Evidence map›Paper›PMID 38690140›Full record

ArticleHeart rhythm O22024

Outcomes and care quality metrics for people living with rheumatic heart disease and atrial fibrillation in Uganda.

Chinonso C Opara, Roy H Lan, Joselyn Rwebembera, Emmy Okello, David A Watkins, Andrew Y Chang, Chris T Longenecker

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Heart rhythm O2, 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
0.8field-weighted citation impact, top 28% 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, 2 citations in OpenAlex.

  1. State of the Journal 2025.Heart rhythm O2 · 2025
    Article
  2. 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

7 authors at 4 institutions in 2 countries.

Chinonso C OparaDivision of Cardiology, Department of Medicine, University of Washington, Seattle, Washington.
Roy H LanDepartment of Medicine, Stanford University School of Medicine, California.
Joselyn RwebemberaDepartment of RHD Research, Uganda Heart Institute, Kampala, Uganda.
Emmy OkelloDivision of Cardiology, Uganda Heart Institute, Kampala, Uganda.
David A WatkinsDepartment of Medicine, University of Washington, Seattle, Washington.
Andrew Y ChangDivision of Cardiology, Department of Epidemiology and Population Health, Stanford University, California.
Chris T LongeneckerDivision of Cardiology, Department of Medicine, University of Washington, Seattle, Washington.
University of Washington · USStanford University · USAssociates Research · UGUganda Management Institute · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) is a common complication of rheumatic heart disease (RHD) and is challenging to treat in lower-resourced settings in which RHD remains endemic. Objective: We characterized demographics, treatment outcomes, and factors leading to care retention for participants with RHD and AF in Uganda. Methods: We conducted a retrospective analysis of the Uganda national RHD registry between June 2009 and May 2018. Participants with AF or atrial flutter were included. Demographics, survival, and care metrics were compared with participants without AF. Multivariable logistic regression was used to identify factors associated with retention in care among participants with AF. Results: A total of 1530 participants with RHD were analyzed and 293 (19%) had AF. The median age was 24 (interquartile range 14-38) years. Mortality was similar in both groups (adjusted hazard ratio 1.183, Conclusion: Participants with RHD and AF in Uganda do not experience higher mortality than those without AF. Anticoagulation prescription rates are high. Although retention in care is poor among RHD participants, those with concurrent AF are more likely to be retained.

Indexed as

Atrial fibrillationGlobal healthOutcomesRetention in careRheumatic heart disease

Identifiers

PMID38690140
PMCPMC11056452
OpenAlexW4391850680

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.