Evidence map›Paper›PMID 42559784›Full record

ArticleJACC. Case reports2026

Expanding Access to Specialized Adult Congenital Heart Disease Care Using a Hub-and-Spoke Model of Care.

Shantelle Bartra, Wayne Sinclar, Daniel E Eason, Todd Roth, Grace Corona, Yesenia Taveras, Michelle Slane, Adam deJong, Richard Chazal, Joshua Saef

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Shantelle BartraHeart Institute, Lee Health, Fort Myers, Florida, USA; Golisano Children's Hospital of Southwest Florida, Lee Health, Fort Myers, Florida, USA. Electronic address: shantelle.bartra@leehealth.org.
Wayne SinclarGolisano Children's Hospital of Southwest Florida, Lee Health, Fort Myers, Florida, USA.
Daniel E EasonGolisano Children's Hospital of Southwest Florida, Lee Health, Fort Myers, Florida, USA.
Todd RothMemorial Regional Medical Center, Hollywood, Florida, USA.
Grace CoronaMemorial Regional Medical Center, Hollywood, Florida, USA.
Yesenia TaverasMemorial Regional Medical Center, Hollywood, Florida, USA.
Michelle SlaneMemorial Regional Medical Center, Hollywood, Florida, USA.
Adam deJongHeart Institute, Lee Health, Fort Myers, Florida, USA.
Richard ChazalHeart Institute, Lee Health, Fort Myers, Florida, USA.
Joshua SaefMemorial Regional Medical Center, Hollywood, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to specialized adult congenital heart disease (ACHD) care remains limited given workforce shortages and geographic concentration of accredited centers in urban regions. PROJECT RATIONALE: Southwest Florida lacked a board-certified ACHD specialist despite a growing population of adults with congenital heart disease. Patients frequently traveled long distances for subspecialty evaluation, contributing to delays in care, fragmented follow-up, and inequitable access to specialized services. PROJECT DESCRIPTION: A regional hub-and-spoke model was developed through collaboration between Lee Health and Memorial Healthcare System to expand access to ACHD expertise. The spoke site established a locally based ACHD clinic embedded within pediatric cardiology clinic and staffed by an advanced practice provider. ACHD physicians from the accredited hub center were credentialed within the local system and provided teleconsultation, telehealth support, weekly multidisciplinary conferences, and monthly onsite collaborative clinics. TAKE-HOME MESSAGES: Geographic and workforce disparities remain major barriers to equitable ACHD care. Hub-and-spoke models can extend specialized ACHD expertise into underserved regions.

Indexed as

cardiovascular diseasecongenital heart defectpregnancy

Identifiers

PMID42559784
PMCPMC13643444

What OpenQuestion holds

Textmetadata
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.