Evidence map›Paper›PMID 37109312›Full record

ArticleJournal of clinical medicine2023

Contemporary Treatment and Outcomes of High Surgical Risk Mitral Regurgitation.

Mitsumasa Sudo, Vivian Vij, Nihal Wilde, Tetsu Tanaka, Johanna Vogelhuber, Miriam Silaschi, Marcel Weber, Farhad Bakhtiary, Georg Nickenig, Sebastian Zimmer and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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

11 authors at 2 institutions in 2 countries.

Mitsumasa SudoHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, 53179 Bonn, Germany.ORCID 0000-0001-5660-7264
Vivian VijHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, 53179 Bonn, Germany.
Nihal WildeHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, 53179 Bonn, Germany.
Tetsu TanakaHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, 53179 Bonn, Germany.ORCID 0000-0003-0780-8689
Johanna VogelhuberHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, 53179 Bonn, Germany.
Miriam SilaschiHeart Center Bonn, Department of Cardiac Surgery, University Hospital Bonn, 53179 Bonn, Germany.
Marcel WeberHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, 53179 Bonn, Germany.
Farhad BakhtiaryHeart Center Bonn, Department of Cardiac Surgery, University Hospital Bonn, 53179 Bonn, Germany.
Georg NickenigHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, 53179 Bonn, Germany.
Sebastian ZimmerHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, 53179 Bonn, Germany.
Atsushi SugiuraHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, 53179 Bonn, Germany.ORCID 0000-0002-6836-8536
University Hospital Bonn · DENihon University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Before the development of transcatheter interventions, patients with mitral regurgitation (MR) and high surgical risk were often conservatively treated and subject to poor prognoses. We aimed to assess the therapeutic approaches and outcomes in the contemporary era. The study participants were consecutive high-risk MR patients from April 2019 to October 2021. Among the 305 patients analyzed, 274 (89.8%) underwent mitral valve interventions, whereas 31 (10.2%) received medical therapy alone. Of the interventions, transcatheter edge-to-edge mitral repair (TEER) was the most frequent (82.0% of overall), followed by transcatheter mitral valve replacement (TMVR) (4.6%). In patients treated with medical therapy alone, non-optimal morphologies for TEER and TMVR were shown in 87.1% and 65.0%, respectively. Patients undergoing mitral valve interventions experienced less frequent heart failure (HF) rehospitalization compared to those with medical therapy alone (18.2% vs. 42.0%,

Indexed as

contemporary managementmitral regurgitationmitral valve interventionoptimal medical therapy alone

Identifiers

PMID37109312
PMCPMC10144978
OpenAlexW4366550348

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.