Evidence map›Paper›PMID 38110378›Full record

ArticleBMJ open2023

Optimal treatment of asymptomatic patients with severe aortic stenosis: protocol of a prospective, multicentre, registry study.

Congying Xia, Yi-Ming Li, Wei Xiong, Liqiao Ma, Tian-Yuan Xiong, Zhen-Gang Zhao, Yong Peng, Jiafu Wei, Yuan Feng, Mao Chen

Open access · goldAbstract readClinical Trial Protocol
PubMed Publisher
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

10 authors at 2 institutions in 1 country.

Congying XiaDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.ORCID 0000-0003-4304-5965
Yi-Ming LiDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Wei XiongDepartment of Medical Affairs, Venus Medtech (Hangzhou) Inc, Hangzhou, China.
Liqiao MaDepartment of Medical Affairs, Venus Medtech (Hangzhou) Inc, Hangzhou, China.
Tian-Yuan XiongDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.ORCID 0000-0001-8054-3512
Zhen-Gang ZhaoDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Yong PengDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Jiafu WeiDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Yuan FengDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Mao ChenDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China hmaochen@vip.sina.com.
Sichuan University · CNVenus Medtech (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDecisions regarding the optimal timing of intervention for asymptomatic aortic stenosis (AS) are controversial. The study aims to identify potential risk factors for asymptomatic patients with severe AS that are associated with worse prognosis and to evaluate the benefits of early interventions for asymptomatic patients presenting with one or more additional risk factors. METHODS AND ANALYSIS: This is a non-interventional, prospective, open-label, multicentre registry study across China. A total of 1000 patients will be enrolled and categorised as symptomatic or asymptomatic. The primary endpoint is the occurrence of all-cause mortality, stroke, acute myocardial infarction and heart failure-related hospitalisation at 1-year follow-up. In asymptomatic severe AS patients presenting with one or more risk factors, the occurrence rate of the primary endpoint between those who undergo transcatheter aortic valve replacement (TAVR) and those who do not will be compared. We will also compare the occurrence rate of the primary endpoint for asymptomatic severe AS patients with additional risk factors who undergo TAVR with those presenting with symptoms. This study is believed to provide additional evidence to help clinicians identify and refer severe AS patients who are asymptomatic but present with additional risk factors for early intervention of TAVR. ETHICS AND DISSEMINATION: The study protocol has been approved by the local ethics committee of each participating site: West China Hospital, Sichuan University; Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Second Hospital of Hebei Medical University; Tianjin Chest Hospital; and First Affiliated Hospital of Nanchang University. All participants will provide written informed consent. Study results will be published through academic conferences and peer-reviewed journals.

trial registrationThis study was registered at the Chinese Clinical Trial Registry (https:// www.chictr.org.cn), with the registration number ChiCTR2200064853.

Indexed as

Aortic Valve StenosisTranscatheter Aortic Valve ReplacementHumansMulticenter Studies as TopicProspective StudiesRegistriesRisk FactorsTreatment Outcomeregistriesrisk factorsvalvular heart disease

Identifiers

PMID38110378
OpenAlexW4389902094

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.