Evidence map›Paper›PMID 39895492›Full record

ReviewCirculation. Cardiovascular quality and outcomes2025

Advancing Health Equity in the Cardiovascular Device Life Cycle.

Andre M Small, Nathan W Watson, Rishi K Wadhera, Eric A Secemsky, Robert W Yeh

Abstract readReview
In one paragraph

Review in Circulation. Cardiovascular quality and outcomes, 2025. 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. 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

5 authors.

Andre M SmallDepartment of Medicine, Brigham and Women's Hospital (A.M.S., N.W.W.), Harvard Medical School, Boston, MA.ORCID 0009-0007-9775-398X
Nathan W WatsonDepartment of Medicine, Brigham and Women's Hospital (A.M.S., N.W.W.), Harvard Medical School, Boston, MA.
Rishi K WadheraSmith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center (N.W.W., R.K.W., E.A.S., R.W.Y.), Harvard Medical School, Boston, MA.ORCID 0000-0003-1089-3896
Eric A SecemskySmith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center (N.W.W., R.K.W., E.A.S., R.W.Y.), Harvard Medical School, Boston, MA.ORCID 0000-0003-3861-3163
Robert W YehSmith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center (N.W.W., R.K.W., E.A.S., R.W.Y.), Harvard Medical School, Boston, MA.ORCID 0000-0002-0564-4468

Funding

Use of Registries, Claims and Health System Data to Enhance the Evaluation of Cardiovascular Therapies in Clinical TrialsR01HL136708 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Issa J. Dahabreh, Robert Yeh · 2017 to 2026
$6.9M
Using Claims-Based Signatures of Frailty to Support Individualized Treatment of Aortic Valve Stenosis and Coronary Artery DiseaseK24HL150321 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Robert Yeh · 2020 to 2026
$862k
NHLBI NIH HHS K24 HL150321NHLBI NIH HHS R01 HL136708
6 · The paper itself

Abstract

Despite advancements in diagnostics and therapeutics for cardiovascular disease, significant health disparities persist among patients from historically marginalized racial and ethnic groups, women, individuals who are socioeconomically under-resourced or underinsured, and those living in rural communities. While transcatheter interventions have revolutionized the treatment landscape in cardiology, populations bearing the greatest burden of disease continue to face inequitable access and poorer outcomes. A notable gap in the literature concerns the role of modern approaches to cardiovascular device innovation in shaping and perpetuating health disparities. Health equity has been declared one of the top strategic initiatives for 2022 to 2025 by the Food and Drug Administration Center for Devices and Radiological Health, underscoring the need for greater attention, dialogue, and targeted interventions in this space. This narrative review uses the cardiovascular device life cycle as a conceptual framework to enhance understanding and guide future efforts to mitigate disparities in the field of interventional cardiology. Drawing on illustrative examples from interventional cardiology, we examine current practices in cardiovascular device regulation and approval, clinical trial evaluation, adoption patterns, and postprocedural outcomes with the aim of uncovering potential mechanisms of disparities and identifying opportunities for targeted interventions.

Indexed as

Cardiac CatheterizationCardiovascular DiseasesHealthcare DisparitiesHealth EquityDevice ApprovalDiffusion of InnovationHealth Services AccessibilityHumansRisk FactorsSocial Determinants of HealthTreatment OutcomeUnited Statescardiac catheterizationcardiovascular diseaseshealth equityradiologic healthtranscatheter aortic valve replacementUnited States Food and Drug Administration

Identifiers

PMID39895492
PMCPMC11919565

What OpenQuestion holds

Textmetadata
LicenceTDM
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.