Evidence map›Paper›PMID 38533941›Full record

SynthesisJournal of the American Heart Association2024

Conservative Versus Surgical Therapy in Patients With Infective Endocarditis and Surgical Indication-Meta-Analysis of Reconstructed Time-to-Event Data.

Tulio Caldonazo, Stefan Hagel, Torsten Doenst, Hristo Kirov, Michel Pompeu Sá, Xander Jacquemyn, Panagiotis Tasoudis, Marcus Franz, Mahmoud Diab

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Scratches of danger: fromEuropean heart journal. Case reports · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. A case ofIDCases · 2025
    Article
  11. Article
  12. 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

9 authors at 4 institutions in 3 countries.

Tulio CaldonazoDepartment of Cardiothoracic Surgery Friedrich-Schiller-University Jena Jena Germany.ORCID 0000-0001-5697-2659
Stefan HagelInstitute for Infectious Diseases and Infection Control, Friedrich-Schiller-University Jena Jena Germany.ORCID 0000-0003-2999-6131
Torsten DoenstDepartment of Cardiothoracic Surgery Friedrich-Schiller-University Jena Jena Germany.ORCID 0000-0002-6411-909X
Hristo KirovDepartment of Cardiothoracic Surgery Friedrich-Schiller-University Jena Jena Germany.ORCID 0000-0001-5886-3472
Michel Pompeu SáDepartment of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA USA.ORCID 0000-0001-5356-2996
Xander JacquemynDepartment of Cardiovascular Sciences KU Leuven Leuven Belgium.ORCID 0000-0001-8421-0686
Panagiotis TasoudisDivision of Cardiothoracic Surgery University of North Carolina Chapel Hill NC USA.ORCID 0000-0001-7735-9474
Marcus FranzDivision of Cardiology, Department of Internal Medicine Friedrich-Schiller-University Jena Jena Germany.ORCID 0000-0001-6543-4684
Mahmoud DiabDepartment of Cardiothoracic Surgery Friedrich-Schiller-University Jena Jena Germany.
Friedrich Schiller University Jena · DEKU Leuven · BEUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfective endocarditis represents a life-threatening disease with high mortality rates. A fraction of patients receives exclusively conservative antibiotic treatment due to their comorbidities and high operative risk, despite fulfilling criteria for surgical therapy. The aim of the present study is to compare outcomes in patients with infective endocarditis and indication for surgical therapy in those who underwent or did not undergo valve surgery. METHODS AND

resultsThree databases were systematically assessed. A pooled analysis of Kaplan-Meier-derived reconstructed time-to-event data from studies with longer follow-up comparing conservative and surgical treatment was performed. A landmark analysis to further elucidate the effect of surgical intervention on mortality was carried out. Four studies with 3003 patients and median follow-up time of 7.6 months were included. Overall, patients with an indication for surgery who were surgically treated had a significantly lower risk of mortality compared with patients who received conservative treatment (hazard ratio [HR], 0.27 [95% CI, 0.24-0.31],

conclusionsBased on the findings of this study-level meta-analysis, patients with infective endocarditis and formal indication for surgical intervention who underwent surgery are associated with a lower risk of short- and long-term mortality when compared with conservative treatment.

Indexed as

EndocarditisEndocarditis, BacterialHeart Valve Prosthesis ImplantationAnti-Bacterial AgentsHumansSurvival AnalysisAnti-Bacterial Agentsconservative therapyheart surgeryinfective endocarditis

Identifiers

PMID38533941
PMCPMC11179767
OpenAlexW4393233287

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.