Evidence map›Paper›PMID 40838276›Full record

ArticleBirth defects research2025

Comorbidity and Multimorbidity in Adults With Congenital Heart Disease: Findings From a Multi-Site Population-Based Study.

Lorenzo D Botto, Matthew R Reeder, George K Lui, M Jill Glidewell, Wendy M Book, Tessa L Crume, Jesse M DeLaRosa, Alfred d'Ottavio, Karrie F Downing, Marcia L Feldkamp and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Birth defects research, 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

20 authors.

Lorenzo D BottoDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-5322-7116
Matthew R ReederDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
George K LuiStanford University School of Medicine, Palo Alto, California, USA.
M Jill GlidewellNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-3905-5458
Wendy M BookDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Tessa L CrumeColorado School of Public Health, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA.
Jesse M DeLaRosaDuke Clinical Research Institute, Durham, North Carolina, USA.
Alfred d'OttavioDuke Clinical Research Institute, Durham, North Carolina, USA.
Karrie F DowningNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-3063-1781
Marcia L FeldkampDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0001-9171-7848
Daphne T HsuChildren's Hospital at Montefiore and Albert Einstein College of Medicine, Bronx, New York, USA.
Amber D KhannaDivision of Cardiology, Departments of Internal Medicine and Pediatrics, Colorado School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Sergey KrikovDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Nelangi M PintoDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Cheryl L Raskind HoodDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia, USA.
Fred H RodriguezDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Aida S SoimNew York State Department of Health, Albany, New York, USA.ORCID 0000-0001-7687-751X
Kevin J WhiteheadDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USA.
Karen ChiswellDuke Clinical Research Institute, Durham, North Carolina, USA.
Jennifer S LiDuke Clinical Research Institute, Durham, North Carolina, USA.

Funding

Sharing statewide health data for genetic research (1 R01 RR021746-01A1)R01RR021746 · NCRR · UNIVERSITY OF UTAH · PI MINEAU, GERALDINE P · 2007 to 2009
$770k
CDC HHSNCRR NIH HHS R01 RR021746
6 · The paper itself

Abstract

backgroundSurvival of individuals with congenital heart disease (CHD) has improved, leading to a growing and aging population of adults living with these conditions. Over their lifetime, they often face an array of comorbidities that affect outcomes and complicate medical management. However, population-based information on such comorbidities is scarce, reducing opportunities for prevention.

methodsThis population-based, cross-sectional study assessed comorbid conditions in adults with CHD residing in five geographic areas in the United States (in Colorado, Georgia, New York, North Carolina, and Utah). The study included 18,672 adults aged 19 to 64 years who had a healthcare encounter between 2011 and 2013 associated with ≥ 1 CHD-related diagnosis code. Data were derived from linked clinical and administrative sources, reflecting inpatient, outpatient, and emergency department encounters.

resultsMost adults with CHD experienced at least one (88.5%) and usually multiple (76%) comorbidities. Overall, noncardiac comorbidities exceeded cardiac comorbidities. The most frequent noncardiac comorbidities were endocrine/metabolic conditions (e.g., diabetes, hyperlipidemia, hypothyroidism), hypertension, and neuropsychiatric conditions (e.g., anxiety, depression). The presence and number of comorbidities varied in different sociodemographic groups. Men and older individuals experienced higher rates of many comorbidities, cardiac and noncardiac, regardless of CHD type.

conclusionsPreventable and treatable comorbidity and multimorbidity are common in adults with CHD, with patterns shaped by sociodemographic factors and CHD type. Reducing preventable mortality in this growing population will require sustained tracking of health metrics and coordinated, data-driven, and lifelong care.

Indexed as

Heart Defects, CongenitalMultimorbidityAdultComorbidityCross-Sectional StudiesFemaleHumansMaleMiddle AgedUnited StatesYoung Adultadultscomorbiditydisparityepidemiologyheart defects congenitalmultimorbidity

Identifiers

PMID40838276
PMCPMC12368762

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.