Evidence map›Paper›PMID 39015442›Full record

ArticleJTCVS open2024

Young infants with symptomatic tetralogy of Fallot: Shunt or primary repair?

Xin Tao Ye, Soichiro Henmi, Edward Buratto, Mitchell C Haverty, Can Yerebakan, Tyson Fricke, Christian P Brizard, Yves d'Udekem, Igor E Konstantinov

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Article in JTCVS open, 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
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Xin Tao YeDepartment of Cardiac Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
Soichiro HenmiDivision of Cardiac Surgery, Children's National Hospital, Washington, DC.
Edward BurattoDepartment of Cardiac Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
Mitchell C HavertyDivision of Cardiac Surgery, Children's National Hospital, Washington, DC.
Can YerebakanDivision of Cardiac Surgery, Children's National Hospital, Washington, DC.
Tyson FrickeDepartment of Cardiac Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
Christian P BrizardDepartment of Cardiac Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
Yves d'UdekemDivision of Cardiac Surgery, Children's National Hospital, Washington, DC.
Igor E KonstantinovDepartment of Cardiac Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The optimal treatment strategy for symptomatic young infants with tetralogy of Fallot (TOF) is unclear. We sought to compare the outcomes of staged repair (SR) (shunt palliation followed by second-stage complete repair) versus primary repair (PR) at 2 institutions that have exclusively adopted each strategy. Methods: We performed propensity score-matched comparison of 143 infants under 4 months of age who underwent shunt palliation at one institution between 1993 and 2021 with 122 infants who underwent PR between 2004 and 2018 at another institution. The primary outcome was mortality. Secondary outcomes were postoperative complications, durations of perioperative support and hospital stays, and reinterventions. Median follow-up was 8.3 years (interquartile range, 8.1-13.4 years). Results: After the initial procedure, hospital mortality (shunt, 2.8% vs PR, 2.5%; Conclusions: In symptomatic young infants with TOF operated at 2 institutions with exclusive treatment protocols, the SR strategy was associated with similar cardiac-related mortality and reinterventions as the PR strategy at medium-term follow-up.

Indexed as

infantspalliationsurgerysymptomatictetralogy of Fallot

Identifiers

PMID39015442
PMCPMC11247207

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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.