Evidence map›Paper›PMID 38587138›Full record

ArticleJournal of the American Heart Association2024

Trends and Disparities in Valvular Heart Disease Mortality in the United States From 1999 to 2020.

Min Choon Tan, Yong Hao Yeo, Boon Jian San, Addi Suleiman, Justin Z Lee, Arka Chatterjee, Kristen A Sell-Dottin, John P Sweeney, F David Fortuin, Kwan S Lee

Open access · goldAbstract read
In one paragraph

Article 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 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
10.5field-weighted citation impact, top 1% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Valve-in-Valve TAVR Versus Redo Surgery in Women With Degenerated Aortic Bioprosthesis: A Single-Center Experience.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Age Differences in Aortic Stenosis.Reviews in cardiovascular medicine · 2025
    Review
  18. Aortic Valve Replacement in the Current Era.Journal of clinical medicine · 2025
    Review
  19. Review
  20. 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 6 institutions in 2 countries.

Min Choon TanDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0002-7682-8934
Yong Hao YeoDepartment of Internal Medicine/Pediatrics Beaumont Health Royal Oak MI USA.ORCID 0000-0001-5559-7236
Boon Jian SanAIMST University Bedong Malaysia.
Addi SuleimanDepartment of Cardiovascular Medicine New York Medical College at Saint Michael's Medical Center Newark NJ USA.
Justin Z LeeDepartment of Cardiovascular Medicine Cleveland Clinic Cleveland OH USA.
Arka ChatterjeeDepartment of Cardiovascular Medicine University of Arizona Sarver Heart Center/Banner University Medical Center Tucson AZ USA.ORCID 0000-0003-0532-308X
Kristen A Sell-DottinDepartment of Cardiovascular Surgery Mayo Clinic Phoenix AZ USA.ORCID 0000-0001-5933-3537
John P SweeneyDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
F David FortuinDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0003-2820-6839
Kwan S LeeDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0001-6302-9925
WinnMed · USNew York Medical College · USAIMST University · MYBanner - University Medical Center Tucson · USBeaumont Health · USCleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous heart valve procedures have been increasingly performed over the past decade, yet real-world mortality data on valvular heart disease (VHD) in the United States remain limited. METHODS AND

resultsWe queried the Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research database among patients ≥15 years old from 1999 to 2020. VHD and its subtypes were listed as the underlying cause of death. We calculated age-adjusted mortality rate (AAMR) per 100 000 individuals and determined overall trends by estimating the average annual percent change using the Joinpoint regression program. Subgroup analyses were performed based on demographic and geographic factors. In the 22-year study, there were 446 096 VHD deaths, accounting for 0.80% of all-cause mortality (56 014 102 people) and 2.38% of the total cardiovascular mortality (18 759 451 people). Aortic stenosis recorded the highest mortality of VHD-related death in both male (109 529, 61.74%) and female (166 930, 62.13%) populations. The AAMR of VHD has declined from 8.4 (95% CI, 8.2-8.5) to 6.6 (95% CI, 6.5-6.7) per 100 000 population. Similar decreasing AAMR trends were also seen for the VHD subtypes. Men recorded higher AAMR for aortic stenosis and aortic regurgitation, whereas women had higher AAMR for mitral stenosis and mitral regurgitation. Mitral regurgitation had the highest change in average annual percent change in AAMR.

conclusionsThe mortality rate of VHD among the US population has declined over the past 2 decades. This highlights the likely efficacy of increasing surveillance and advancement in the management of VHD, resulting in improved outcomes.

Indexed as

Aortic Valve InsufficiencyAortic Valve StenosisHeart Valve DiseasesMitral Valve InsufficiencyMitral Valve StenosisAdolescentFemaleHumansMaleUnited Statesaortic valvular diseasemitral valvular diseasemortalitytrend and disparityvalvular heart disease

Identifiers

PMID38587138
PMCPMC11262520
OpenAlexW4394570655

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.