Evidence map›Paper›PMID 38158216›Full record

Observational studyEuropean heart journal. Quality of care & clinical outcomes2024

Regional assessment of availability for transcatheter aortic valve implantation in Sweden: a long-term observational study.

Konrad Nilsson, Daniel Lindholm, Jenny Backes, Henrik Bjursten, Henrik Hagström, Johan Lindbäck, Pétur Pétursson, Magnus Settergren, Giovanna Sarno, Stefan James

Open access · hybridAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in European heart journal. Quality of care & clinical outcomes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Fighting time: the critical importance of pre-TAVR mortality risk prediction.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    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 7 institutions in 1 country.

Konrad NilssonDepartment of Medical Sciences, Cardiology, Uppsala Universitet, 751 85 Uppsala, Sweden.ORCID 0000-0002-8329-5072
Daniel LindholmDepartment of Medical Sciences, Epidemiology, Uppsala Universitet, 751 85 Uppsala, Sweden.
Jenny BackesDepartment of Medical Sciences, Örebro Universitet, 701 82, Örebro, Sweden.
Henrik BjurstenDepartment of Cardiothoracic Surgery, Anaesthesia and Intensive Care, Lund University/Skåne University Hospital, 221 84 Lund, Sweden.ORCID 0000-0001-5428-7455
Henrik HagströmDepartment of Public Health and Clinical Medicine, Umeå University, and Heart Centre, Umeå University Hospital, 901 85 Umeå, Sweden.
Johan LindbäckUppsala Clinical Research Center, 751 85 Uppsala, Sweden.ORCID 0000-0002-6473-8798
Pétur PéturssonDepartment of Cardiology, Sahlgrenska University Hospital, 413 45 Gothenburg, Sweden.
Magnus SettergrenDepartment of Cardiology, Karolinska Institutet, 171 77 Stockholm, Sweden.
Giovanna SarnoDepartment of Medical Sciences, Cardiology, Uppsala Universitet, 751 85 Uppsala, Sweden.
Stefan JamesDepartment of Medical Sciences, Cardiology, Uppsala Universitet, 751 85 Uppsala, Sweden.ORCID 0000-0003-4413-9736
Karolinska Institutet · SELund University · SEÖrebro University · SESahlgrenska University Hospital · SESödertälje Sjukhus · SEUmeå University · SEVisby lasarett · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscatheter aortic valve implantation (TAVI) is an increasingly important treatment option for patients with severe aortic stenosis. Its best implementation is debated, as few centres with high volumes are associated with better outcomes, while centralization might lead to an inferior availability of treatment for patients living far away. The aim of this study was to investigate the implementation of TAVI in Sweden with a focus on regional differences in terms of availability, short-term mortality, and waiting times.

methodsAll patients undergoing TAVI between 2008 and 2020 from the Swedish Transcatheter Cardiac Intervention Registry (SWENTRY) were included. SWENTRY was linked to the National Cause of Death Registry and to publicly available geospatial data from Statistics Sweden.

resultsA total of 7280 patients were included. Over time, TAVI interventions increased markedly, while surgical aortic valve replacement (SAVR) remained constant. There were no statistically significant regional differences in incidence between counties with or without a local TAVI centre (P = 0.7) and no clustering tendencies around regions with a local TAVI centre (P = 0.99). Thirty-day mortality improved over time without evidence of regional differences. No regional differences in waiting time from decision to intervention were found for TAVI centre regions and non-TAVI centre regions (P = 0.7).

conclusionThis nationwide study indicated no regional differences in terms of availability, short-term mortality, or waiting times. An organization with a few specialized centres was found to be sufficient to provide national coverage of TAVI interventions.

Indexed as

Aortic Valve StenosisRegistriesTranscatheter Aortic Valve ReplacementAgedAged, 80 and overFemaleFollow-Up StudiesHealth Services AccessibilityHumansMaleRetrospective StudiesSurvival RateSwedenTime FactorsAortic stenosisEqual careImplementation Health care organisationTranscatheter aortic valve implantation

Identifiers

PMID38158216
PMCPMC11537233
OpenAlexW4390456518

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.