Evidence map›Paper›PMID 36590734›Full record

ArticleJTCVS open2022

Ten-year outcomes of surgical aortic valve replacement with a contemporary supra-annular porcine valve in a Medicare population.

Robert J Wiechmann, Leonard Y Lee, Yang Yu, Julie B Prillinger, Dan Gutfinger, Bradford Blakeman

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
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

6 authors at 4 institutions in 2 countries.

Robert J WiechmannMayo Clinic Health System, Cardiothoracic Surgery, Eau Claire, Wis.
Leonard Y LeeDivision of Cardiothoracic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
Yang YuAbbott, Santa Clara, Calif.
Julie B PrillingerAbbott, Santa Clara, Calif.
Dan GutfingerAbbott, Santa Clara, Calif.
Bradford BlakemanUP Health System-Marquette, Cardiovascular Surgery, Marquette, Mich.
Abbott (Sweden) · SEMarquette General Hospital · USMayo Clinic Health System · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Bioprosthetic surgical aortic valve replacement remains an important treatment option in the era of transcatheter interventions. Real-world outcomes are not well characterized because of limited prospective follow-up studies. We present the 10-year clinical outcomes of Medicare beneficiaries undergoing surgical aortic valve replacement with a contemporary supra-annular porcine valve. Methods: This is a single-arm observational study using Medicare fee-for-service claims data. De-identified patients undergoing surgical aortic valve replacement with the Epic Supra valve (Abbott) in the United States between January 1, 2008, and December 31, 2019, were selected by International Classification of Diseases 9 Results: Among 272,591 Medicare beneficiaries undergoing surgical aortic valve replacement during the study period, 11,685 received the Epic Supra valve, of whom 51.6% (6029) had underlying heart failure. Mean age was 76 ± 7 years. Survival at 10 years in patients without preoperative heart failure was 43.5% (95% confidence interval, 41.8-45.2) compared with 24.1% (95% confidence interval, 22.6-25.5) for patients with heart failure ( Conclusions: This real-world nationwide study of US Medicare beneficiaries receiving the Epic Supra valve demonstrates more than 94% freedom from all-cause valve reintervention and 64% freedom from heart failure rehospitalization at 10 years postimplant. Long-term survival and heart failure rehospitalization in this population with aortic valve disease undergoing surgical aortic valve replacement were found to be impacted by underlying heart failure.

Indexed as

aortic valve replacementCABG, coronary artery bypass graftingCI, confidence intervalCMS, Centers for Medicare & Medicaid ServicedurabilityFFS, fee-for-serviceheart failureHF, heart failureHR, hazard ratioICD-10, International Classification of Diseases, Tenth RevisionICD-9, International Classification of Diseases, Ninth RevisionLVAD, left ventricular assist deviceporcine valveSAVR, surgical aortic valve replacementsurvivalTAVI, transcatheter aortic valve implantationVIV, valve-in-valve

Identifiers

PMID36590734
PMCPMC9801294
OpenAlexW4292343618

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.