Evidence map›Paper›PMID 37663739›Full record

ReviewAnnals of medicine and surgery (2012)2023

Efficacy of ablation therapy on clinical outcomes in patients with atrial fibrillation: a systematic review and meta-analysis.

Mohammad Munim Zahoor, Saad Ehsan Ullah, Harriet Mmaitsi Kidiavai, Shahda A H Eltieb, Anjuli Devi, Muhammad Anis Asif, Akshay Vaswani, Ammar Hyder, Muhammad Roshan Hoti, Sayed Jawad and 3 more

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 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
1.3field-weighted citation impact, top 17% 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, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

13 authors at 8 institutions in 3 countries.

Mohammad Munim ZahoorDepartment of Medicine, Lahore Medical and Dental College.
Saad Ehsan UllahDepartment of Medicine, Shaikh Zayed Hospital, Lahore.
Harriet Mmaitsi KidiavaiDepartment of Family Medicine, Georgina Family Medical Center, Keswick, ON, Canada.
Shahda A H EltiebDepartment of Medicine, Al-Shaab Teaching Hospital, Khartoum, Sudan.
Anjuli DeviDepartment of Medicine, Ziauddin University.
Muhammad Anis AsifDepartment of Medicine, Lahore Medical and Dental College.
Akshay VaswaniDepartment of Medicine, Jinnah Sindh Medical University.
Ammar HyderDepartment of Medicine, Jinnah Medical and Dental College.
Muhammad Roshan HotiDepartment of Medicine, Jinnah Sindh Medical University.
Sayed JawadDepartment of Medicine, Kabul University of Medical Sciences, Kabul, Afghanistan.
Sana ArshidDepartment of Medicine, Shaikh Zayed Hospital, Lahore.
Abhirami ShankarDepartment of Medicine, West Anaheim Medical Center, Anaheim, CA.
Muhammad SalmanDepartment of Medicine, Karachi Medical and Dental College, Karachi, Pakistan.
CMH Lahore Medical College and Institute of Dentistry · PKJinnah Sindh Medical University · PKShaikh Zayed Hospital · PKJinnah Medical & Dental College · PKKabul University · AFKaiser Permanente Anaheim Medical Center · USKarachi Medical and Dental College · PKZiauddin University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Optimal treatment regimen for patients with atrial fibrillation (AF) remains unclear. Therefore, the authors sought to compare the outcomes of ablation therapy versus pharmacological regimens in patients with AF. Methods: MEDLINE, Embase, and Cochrane Central databases were searched for randomized controlled trials and observational studies comparing clinical outcomes between of ablation and pharmacological therapy in patients with AF. Stroke, all-cause mortality, cardiovascular mortality, cardiovascular hospitalization, heart failure (HF), and bleeding were among outcomes of interest. Mantel-Haenszel weighted random-effects model was used to calculate relative risks (RRs) with 95 % CIs. Results: The analysis included ~200 000 patients from 4 randomized controlled trials and 7 observational studies. Meta-analysis showed statistically significant reduction in stroke among patients on ablation therapy [hazard ratio (HR) 0.51, 95% CI (0.43, 0.60), Conclusion: Ablation significantly reduces the risk of stroke, cardiovascular mortality, all-cause mortality, and HF in AF patients, compared with medical therapy alone, supporting its use in clinical practice.

Indexed as

ablationatrial fibrillationbleedingcatheter ablationstrokesurgical ablation

Identifiers

PMID37663739
PMCPMC10473299
OpenAlexW4386407919

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.