Evidence map›Paper›PMID 37288540›Full record

SynthesisEuropean heart journal2023

Family screening for bicuspid aortic valve and aortic dilatation: a meta-analysis.

Jonathan J H Bray, Rosie Freer, Alex Pitcher, Rajesh Kharbanda

Open access · hybridAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European heart journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Valvulopathies and Genetics: Where are We?Reviews in cardiovascular medicine · 2024
    Review
  14. Discovery ofAmerican journal of translational research · 2024
    Article
  15. Discovery and functional investigation ofAmerican journal of translational research · 2024
    Article
  16. Transcatheter Aortic Valve Therapy for Bicuspid Aortic Valve Stenosis.Journal of cardiovascular development and disease · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Jonathan J H BrayOxford Heart Centre, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK.ORCID 0000-0003-1167-6295
Rosie FreerOxford Heart Centre, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK.ORCID 0000-0003-4203-0964
Alex PitcherOxford Heart Centre, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK.
Rajesh KharbandaOxford Heart Centre, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK.ORCID 0000-0002-5356-2395
John Radcliffe Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsInternational guidelines recommend screening of first-degree relatives (FDR) of people with bicuspid aortic valves (BAVs). However, the prevalence of BAV and of aortic dilatation amongst family members is uncertain. METHODS AND

resultsA systematic review and meta-analysis of original reports of screening for BAV. Databases including MEDLINE, Embase, and Cochrane CENTRAL were searched from inception to December 2021 using relevant search terms. Data were sought on the screened prevalence of BAV and aortic dilatation. The protocol was specified prior to the searches being performed, and standard meta-analytic techniques were used. Twenty-three observational studies met inclusion criteria (n = 2297 index cases; n = 6054 screened relatives). The prevalence of BAV amongst relatives was 7.3% [95% confidence interval (CI) 6.1%-8.6%] overall and per family was 23.6% (95% CI 18.1%-29.5%). The prevalence of aortic dilatation amongst relatives was 9.4% (95% CI 5.7%-13.9%). Whilst the prevalence of aortic dilatation was particularly high in relatives with BAV (29.2%; 95% CI 15.3%-45.1%), aortic dilatation alongside tricuspid aortic valves was a more frequent finding, as there were many more family members with tricuspid valves than BAV. The prevalence estimate amongst relatives with tricuspid valves (7.0%; 95% CI 3.2%-12.0%) was higher than reported in the general population.

conclusionScreening family members of people with BAV can identify a cohort substantially enriched for the presence of bicuspid valve, aortic enlargement, or both. The implications for screening programmes are discussed, including in particular the substantial current uncertainties regarding the clinical implications of aortic findings.

Indexed as

Aortic DiseasesBicuspid Aortic Valve DiseaseHeart Valve DiseasesAortic ValveDilatationDilatation, PathologicHumansRetrospective StudiesAortic dilatationBenefits vs. harmsBicuspid aortic valveFirst-degree relativesPrevalenceScreeningUK National Screening Guidance

Identifiers

PMID37288540
PMCPMC10702468
OpenAlexW4379768717

What OpenQuestion holds

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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.