{"id":"https://openalex.org/W44479026","doi":null,"title":"Decision-making and outcomes in severe symptomatic aortic stenosis.","display_name":"Decision-making and outcomes in severe symptomatic aortic stenosis.","publication_year":2006,"publication_date":"2006-05-01","ids":{"openalex":"https://openalex.org/W44479026","mag":"44479026","pmid":"https://pubmed.ncbi.nlm.nih.gov/16784066"},"language":"en","primary_location":{"id":"pmid:16784066","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16784066","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of heart valve disease","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055725446","display_name":"Erik Charlson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erik Charlson","raw_affiliation_strings":["Mayo Clinic College of Medicine, Boston, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic College of Medicine, Boston, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109218086","display_name":"Anna Legedza","orcid":"https://orcid.org/0000-0002-2328-6254","observed_orcids":["https://orcid.org/0000-0002-2328-6254"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anna T R Legedza","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5111776617","display_name":"Mary Beth Hamel","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mary Beth Hamel","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":6.341,"has_fulltext":false,"cited_by_count":156,"citation_normalized_percentile":{"value":0.9684866,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":100},"biblio":{"volume":"15","issue":"3","first_page":"312","last_page":"21"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/severe-aortic-stenosis","display_name":"severe aortic stenosis","score":0.8809999823570251},{"id":"https://openalex.org/keywords/aortic-valve-replacement","display_name":"aortic valve replacement","score":0.9319999814033508},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.7739999890327454},{"id":"https://openalex.org/keywords/surgical-decision-making","display_name":"surgical decision-making","score":0.8190000057220459},{"id":"https://openalex.org/keywords/survival-outcomes","display_name":"survival outcomes","score":0.5709999799728394},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.597000002861023},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.7879999876022339},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.8230000138282776},{"id":"https://openalex.org/keywords/octogenarians","display_name":"octogenarians","score":0.6589999794960022}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9804428815841675},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.771560549736023},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.7108702063560486},{"id":"https://openalex.org/C2776570981","wikidata":"https://www.wikidata.org/wiki/Q4413093","display_name":"Aortic valve replacement","level":3,"score":0.6766082048416138},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5696132779121399},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5435237288475037},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.482245534658432},{"id":"https://openalex.org/C2781414266","wikidata":"https://www.wikidata.org/wiki/Q531019","display_name":"Aortic valve stenosis","level":3,"score":0.4796614944934845},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4416502118110657},{"id":"https://openalex.org/C2780026749","wikidata":"https://www.wikidata.org/wiki/Q7912830","display_name":"Valve replacement","level":3,"score":0.43545955419540405},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.428877055644989},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.36594071984291077}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001024","descriptor_name":"Aortic Valve Stenosis","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D001024","descriptor_name":"Aortic Valve Stenosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D001024","descriptor_name":"Aortic Valve Stenosis","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D001024","descriptor_name":"Aortic Valve Stenosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D001024","descriptor_name":"Aortic Valve Stenosis","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D004452","descriptor_name":"Echocardiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006349","descriptor_name":"Heart Valve Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D006349","descriptor_name":"Heart Valve Diseases","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016019","descriptor_name":"Survival Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:16784066","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16784066","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of heart valve disease","raw_type":"Journal Article"},{"id":"mag:44479026","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16784066","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W142363866","https://openalex.org/W1846592457","https://openalex.org/W1963789174","https://openalex.org/W1965192449","https://openalex.org/W1966839964","https://openalex.org/W1977686768","https://openalex.org/W1982614819","https://openalex.org/W1988041966","https://openalex.org/W2000445173","https://openalex.org/W2009579046","https://openalex.org/W2015841279","https://openalex.org/W2032498157","https://openalex.org/W2060680646","https://openalex.org/W2085539882","https://openalex.org/W2111742359","https://openalex.org/W2113546360","https://openalex.org/W2127536775","https://openalex.org/W2128529067","https://openalex.org/W2136553191","https://openalex.org/W2260204265","https://openalex.org/W2326142435"],"related_works":["https://openalex.org/W2006235029","https://openalex.org/W2022017175","https://openalex.org/W3157802659","https://openalex.org/W3109005434","https://openalex.org/W1543456126","https://openalex.org/W2945822317","https://openalex.org/W2151892460","https://openalex.org/W2128776546","https://openalex.org/W2897171159","https://openalex.org/W2028554734"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1],"AIM":[2],"OF":[3],"THE":[4],"STUDY:":[5],"Aortic":[6],"stenosis":[7],"(AS)":[8],"remains":[9],"the":[10,16,19,43,134,244,259,267],"most":[11,245],"common":[12,246],"valvular":[13],"disease":[14],"of":[15,63,193,197,215,258,269],"elderly":[17,50,238,251,270,299],"in":[18,182,184],"United":[20],"States.":[21],"Though":[22],"valve":[23,89,97,142,253],"replacement":[24,143],"has":[25],"proven":[26],"effective":[27],"among":[28,234],"older":[29,173,235],"adults,":[30],"decision-making":[31,47,123],"regarding":[32],"surgery":[33,171,208,227,265,292],"is":[34],"difficult":[35],"for":[36,49,152,248],"these":[37,288],"patients":[38,51,64,136,160,195,252,271,276,300],"and":[39,46,104,117,120,128,155,236,241,275],"their":[40],"physicians.":[41],"Herein,":[42],"clinical":[44,118],"outcomes":[45],"process":[48],"with":[52,71,178,272],"severe":[53,72,273],"symptomatic":[54],"AS":[55,73,83],"was":[56,74,84,176],"assessed.":[57],"METHODS:":[58],"A":[59],"retrospective":[60],"cohort":[61],"study":[62,261],"aged":[65,161,199,217,277],">":[66,91,200,218,278],"or":[67,92,96,113,201,219],"=":[68,93,202,220],"60":[69],"years":[70,164,280],"conducted":[75],"at":[76],"two":[77],"large":[78,180],"urban":[79],"teaching":[80],"hospitals.":[81],"Severe":[82],"defined":[85],"by":[86,102],"a":[87,147,179],"mean":[88],"gradient":[90],"50":[94],"mmHg":[95],"area":[98],"<":[99,162],"0.8":[100],"cm2":[101],"echocardiogram,":[103],"associated":[105,177],"symptoms":[106],"(angina,":[107],"congestive":[108],"heart":[109],"failure,":[110],"dyspnea,":[111],"fatigue,":[112],"exercise":[114],"intolerance).":[115],"Demographic":[116],"data":[119],"information":[121],"about":[122],"were":[124,165,209,228,232,243],"obtained":[125],"from":[126,304],"inpatient":[127],"outpatient":[129],"medical":[130],"records.":[131],"RESULTS:":[132],"Of":[133],"124":[135],"studied,":[137],"49":[138],"(39.5%)":[139],"had":[140,206],"aortic":[141],"(AVR)":[144],"surgery.":[145],"In":[146],"logistic":[148],"regression":[149],"analysis":[150],"adjusting":[151],"gender,":[153],"comorbidity":[154],"baseline":[156],"functional":[157],"status,":[158],"those":[159,198,216],"80":[163,203,221,279],"significantly":[166],"more":[167],"likely":[168],"to":[169,284,298],"have":[170],"than":[172],"patients.":[174,239,286],"Surgery":[175],"reduction":[181],"mortality":[183],"all":[185,194],"age":[186,242],"groups.":[187],"At":[188],"one-year":[189],"follow":[190],"up,":[191],"87.8%":[192],"(87.5%":[196],"years)":[204,222],"who":[205,223,301],"undergone":[207],"alive,":[210],"while":[211],"only":[212],"54.7%":[213],"(49.1%":[214],"did":[224],"not":[225,249,294],"receive":[226],"alive.":[229],"Postoperative":[230],"complications":[231],"similar":[233,283],"younger":[237,285],"Comorbidity":[240],"reasons":[247],"offering":[250],"replacement.":[254],"CONCLUSION:":[255],"The":[256],"results":[257],"present":[260],"showed":[262],"that":[263,291],"AVR":[264],"improves":[266],"survival":[268],"AS,":[274],"experience":[281],"benefits":[282],"Nevertheless,":[287],"findings":[289],"suggest":[290],"may":[293],"always":[295],"be":[296],"offered":[297],"might":[302],"benefit":[303],"it.":[305]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":5},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":15},{"year":2014,"cited_by_count":18},{"year":2013,"cited_by_count":22},{"year":2012,"cited_by_count":13}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
