Evidence map›Paper›PMID 41687406›Full record

ArticleJACC. Advances2026

In-Hospital Outcomes After Tricuspid Valve Surgery in the United States: Impact of Surgical Center Volumes.

Konmal Ali, Amulya Vadlakonda, Sidney Hinks, Syed Shaheer Ali, Giselle Porter, Sara Sakowitz, Yas Sanaiha, Peyman Benharash

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PubMed Full text at PMC Publisher
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Article in JACC. Advances, 2026. 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

8 authors.

Konmal AliCardiovascular Outcomes Research Laboratories (CORELAB), Department of Surgery, University of California, Los Angeles, California, USA.
Amulya VadlakondaCardiovascular Outcomes Research Laboratories (CORELAB), Department of Surgery, University of California, Los Angeles, California, USA.
Sidney HinksCardiovascular Outcomes Research Laboratories (CORELAB), Department of Surgery, University of California, Los Angeles, California, USA.
Syed Shaheer AliCardiovascular Outcomes Research Laboratories (CORELAB), Department of Surgery, University of California, Los Angeles, California, USA.
Giselle PorterCardiovascular Outcomes Research Laboratories (CORELAB), Department of Surgery, University of California, Los Angeles, California, USA.
Sara SakowitzCardiovascular Outcomes Research Laboratories (CORELAB), Department of Surgery, University of California, Los Angeles, California, USA; Division of Cardiac Surgery, Department of Surgery, University of California, Los Angeles, California, USA.
Yas SanaihaCardiovascular Outcomes Research Laboratories (CORELAB), Department of Surgery, University of California, Los Angeles, California, USA; Division of Cardiac Surgery, Department of Surgery, University of California, Los Angeles, California, USA.
Peyman BenharashCardiovascular Outcomes Research Laboratories (CORELAB), Department of Surgery, University of California, Los Angeles, California, USA; Division of Cardiac Surgery, Department of Surgery, University of California, Los Angeles, California, USA. Electronic address: Pbenharash@mednet.ucla.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of institutional experience on postoperative outcomes among patients undergoing isolated or concomitant tricuspid valve operations is not well studied.

objectivesThe authors characterized the presence of a potential volume-outcome relationship between center-level cardiac valve procedural volume and risks of in-hospital mortality as well as resource utilization in a national cohort.

methodsThe 2016 to 2022 Nationwide Readmissions Database was reviewed to identify all adults undergoing isolated or concomitant tricuspid valve replacement or repair. A multivariable regression model was developed to evaluate mortality and hospitalization costs. Hospitals were categorized as high (HVH) or low volume based on explanatory analysis. The association of HVH status with postoperative complications, length of stay, and 30-day nonelective readmission were subsequently examined.

resultsOf an estimated 35,567 patients, 21,723 (61.0%) were treated at HVH. Compared to low-volume hospital, HVH patients were older, less commonly females, and more commonly of the highest income quartile. Patients at HVH more frequently received an isolated operation (21.0 vs 20.2%; P = 0.01). Following risk-adjustment, treatment at an HVH was associated with lower odds of mortality (adjusted OR: 0.56; 95% CI: 0.47-0.68) and cardiac complications (adjusted OR: 0.83; 95% CI: 0.73-0.94). However, HVH status was associated with increased costs by $6,070, but lower odds of nonhome discharge and 30-day nonelective readmission.

conclusionsHVH status was associated with lower odds of in-hospital mortality and reduced risk of 30-day nonelective readmission, but greater hospitalization costs. Increased outreach and resource availability at low-volume centers may help alleviate this disparity and enhance the overall value of care in tricuspid valve surgery.

Indexed as

nationwide analysistricuspid valve replacementvolume-outcome

Identifiers

PMID41687406
PMCPMC12925213

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