Evidence map›Paper›PMID 36767915›Full record

ArticleInternational journal of environmental research and public health2023

Economic Justification Analysis of Minimally Invasive versus Conventional Aortic Valve Replacement.

Marko Jovanovic, Igor Zivkovic, Milos Jovanovic, Ilija Bilbija, Masa Petrovic, Jovan Markovic, Ivana Radovic, Ana Dimitrijevic, Ivan Soldatovic

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Minimally Invasive Aortic Valve Replacement: Case Series Study.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2024
    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

9 authors.

Marko JovanovicInstitute for Cardiovascular Diseases "Dedinje", 11000 Belgrade, Serbia.
Igor ZivkovicInstitute for Cardiovascular Diseases "Dedinje", 11000 Belgrade, Serbia.
Milos JovanovicInstitute for Cardiovascular Diseases "Dedinje", 11000 Belgrade, Serbia.
Ilija BilbijaFaculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0001-8860-229X
Masa PetrovicInstitute for Cardiovascular Diseases "Dedinje", 11000 Belgrade, Serbia.ORCID 0000-0003-1709-8449
Jovan MarkovicFaculty of Dental Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Ivana RadovicFaculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0001-7846-1366
Ana DimitrijevicFaculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Ivan SoldatovicInstitute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is no definitive consensus about the cost-effectiveness of minimally invasive aortic valve replacement (AVR) (MI-AVR) compared to conventional AVR (C-AVR). The aim of this study was to compare the rate of postoperative complications and total hospital costs of MI-AVR versus C-AVR overall and by the type of aortic prosthesis (biological or mechanical). Our single-center retrospective study included 324 patients over 18 years old who underwent elective isolated primary AVR with standard stented AV prosthesis at the Institute for Cardiovascular Diseases "Dedinje" between January 2019 and December 2019. Reintervention, emergencies, combined surgical interventions, and patients with sutureless valves were excluded. In both MI-AVR and C-AVR, mechanical valve implantation contributed to overall reduction of hospital costs with equal efficacy. The cost-effectiveness ratio indicated that C-AVR is cheaper and yielded a better clinical outcome with mechanical valve implantation (67.17 vs. 69.5). In biological valve implantation, MI-AVR was superior. MI-AVR patients had statistically significantly higher LVEF and a lower Euro SCORE than C-AVR patients (Mann-Whitney U-test,

Indexed as

Aortic Valve StenosisHeart Valve Prosthesis ImplantationAdolescentAortic ValveHumansProsthesis DesignRetrospective StudiesRisk FactorsTreatment Outcomeaortic valve stenosiscardiac surgical procedureshealthcare economics and organizationsheart valve prosthesis implantation

Identifiers

PMID36767915
PMCPMC9916198

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.