Evidence map›Paper›PMID 40645627›Full record

SynthesisBMJ open2025

Anxiety and depression in cardiac amyloidosis: a systematic review.

Simon Ghinassi, Lucia Ponti, Martina Smorti, Francesco Cappelli

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Simon GhinassiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.ORCID http://orcid.org/0000-0002-7451-1861
Lucia PontiDepartment of Humanities, University of Urbino, Urbino, Italy.
Martina SmortiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Francesco CappelliDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy f.cappelli@unifi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCardiac amyloidosis (CA) is a rare and underdiagnosed disease associated with a high mortality rate. Although, in the last decade, there has been increasing attention in the literature to the relationship between CA and psychological distress in patients, the evidence on this association has not yet been systematised. Therefore, this study aims to fill this gap.

designFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review was conducted. DATA SOURCES: PubMed, ScienceDirect, Scopus and Web of Science were searched, with the last update conducted on 23 September 2024, and no time restrictions were applied. ELIGIBILITY CRITERIA: Studies had to meet the following inclusion criteria to be included: (1) original quantitative research; (2) published in peer-reviewed journals written in English; (3) explore and report the relationship between CA and psychological distress or compare a clinical group with a control group and (4) investigate psychological distress through reliable and validated measures. DATA EXTRACTION AND SYNTHESIS: One author extracted the data, which was then double-checked by another, and data were reported both in tabular and textual form. The included studies were critically evaluated using the Appraisal Tool for Cross-Sectional Studies.

resultsThrough the research process, a total of 14 articles were selected. The quality assessment scores ranged from 12 to 18 (M=16.21±1.42). Overall, the results underline a significant presence of psychological distress in patients with CA. Moreover, while disease severity was not found to be associated with psychological distress in CA patients in all studies considered, more heterogeneous results emerged regarding the association between the severity of cardiac symptoms and psychological distress.

conclusionsResults suggest that psychological distress is an important aspect to be considered when dealing with CA patients. Integrating psychological assessment and support may improve patient outcomes by reducing disease burden and enhancing treatment adherence. PROSPERO REGISTRATION NUMBER: CRD42023446913.

Indexed as

AmyloidosisAnxietyCardiomyopathiesDepressionHumansAnxiety disordersCARDIOLOGYDepression & mood disordersPsychological StressSystematic Review

Identifiers

PMID40645627
PMCPMC12273105

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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.