Evidence map›Paper›PMID 41823229›Full record

ArticleJournal of the American Heart Association2026

From Insight to Action: A National Patient-Centered Strategic Framework for Improving Reproductive Health Outcomes in Individuals With Congenital Heart Disease.

Mindi Messmer, Tripti Gupta, Rohan D'Souza, Melissa Russo, Jamie L Jackson, Kashvi Singh, Katherine B Salciccioli, Katia Bravo-Jaimes, Nadine A Kasparian, Ayesha Abusbeitan and 5 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 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

15 authors.

Mindi MessmerDivision of Cardiology Children's National Hospital Washington DC USA.ORCID 0000-0001-9984-4016
Tripti GuptaDivision of Cardiology University of California San Diego CA USA.ORCID 0000-0002-6609-8632
Rohan D'SouzaDepartments of Obstetrics & Gynecology and Health Research Methods, Evidence & Impact McMaster University Hamilton Ontario Canada.ORCID 0000-0002-4049-2017
Melissa RussoDepartment of Maternal-Fetal Medicine & Reproductive Genetics, Warren Alpert School of Medicine Brown University Providence RI USA.ORCID 0000-0002-7686-1144
Jamie L JacksonAbigail Wexner Research Institute at Nationwide Children's Hospital Columbus OH USA.ORCID 0000-0002-1752-1377
Kashvi SinghDivision of Cardiology Children's National Hospital Washington DC USA.ORCID 0009-0009-0145-8850
Katherine B SalciccioliDivision of Cardiology, Texas Children's Hospital Baylor College of Medicine Houston TX USA.ORCID 0000-0003-4474-6165
Katia Bravo-JaimesDepartment of Cardiology Mayo Clinic Jacksonville FL USA.ORCID 0000-0001-7745-7162
Nadine A KasparianHeart and Mind Wellbeing Center, Heart Institute and Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center and Department of Pediatrics University of Cincinnati College of Medicine Cincinnati OH USA.ORCID 0000-0001-8075-6817
Ayesha AbusbeitanDivision of Cardiology Children's National Hospital Washington DC USA.ORCID 0000-0002-1689-2942
Jennifer CortesAdult Congenital Heart Association Philadelphia PA USA.
Danielle HileAdult Congenital Heart Association Philadelphia PA USA.ORCID 0009-0009-1533-5296
Ruth PhillippiDivision of Cardiology Children's National Hospital Washington DC USA.
Scott LeezerCURA Strategies Arlington VA USA.
Anitha S JohnDivision of Cardiology Children's National Hospital Washington DC USA.ORCID 0000-0002-7355-6304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increasing number of patients with congenital heart disease (CHD) are pursuing pregnancy with the potential for cardiovascular complications. This study aimed to establish patient-centered national research and care priorities to improve pregnancy-related outcomes for individuals with CHD.

methodsThis mixed-methods study used a modified Stakeholder Engagement in Question Development methodology to systematically identify patient-centered priorities. Key activities included consortium engagement (phase 1), patient and provider questionnaires (phase 2), and an in-person facilitated meeting to explore survey results and follow-up virtual focus groups (phase 3). Reflexive thematic analysis was used to synthesize short- and long-term research priorities (phase 4).

resultsThree overarching goals emerged: (1) improving access to specialized CHD, cardio-obstetrics, and mental health care; (2) improving quality and consistency in clinical care; and (3) increasing patient and community engagement. These goals were then expanded into 5 central themes: (1) communication within the health care setting; (2) community engagement; (3) ancillary clinical support; (4) integration of patient-reported outcomes; and (5) implementation, education, and knowledge mobilization. Short-term (1-5-year) goals included expanded telemedicine use, best practice recommendations for multidisciplinary care coordination, and targeted educational resources. Long-term (5-10-year) goals included expansion of adult CHD and cardio-obstetrics programs, integration of mental health services, and advocacy to improve insurance coverage.

conclusionsThe consortium provided a national, community-driven prioritization that highlights actionable pathways to improve pregnancy outcomes for people with CHD. Sustained engagement with patients and community partners is essential to achieving durable improvements across cardio-obstetric care, education, research, and mental health.

Indexed as

Heart Defects, CongenitalPatient-Centered CarePregnancy Complications, CardiovascularReproductive HealthAdultFemaleHealth Services AccessibilityHumansPregnancyQuality ImprovementStakeholder ParticipationUnited Statescardio‐obstetricscongenital heart diseasepatient engagement

Identifiers

PMID41823229
PMCPMC13055720

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.