Evidence map›Paper›PMID 36845217›Full record

ReviewEuropean cardiology2022

Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed Solutions.

Sonya Burgess, F Aaysha Cader, Elizabeth Shaw, Shrilla Banerjee, Julia Stehli, Roopa Krishnamorthy, Lynn Khor, Homa Forotan, Alexandra Bastiany, Sarita Rao and 5 more

Abstract readReview
In one paragraph

Review in European cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Transcatheter mitral and tricuspid therapy: outcomes in female patients.Indian journal of thoracic and cardiovascular surgery · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Narrowing disparities in PCI outcomes in women; From risk assessment, to referral pathways and outcomes.American heart journal plus : cardiology research and practice · 2022
    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

15 authors.

Sonya BurgessDepartment of Medicine, University of Sydney Sydney, New South Wales, Australia.
F Aaysha CaderDepartment of Cardiology, Ibrahim Cardiac Hospital & Research Institute Dhaka, Bangladesh.
Elizabeth ShawDepartment of Medicine, University of Sydney Sydney, New South Wales, Australia.
Shrilla BanerjeeDepartment of Cardiology, Surrey and Sussex Healthcare NHS Trust Redhill, UK.
Julia StehliDepartment of Cardiology, University Hospital Zurich Zurich, Switzerland.
Roopa KrishnamorthyDepartment of Cardiology, Nepean Hospital Sydney, New South Wales, Australia.
Lynn KhorDepartment of Cardiology, Nepean Hospital Sydney, New South Wales, Australia.
Homa ForotanDepartment of Cardiology, Princess Alexandra Hospital Brisbane, Queensland, Australia.
Alexandra BastianyThunder Bay Regional Health Sciences Centre and Northern Ontario School of Medicine Thunder Bay, Ontario, Canada.
Sarita RaoDepartment of Cardiology, Apollo Hospital Indore, India.
Jaya ChandrasekharDepartment of Cardiology, Eastern Health Melbourne, Victoria, Australia.
Sarah ZamanWestmead Applied Research Centre, University of Sydney Sydney, New South Wales, Australia.
Mirvat AlasnagDepartment of Cardiology, King Fahd Armed Forces Hospital Jeddah, Saudi Arabia.
Alaide ChieffoInterventional Cardiology Unit, San Raffaele Scientific Institute Milan, Italy.
Megan CoylewrightSection of Cardiovascular Medicine, Erlanger Heart and Lung Institute Chattanooga, Tennessee, US.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Women are under-represented among transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve repair (TMVr) operators. This review assesses the representation of women as patients and as proceduralists and trial authors in major structural interventions. Women are under-represented as proceduralists in structural interventions: only 2% of TAVR operators and 1% of TMVr operators are women. Only 1.5% of authors in landmark clinical TAVR and TMVr trials are interventional cardiologists who are women (4/260). Significant under-representation and under-enrolment of women in landmark TAVR trials is evident: the calculated participation-to-prevalence ratio (PPR) is 0.73, and in TMVr trials, the PPR is 0.69. Under-representation of women is also evident in registry data (PPR = 0.84 for TAVR registries and for TMVr registries). In structural interventional cardiology, women are under-represented as proceduralists, trial participants and patients. This under-representation has the potential to affect the recruitment of women to randomised trials, subsequent guideline recommendations, selection for treatment, patient outcomes and sex-specific data analysis.

Indexed as

interventional cardiologystructural interventionstranscatheter aortic valve replacementtranscatheter mitral valve repairWomenworkforce

Identifiers

PMID36845217
PMCPMC9947929

What OpenQuestion holds

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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.