Evidence map›Paper›PMID 39817079›Full record

ArticleJACC. Advances2024

Global Disparities in Outcomes of Pregnant Individuals With Rheumatic Heart Disease: A Scoping Review.

Jenny M Yang, Natalie Tchakerian, Candice K Silversides, Samuel C Siu, Rachel F Spitzer, Wycliffe Kosgei, Nanette Okun, Rebecca Lumsden, Rohan D'Souza, Anish Keepanasseril

Abstract read
In one paragraph

Article in JACC. Advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  3. 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

10 authors.

Jenny M YangDepartment of Obstetrics and Gynaecology, University of Toronto, Mount Sinai Hospital, Toronto, Ontario, Canada.
Natalie TchakerianDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada.
Candice K SilversidesDivision of Cardiology, Miles Nadal Heart Centre, Mount Sinai Hospital and Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Samuel C SiuDivision of Cardiology, University of Western Ontario, London, Ontario, Canada.
Rachel F SpitzerDepartment of Obstetrics and Gynaecology, University of Toronto, Mount Sinai Hospital, Toronto, Ontario, Canada.
Wycliffe KosgeiDepartment of Obstetrics and Gynaecology, Moi Teaching and Referral Hospital, Eldoret, Kenya.
Nanette OkunMaternal Fetal Medicine, Department of Obstetrics and Gynaecology, Sunnybrook Hospital, Toronto, Ontario, Canada.
Rebecca LumsdenDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Rohan D'SouzaDepartments of Obstetrics and Gynaecology and Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Anish KeepanasserilDepartment of Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rheumatic heart disease (RHD) remains as 1 of the major contributors to indirect pregnancy-related mortality and morbidity worldwide and disproportionately affects marginalized populations. Objectives: In this scoping review, the authors sought to explore the socioeconomic, cultural, and health care access-related causes of global disparities in outcomes of pregnancy among individuals with RHD. Methods: We performed a literature search of all studies published between January 1, 1990, and January 1, 2022, that investigated causes for disparate outcomes in pregnant individuals with RHD. Results: Of the 3,544 articles identified, 16 were included in the final analysis. The key reasons for disparate outcomes included lack of secondary antibiotic RHD prophylaxis; late and more severe RHD diagnosis, differences in management and antenatal care access; lack of expert and coordinated multidisciplinary care; suboptimal patient health education; inadequate access to RHD medication, intervention and surgery in pregnancy; and limited financial and economic resources. Conclusions: These findings illustrated using a life-course approach demonstrate opportunities for clinical and public health interventions to improve outcomes in this population.

Indexed as

cardio-obstetricscardiovascular diseases and pregnancyglobal healthglobal women’s healthmaternal mortalityrheumatic heart disease

Identifiers

PMID39817079
PMCPMC11734045

What OpenQuestion holds

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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.