Evidence map›Paper›PMID 40687338›Full record

ArticlePulmonary circulation2025

Risk Assessment Models and Event-Free Survival in Pulmonary Arterial Hypertension.

Clara Hjalmarsson, Tanvee Thakur, Göran Rådegran, Erik Björklund, Håkan Wåhlander, Magnus Nisell, Joanna-Maria Papageorgiou, Stefan Söderberg, Dominik Lautsch, Barbro Kjellström

Abstract read
In one paragraph

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

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0citing papers in PubMed
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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

10 authors.

Clara HjalmarssonDepartment of Cardiology Sahlgrenska University Hospital Gothenburg Sweden.ORCID https://orcid.org/0000-0002-2395-8989
Tanvee ThakurValue and Implementation Outcomes Research, Merck & Co. Inc. Rahway New Jersey USA.
Göran RådegranDepartment of Clinical Sciences Lund, Cardiology, Skåne University Hospital Lund University Lund Sweden.
Erik BjörklundDepartment of Cardiology University Hospital Uppsala Uppsala Sweden.
Håkan WåhlanderPediatric Heart Center, The Queen Silvia Children's Hospital Sahlgrenska University Hospital Gothenburg Sweden.ORCID https://orcid.org/0000-0002-4753-3811
Magnus NisellDepartment of Medicine Solna Karolinska Institute Stockholm Sweden.
Joanna-Maria PapageorgiouDepartment of Cardiology, Institution of Medicine and Health Sciences Linköping University Linköping Sweden.
Stefan SöderbergDepartment of Public Health and Clinical Medicine, and Heart Centre Umeå University Umeå Sweden.
Dominik LautschValue and Implementation Outcomes Research, Merck & Co. Inc. Rahway New Jersey USA.
Barbro KjellströmDepartment of Clinical Sciences Lund, Clinical Physiology, Skåne University Hospital Lund University Lund Sweden.ORCID https://orcid.org/0000-0002-7936-1209

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence on the predictive ability of risk assessment models for event-free survival (EFS) in patients with pulmonary arterial hypertension is scarce. We aimed to investigate the relationship between risk status at 6 months after diagnosis (6 M) and EFS, by three risk models: Multicomponent Improvement (MCI), ESC/ERS 4-Strata Risk (4SR), and noninvasive French PH Registry Score (FRS). Data collected in the Swedish PAH Registry 2008-2021 were used. The study population was risk-stratified at 6 M according to each model. Information on PAH-related hospitalization (HOSP) was collected from the National Patient Register. EFS was defined as survival without occurrence of: (1) HOSP; (2) initiation of parenteral prostacyclin therapy or dose increase ≥ 10%; (3) lung transplantation. The association between risk and EFS was evaluated by Kaplan-Meier estimates and Cox proportional models. The analysis included 411 incident patients, median age 66 y [50, 73]. Median survival time was 3.5 y [1.7; 5.4], and cumulative EFS was 55%. In a Cox proportional regression adjusted for age, eGFR, obesity, atrial fibrillation, and systemic hypertension, EFS was higher in patients who: (1) achieved two or three MCI criteria compared to one or no MCI criterion (HR 0.58; CI 0.39-0.84,

Indexed as

hospitalizationoutcomepulmonary arterial hypertensionrisk models

Identifiers

PMID40687338
PMCPMC12272513

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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.