Evidence map›Paper›PMID 41024971›Full record

ArticleWorld journal of cardiology2025

Partial upper sternotomy

Aarushi Gupta, Tinatin Chikhradze, Afrah Arshad, Rahmah Ashar Sakrani, Zainab Khan, Melake Getahun, Samreen Rizwan Ahmed Shaikh, Wajiha Syed, Tanish Baweja, Abhijith Remesan and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Aarushi GuptaDepartment of Cardiology, Avalon University School of Medicine, Willemstad 4797, Netherlands.
Tinatin ChikhradzeDepartment of Cardiology, Tbilisi State Medical University, Tbilisi 0144, Georgia.
Afrah ArshadDepartment of Medicine, Medway Maritime Hospital NHS Foundation Trust, Gillingham ME7 5NY, United Kingdom.
Rahmah Ashar SakraniDepartment of Cardiology, Dow International Medical College, Karachi 05444, Sindh, Pakistan.
Zainab KhanDepartment of Cardiology, Avalon University School of Medicine, Willemstad 4797, Netherlands.
Melake GetahunDepartment of Cardiology, University of Gondar, Adama 1200, Ethiopia.
Samreen Rizwan Ahmed ShaikhDepartment of Cardiology, Ivane Javakhishvili Tbilisi State University, Tbilisi 0144, Georgia.
Wajiha SyedDepartment of Cardiology, King Edward Medical University, Lahore 05450, Punjab, Pakistan.
Tanish BawejaDepartment of Cardiology, Hamdard Institute of Medical Sciences and Research, New Delhi 110001, Delhi, India.
Abhijith RemesanDepartment of Cardiology, St Martinus University, Willemstad 4797, Netherlands.
Cheryl LewisDepartment of Cardiology, Tbilisi State Medical University, Tbilisi 0144, Georgia.
Joy DoshiDepartment of Cardiology, University Hospital Lewisham, London NW1, United Kingdom.
Muneeb KhawarDepartment of Cardiology, King Edward Medical University, Lahore 05450, Punjab, Pakistan.
Asraf HussainDepartment of Cardiology, Chitwan Medical College, Bharatpur 33915, Nepal. drasrafcardiology@gmail.com.
Muhammad Muneeb KhawarDepartment of Cardiology, King Edward Medical University, Lahore 05450, Punjab, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObese patients (body mass index ≥ 30 kg/m²) undergoing isolated aortic valve replacement (AVR) face increased surgical risks due to comorbidities. Partial upper sternotomy (PUS), a minimally invasive approach, may reduce complications compared to full median sternotomy (FMS). We hypothesize that PUS improves outcomes over FMS in obese patients undergoing AVR.

aimTo compare the efficacy and safety of PUS

methodsThis systematic review and meta-analysis followed PRISMA guidelines, searching PubMed, EMBASE, and Cochrane databases for observational studies comparing PUS

resultsFour observational studies involving 677 patients were analyzed. PUS reduced intensive care unit stay (MD -2.67 days, 95%CI: -4.43 to -0.90,

conclusionPUS is safe and effective for obese patients undergoing AVR, reducing intensive care unit stay and enhancing recovery, provided surgical expertise is available.

Indexed as

Aortic valve replacementCardiopulmonary bypass timeFull median sternotomyIntensive care unit stayMinimally invasive surgeryObesityPartial upper sternotomyPostoperative complications

Identifiers

PMID41024971
PMCPMC12476599

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.