Evidence map›Paper›PMID 42079806›Full record

ArticleCJC pediatric and congenital heart disease2026

The Canadian Fontan Connection (CANFON): Protocol for a National Lifespan Cohort of People Living With a Fontan Circulation.

Louis-Olivier Roy, Marc-Olivier Pouliot, Reena Clarkson, Andrew S Mackie, Isabelle Vonder Muhll, Judith Therrien, Kevin C Harris, Luc Mertens, Paul Khairy, Rachel Wald and 4 more

Abstract read
In one paragraph

Article in CJC pediatric and congenital heart disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Pan-Canadian Registry, Pan-System Disease: Rethinking Fontan Pathobiology.CJC pediatric and congenital heart disease · 2025
    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

14 authors.

Louis-Olivier RoyDepartment of Pediatrics, Université de Sherbrooke, and Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada.
Marc-Olivier PouliotDepartment of Pediatrics, Université de Sherbrooke, and Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada.
Reena ClarksonDivision of Cardiology, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Andrew S MackieDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Isabelle Vonder MuhllDivision of Cardiology, Department of Medicine, University of Alberta and Mazankowski Alberta Heart Institute, Edmonton, Alberta, Canada.
Judith TherrienDivision of Cardiology, McGill University, Montréal, Québec, Canada.
Kevin C HarrisDivision of Cardiology, Department of Pediatrics, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Luc MertensDivision of Cardiology, Labatt Family Heart Centre, the Hospital for Sick Children, Toronto, Ontario, Canada.
Paul KhairyMontreal Heart Institute Adult Congenital Center, Université de Montréal, Montreal, Québec, Canada.
Rachel WaldPeter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Jasmine GrewalDivision of Cardiology, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Frédéric DallaireDepartment of Pediatrics, Université de Sherbrooke, and Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada.
CANFON CONNECTION investigators
Canadian Congenital and Pediatric Cardiology Research Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The life expectancy of people living with a Fontan circulation has improved significantly over recent decades. However, this population remains at risk of multiorgan complications and premature mortality with advancing age. Despite growing clinical experience, key knowledge gaps remain in our understanding of Fontan-related morbidity, including the timing, predisposition and progression of complications, their cumulative burden, and their long-term impact on quality of life and functional outcomes. To address these challenges, we establish Canadian Fontan Connection (CANFON), a national, longitudinal cohort of individuals with single ventricle physiology who are either eligible for or living with a Fontan circulation. The design and implementation of CANFON were developed through engagement with Canadian congenital heart disease experts and alignment with international research priorities. Comprehensive clinical data are collected and banked from birth onward, providing an in-depth, lifelong view of each participant's health. In parallel, participant-reported outcome measures are prospectively collected over a 5-year period. Recruitment occurs in 24 pediatric and adult congenital heart disease centers across Canada. The overarching objectives of CANFON are to (1) establish the health trajectories of Fontan physiology across the lifespan, (2) determine the prevalence and evolution of complications and modifying factors, (3) identify early predictors and risk factors for Fontan failure, and (4) assess the impact of complications on quality of life and functional status through participant-reported outcomes. Beyond its immediate goals, CANFON will serve as a unique, well-phenotyped, pan-Canadian research platform to support nested studies and accelerate progress in understanding and improving outcomes for individuals living with a Fontan circulation nationally and internationally.

Indexed as

cohort studycongenital heart diseaseFontan circulationlongitudinal follow-upmulticenterpatient-reported outcomessingle ventricle

Identifiers

PMID42079806
PMCPMC13129535

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.