. Cardiac Amyloidosis: Pathogenesis, Diagnosis, and Treatment.Deutsches Arzteblatt international · 2026
    Review
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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

8 authors.

Svenja NeyFaculty of Medicine, Department III of Internal Medicine, University of Cologne, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Peter IhleMedical Faculty, PMV Forschungsgruppe, University of Cologne, Cologne, Germany.
Thomas RuhnkeAOK Research Institute, WIdO, Berlin, Germany.
Christian GünsterAOK Research Institute, WIdO, Berlin, Germany.
Guido MichelsKlinik für Akut- und Notfallmedizin, St.-Antonius-Hospital, Eschweiler, Germany.
Katharina SeutheFaculty of Medicine, Department III of Internal Medicine, University of Cologne, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Martin HellmichInstitute for Medical Statistics and Bioinformatics, University of Cologne, Cologne, Germany.
Roman PfisterFaculty of Medicine, Department III of Internal Medicine, University of Cologne, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany. roman.pfister@uk-koeln.de.ORCID http://orcid.org/0000-0002-4358-5008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproved imaging modalities contributed to increasing awareness of cardiac amyloidosis. Contemporary data on frequency trends in Germany are lacking.

methodsIn a retrospective study using health claims data of a German statutory health insurance, patients with diagnostic codes of amyloidosis and concomitant heart failure between 2009 and 2018 were identified.

resultsPrevalence increased from 15.5 to 47.6 per 100,000 person-years, and incidence increased from 4.8 to 11.6 per 100,000 person-years, with a continuous steepening in the slope of incidence trend. In patients with amyloidosis and heart failure age and proportion of men significantly increased, whereas the frequency of myeloma and nephrotic syndrome significantly decreased over time. Median (IQR) survival time after first diagnosis was 2.5 years (0.5-6 years), with a 9% (95% CI 2-15%, p = 0.008) reduced risk of death in the second compared to the first 5 years of observation. In the 2 years prior and 1 year after diagnosis, mean total health care costs were 6568 €, 11,872 € and 21,955 € per person and year.

conclusionThe rise in cardiac amyloidosis has continuously accelerated in the last decade. Considering the adverse outcome and high health care burden, further effort should be put on early detection of the disease to implement available treatment.

Indexed as

AmyloidosisCardiomyopathiesHeart FailureGermanyHumansMaleRetrospective StudiesAmyloid cardiomyopathyCardiac amyloidosisLight-chain amyloidosisTransthyretin amyloidosis

Identifiers

PMID36241897
PMCPMC9998316

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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.