Evidence map›Paper›PMID 38700000›Full record

SynthesisJournal of the American Heart Association2024

Moderate Aortic Valve Stenosis Is Associated With Increased Mortality Rate and Lifetime Loss: Systematic Review and Meta-Analysis of Reconstructed Time-to-Event Data of 409 680 Patients.

Xander Jacquemyn, Jordan B Strom, Geoff Strange, David Playford, Simon Stewart, Shelby Kutty, Deepak L Bhatt, Sabine Bleiziffer, Kendra J Grubb, Patricia A Pellikka and 6 more

Abstract readSystematic ReviewMeta-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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
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  4. Heart Failure and Moderate Aortic Stenosis: is Early TAVI the Better Strategy?European heart journal supplements : journal of the European Society of Cardiology · 2026
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  17. Review
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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

16 authors.

Xander JacquemynDepartment of Cardiovascular Sciences KU Leuven Leuven Belgium.ORCID 0000-0001-8421-0686
Jordan B StromRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Department of Medicine, Cardiovascular Division Beth Israel Deaconess Medical Center Boston MA USA.ORCID 0000-0002-6592-6141
Geoff StrangeSchool of Medicine University of Notre Dame Fremantle Western Australia Australia.ORCID 0000-0001-6800-7119
David PlayfordSchool of Medicine University of Notre Dame Fremantle Western Australia Australia.ORCID 0000-0003-4492-1103
Simon StewartInstitute for Health Research University of Notre Dame Fremantle Western Australia Australia.ORCID 0000-0001-9032-8998
Shelby KuttyThe Blalock-Taussig-Thomas Pediatric and Congenital Heart Center, Department of Pediatrics, Johns Hopkins School of Medicine Johns Hopkins University Baltimore MD USA.ORCID 0000-0001-9428-0979
Deepak L BhattMount Sinai Heart Icahn School of Medicine at Mount Sinai Health System New York NY USA.ORCID 0000-0002-1278-6245
Sabine BleizifferDepartment of Thoracic and Cardiovascular Surgery, Heart and Diabetes Center North Rhine-Westphalia University Hospital Ruhr-University Bochum Bad Oeynhausen Germany.ORCID 0000-0001-9669-7372
Kendra J GrubbDivision of Cardiothoracic Surgery Emory University Atlanta GA USA.ORCID 0000-0002-1369-5521
Patricia A PellikkaDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN USA.ORCID 0000-0001-6800-3521
Marie-Annick ClavelQuebec Heart and Lung Institute Laval University Quebec City Quebec Canada.ORCID 0000-0002-8924-740X
Philippe PibarotQuebec Heart and Lung Institute Laval University Quebec City Quebec Canada.ORCID 0000-0002-3607-279X
Amgad MentiasHeart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0001-6555-2517
Derek Serna-GallegosDepartment of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA USA.ORCID 0000-0002-5991-6385
Michel Pompeu SáDepartment of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA USA.ORCID 0000-0001-5356-2996
Ibrahim SultanDepartment of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA USA.ORCID 0000-0002-1737-4012

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe mortality risk attributable to moderate aortic stenosis (AS) remains incompletely characterized and has historically been underestimated. We aim to evaluate the association between moderate AS and all-cause death, comparing it with no/mild AS (in a general referral population and in patients with heart failure with reduced ejection fraction). METHODS AND

resultsA systematic review and pooled meta-analysis of Kaplan-Meier-derived reconstructed time-to-event data of studies published by June 2023 was conducted to evaluate survival outcomes among patients with moderate AS in comparison with individuals with no/mild AS. Ten studies were included, encompassing a total of 409 680 patients (11 527 with moderate AS and 398 153 with no/mild AS). In the overall population, the 15-year overall survival rate was 23.3% (95% CI, 19.1%-28.3%) in patients with moderate AS and 58.9% (95% CI, 58.1%-59.7%) in patients with no/mild aortic stenosis (hazard ratio [HR], 2.55 [95% CI, 2.46-2.64];

conclusionsModerate AS was associated with higher risk of death and lifetime loss compared with patients with no/mild AS.

Indexed as

Aortic Valve StenosisAgedCause of DeathFemaleHeart FailureHumansMaleRisk AssessmentRisk FactorsSeverity of Illness IndexStroke VolumeSurvival RateTime Factorsaortic valveaortic valve diseaseaortic valve stenosisheart valve diseasesmeta‐analysis

Identifiers

PMID38700000
PMCPMC11179918

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Registered trials

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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.