Evidence map›Paper›PMID 36792334›Full record

Observational studyBMJ open2023

Registry for Evaluating Healthy Life Expectancy and Long-Term Outcomes after Catheter Ablation of Atrial Fibrillation in the Very Elderly (REHEALTH AF) study: rationale and design of a prospective, multicentre, observational, comparative study.

Yasuo Okumura, Koichi Nagashima, Ryuta Watanabe, Katsuaki Yokoyama, Takeshi Kato, Hidehira Fukaya, Hidemori Hayashi, Shiro Nakahara, Wataru Shimizu, Yu-Ki Iwasaki and 62 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

72 authors at 20 institutions in 1 country.

Yasuo OkumuraDepartment of Cardiology, Nihon University Itabashi Hospital, Itabashi-ku, Tokyo, Japan okumura.yasuo@nihon-u.ac.jp.ORCID 0000-0002-2960-4241
Koichi NagashimaDepartment of Cardiology, Nihon University Itabashi Hospital, Itabashi-ku, Tokyo, Japan.
Ryuta WatanabeDepartment of Cardiology, Nihon University Itabashi Hospital, Itabashi-ku, Tokyo, Japan.
Katsuaki YokoyamaDepartment of Cardiology, Nihon University Hospital, Chiyoda-ku, Tokyo, Japan.
Takeshi KatoDepartment of Cardiovascular and Internal Medicine, Kanazawa University Hospital, Kanazawa, Ishikawa, Japan.
Hidehira FukayaDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Hidemori HayashiDepartment of Cardiovascular Biology and Medicine, Juntendo University Graduate Schoool of Medicine, Bunkyo-ku, Tokyo, Japan.
Shiro NakaharaDepartment of Cardiology, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan.
Wataru ShimizuDepartment of Cardiovascular Medicine, Nippon Medical School Hospital, Bunkyo-ku, Tokyo, Japan.
Yu-Ki IwasakiDepartment of Cardiovascular Medicine, Nippon Medical School Hospital, Bunkyo-ku, Tokyo, Japan.
Yuhi FujimotoDepartment of Cardiovascular Medicine, Nippon Medical School Hospital, Bunkyo-ku, Tokyo, Japan.
Yasushi MukaiDepartment of Cardiovascular Medicine, Japanese Red Cross Fukuoka Hospital, Fukuoka City, Fukuoka, Japan.
Koichiro EjimaDepartment of Cardiology, Minamino Cardiovascular Hospital, Hachioji, Tokyo, Japan.
Takayuki OtsukaDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Minato-ku, Tokyo, Japan.
Shinya SuzukiDepartment of Cardiovascular Medicine, The Cardiovascular Institute, Minato-ku, Tokyo, Japan.
Masato MurakamiDivision of Cardiology, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.
Masaomi KimuraDivison of Cardiology, Pulmonary Medicine and Nephrology, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan.
Masahide HaradaDepartment of Cardiology, Fujita Health University, Toyoake, Aichi, Japan.
Junjiroh KoyamaCardiovascular Center, Saiseikai Kumamoto Hospital, Kumamoto City, Kumamoto, Japan.
Hideharu OkamatsuCardiovascular Center, Saiseikai Kumamoto Hospital, Kumamoto City, Kumamoto, Japan.
Teiichi YamaneDivision of Cardiology, Department of Internal Medicine, Jikei University School of Medicine, Minato-ku, Tokyo, Japan.
Seigo YamashitaDivision of Cardiology, Department of Internal Medicine, Jikei University School of Medicine, Minato-ku, Tokyo, Japan.
Michifumi TokudaDivision of Cardiology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Katsushika-ku, Tokyo, Japan.ORCID 0000-0003-1960-5627
Ryohsuke NaruiDivision of Cardiology, Department of Internal Medicine, The Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan.
Mitsuru TakamiDivision of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Morio ShodaDepartment of Cardiology, Tokyo Women's Medical University Hospital, Shinjuku-ku, Tokyo, Japan.
Tomoo HaradaDepartment of Cardiology, St.Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
Ikutaro NakajimaDepartment of Cardiology, St.Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
Katsuhito FujiuDepartment of Cardiovascular Medicine, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan.
Kenichi HiroshimaDepartment of Cardiology, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan.
Kojiro TanimotoDeparatment of Cardiology, National Hospital Organisation Tokyo Medical Center, Meguro-ku, Tokyo, Japan.
Tadashi FujinoDepartment of Cardiovascular Medicine, Toho University Graduate School of Medicine, Ota-ku, Tokyo, Japan.
Keijiro NakamuraDivision of Cardiovascular Medicine, Toho University Ohashi Medical Center, Meguro-ku, Tokyo, Japan.
Koji KumagaiDepartment of Cardiovascular Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Ayako OkadaDepartment of Cardiovascular Medicine, Shinshu University Hospital, Matsumoto, Nagano, Japan.
Hideki KobayashiDepartment of Cardiovascular Medicine, Shinshu University Hospital, Matsumoto, Nagano, Japan.
Tatsuya HayashiDivision of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Omiya, Saitama, Japan.
Yuji WatariDepartment of Cardiology, Teikyo University Hospital, Itabashi-ku, Tokyo, Japan.
Mina HatsunoDepartment of Cardiology, Teikyo University Hospital, Itabashi-ku, Tokyo, Japan.
Eizo TachibanaDivision of Cardiology, Kawaguchi Municipal Medical Center, Kawaguchi, Saitama, Japan.
Kazuki IsoDivision of Cardiology, Kawaguchi Municipal Medical Center, Kawaguchi, Saitama, Japan.
Kazumasa SonodaDivision of Cardiology, Department of Medicine, Tokyo Rinkai Hospital, Edogawa-ku, Tokyo, Japan.
Yoshiyasu AizawaDepartment of Cardiology, International University of Health and Welfare Narita Hospital, Narita, Chiba, Japan.
Akio ChikataDepartment of Cardiology, Toyama Prefectural Central Hospital, Toyama City, Toyama, Japan.
Satoru SakagamiDepartment of Cardiology, National Hospital Organization, Kanazawa Medical Center, Kanazawa, Ishikawa, Japan.
Masaru InoueDepartment of Cardiology, National Hospital Organization, Kanazawa Medical Center, Kanazawa, Ishikawa, Japan.
Hitoshi MinamiguchiDepartment of Cardiology, Osaka Police Hospital, Osaka City, Osaka, Japan.
Nobuhiko MakinoDepartment of Cardiology, Osaka Police Hospital, Osaka City, Osaka, Japan.
Kazuhiro SatomiDepartment of Cardiology, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
Yoshinao YazakiDepartment of Cardiology, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
Hideshi AoyagiDepartment of Cardiovascular Medicine, St Luke's International University, Chuo-ku, Tokyo, Japan.
Makoto IchikawaDepartment of Cardiology, Sekishin Clinic, Kawagoe, Saitama, Japan.
Hironori HarutaDepartment of Cardiology, TMG Asaka Medical Center, Asaka, Saitama, Japan.
Takafumi HiroCirculatory medicine, Akabane Central General Hospital, Kita-ku, Tokyo, Japan.
Kimie OkuboDepartment of Cardiology, Itabashi Medical Association Hospital, Itabashi-ku, Tokyo, Japan.
Ken ArimaDepartment of Cardiology, Kasukabe Medical Center, Kasukabe, Saitama, Japan.
Taiki TojoDepartment of Cardiovascular medicine, Kitasato University Kitasato Institute Hospital, Minato-ku, Tokyo, Japan.
Hajime KiharaDepartment of Internal Medicine, Kihara Cardiovascular Clinic, Asahikawa, Hokkaido, Japan.
Satoru MiyanagaDivision of Cardiology, Department of Internal Medicine, The Jikei University Daisan Hospital, Komae, Tokyo, Japan.
Yoshiaki FukudaDepartment of Cardiology, Higashi Saitama General Hospital, Satte, Saitama, Japan.
Koji OiwaCardiology, Japan Community Health are Organization, Yokohama Chuo Hospital, Yokohama, Kanagawa, Japan.
Tamami FujiishiDepartment of Cardiology, JCHO Sagamino Hospital, Sagamihara, Kanagawa, Japan.
Masashi AkabaneDepartment of Cardiology, Akabane Clinic, Outawara, Tochigi, Japan.
Norikazu IshikawaDepartment of Cardiology, Zengyodanchi Ishikawa Clinic, Fujisawa, Kanagawa, Japan.
Kengo KusanoDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Koji MiyamotoDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Haruna TabuchiDepartment of Cardiology, Juntendo University Nerima Hospital, Nerima-ku, Tokyo, Japan.
Tomoyuki ShiozawaDepartment of Cardiology, Juntendo University Shizuoka Hospital, Izunokuni, Shizuoka, Japan.
Kenjiro MiyamotoDepartment of Cardiology, Sapporo Shiroishi Memorial Hospital, Hokkaido, Sapporo, Japan.
Hiroshi MaseDepartment of Cardiology, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
Kenta MurotaniBiostatistics Center, Kurume University School of Medicine, Kurume, Fukuoka, Japan.ORCID 0000-0003-0623-9365
REHEALTH AF study
National Cerebral and Cardiovascular Center · JPNihon University Itabashi Hospital · JPNippon Medical School Hospital · JPCardiovascular Institute Hospital · JPJikei University School of Medicine · JPKanazawa Medical Center · JPNoguchi Hospital · JPOsaka Police Hospital · JPSaiseikai Kumamoto Hospital · JPShinshu University Hospital · JPSt. Marianna University School of Medicine · JPTeikyo University Hospital · JPToho University · JPTokyo Medical University · JPDokkyo Medical University Saitama Medical Center · JPFujita Health University · JPGunma Chuo Hospital · JPHirosaki University · JPInternational University of Health and Welfare · JPJapanese Red Cross Fukuoka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionData are lacking on the extent to which patients with non-valvular atrial fibrillation (AF) who are aged ≥80 years benefit from ablation treatment. The question pertains especially to patients' postablation quality of life (QoL) and long-term clinical outcomes. METHODS AND ANALYSIS: We are initiating a prospective, registry-based, multicentre observational study that will include patients aged ≥80 years with non-valvular AF who choose to undergo treatment by catheter ablation and, for comparison, such patients who do not choose to undergo ablation (either according to their physician's advice or their own preference). Study subjects are to be enrolled from 52 participant hospitals and three clinics located throughout Japan from 1 June 2022 to 31 December 2023, and each will be followed up for 1 year. The planned sample size is 660, comprising 220 ablation group patients and 440 non-ablation group patients. The primary endpoint will be the composite incidence of stroke/transient ischaemic attack (TIA) or systemic embolism (SE), another cardiovascular event, major bleeding and/or death from any cause. Other clinical events such as postablation AF recurrence, a fall or bone fracture will be recorded. We will collect standard clinical background information plus each patient's Clinical Frailty Scale score, AF-related symptoms, QoL (Five-Level Version of EQ-5D) scores, Mini-Mental State Examination (optional) score and laboratory test results, including measures of nutritional status, on entry into the study and 1 year later, and serial changes in symptoms and QoL will also be secondary endpoints. Propensity score matching will be performed to account for covariates that could affect study results. ETHICS AND DISSEMINATION: The study conforms to the Declaration of Helsinki and the Ethical Guidelines for Clinical Studies issued by the Ministry of Health, Labour and Welfare, Japan. Results of the study will be published in one or more peer-reviewed journals. TRIAL REGISTRATION NUMBER: UMIN000047023.

Indexed as

Atrial FibrillationCatheter AblationStrokeAgedHealthy Life ExpectancyHumansProspective StudiesQuality of LifeRegistriesRisk FactorsTreatment Outcomeadult cardiologycardiologythromboembolism

Identifiers

PMID36792334
PMCPMC9933749
OpenAlexW4320913788

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LicenceCC BY-NC
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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.