Evidence map›Paper›PMID 40194977›Full record

ReviewJournal of the American Heart Association2025

Pediatric and Congenital Cardiac Services: An Innovative and Empowering Approach to Global Training and Equitable Care.

Wyman W Lai, Dominique Vervoort, David Bradley, Antonio G Cabrera, Casey Culbertson, Alejandro Floh, Saurabh K Gupta, Babar S Hasan, Adrian Holloway, Jeffrey P Jacobs and 17 more

Abstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2025. 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. Trial
  2. Review
  3. Article
  4. Article
  5. Article
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  7. 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

27 authors.

Wyman W LaiDivision of Pediatric Cardiology CHOC Children's Hospital Orange CA USA.ORCID 0000-0002-9557-1855
Dominique VervoortDivision of Cardiac Surgery University of Toronto Toronto ON Canada.
David BradleyC.S. Mott Children's Hospital Ann Arbor MI USA.ORCID 0000-0003-3607-3423
Antonio G CabreraDepartment of Pediatrics Ohio State University College of Medicine Columbus OH USA.
Casey CulbertsonMD1World Irvine CA USA.ORCID 0000-0001-6920-8449
Alejandro FlohDepartment of Critical Care Medicine, Division of Cardiac Critical Care, Labatt Family Heart Centre The Hospital for Sick Children Toronto ON Canada.
Saurabh K GuptaDepartment of Cardiology All India Institute of Medical Sciences New Delhi Delhi India.ORCID 0000-0003-3267-1899
Babar S HasanDivision of Cardio-thoracic Sciences Sindh Institute of Urology and Transplantation (SIUT) Karachi Pakistan.ORCID 0000-0002-9141-7578
Adrian HollowayDepartment of Pediatrics University of Maryland Baltimore MD USA.
Jeffrey P JacobsCongenital Heart Center, Division of Cardiovascular Surgery, Departments of Surgery and Pediatrics University of Florida Gainesville FL USA.ORCID 0000-0002-9916-929X
Kathy J JenkinsHarvard Medical School Boston MA USA.ORCID 0000-0002-8702-988X
R K KumarDepartment of Pediatric Cardiology Amrita Institute of Medical Sciences and Research Centre Cochin Kerala India.ORCID 0000-0003-4343-0951
L A LarrazabalClarity Pediatrics San Francisco CA USA.
Colin J McMahonDepartment of Paediatric Cardiology Children's Health Ireland Dublin 12 Crumlin Ireland.ORCID 0000-0003-0337-9338
Daniel J PennyDepartment of Pediatric Cardiology Texas Children's Hospital Houston TX USA.
Alistair PhillipsKing Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia.
Emilio QuezadaUCSF Benioff Children's Hospitals San Francisco CA USA.ORCID 0000-0002-5405-6136
Craig A SableOchsner Children's Hospital New Orleans LA USA.ORCID 0000-0002-6798-2737
Shubhika SrivastavaNemours Children's Heart Center Nemours Children's Health and Thomas Jefferson University Wilmington DE USA.
Sandra L StaveskiUniversity of California San Francisco, School of Nursing San Francisco CA USA.
Patcharapong SuntharosDepartment of Pediatric Cardiology Cleveland Clinic Foundation Cleveland OH USA.
David F TeitelUCSF Benioff Children's Hospitals San Francisco CA USA.ORCID 0000-0002-4722-1578
Betsy TiradoHeart Care International Greenwich CT USA.
Brian C TranMD1World Irvine CA USA.
Bistra ZhelevaGlobal Strategy and Advocacy Children's HeartLink Minneapolis MN USA.ORCID 0000-0002-3209-0261
Liesl ZuhkleDivision of Pediatric Cardiology, Department of Pediatrics and Child Health, Red Cross War Memorial Children's Hospital, Faculty of Health Sciences University of Cape Town Cape Town South Africa.
Anthony C ChangDivision of Pediatric Cardiology CHOC Children's Hospital Orange CA USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital heart disease is a leading cause of preventable death in children, with a disproportionate impact on low- and middle-income countries. Despite progress in treating congenital heart disease globally, significant challenges remain in accessing specialized cardiovascular care, particularly cardiac surgery, in low- and middle-income countries. This review examines current models of assistance and proposes a novel global training program to address these inequities. Key challenges identified include building program infrastructure, training health care providers, ensuring financial sustainability, and promoting local engagement. The proposed program, structured under a new international organization, will leverage emerging technologies to deliver accessible and rigorously assessed training in pediatric and congenital cardiac care. By collaborating with local experts and global partners, the program will promote access to education for various health care personnel involved in congenital heart disease care, establish credentialing standards, and foster global collaboration. This unified, scalable approach aims to bridge the health equity gap and accelerate progress toward comprehensive and sustainable cardiac care programs worldwide.

Indexed as

CardiologyGlobal HealthHealthcare DisparitiesHealth EquityHeart Defects, CongenitalPediatricsChildDeveloping CountriesHealth Services AccessibilityHumanscardiac surgerycongenital heart disease (CHD)global health traininghealth equitylow‐ and middle‐income countries (LMIC)

Identifiers

PMID40194977
PMCPMC12132876

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.