Evidence map›Paper›PMID 41938244›Full record

ArticleAnnals of pediatric cardiology

Impact of a national policy on congenital heart disease mortality in Brazil.

Pedro Lucas Azevedo De Carvalho, Julia Castro Rodrigues, Igor Alexandre Makoto Ono Sousa, Ana Luiza Azevedo De Carvalho, Luana Izabela Azevedo De Carvalho, Edward Araujo Júnior, Luciane Alves Da Rocha Amorim

Erratum issuedAbstract read
In one paragraph

Article in Annals of pediatric cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

7 authors.

Pedro Lucas Azevedo De CarvalhoPostgraduate Program in Health Sciences, Medical School, Federal University of Amazonas, Manaus, Amazonas, Brazil.
Julia Castro RodriguesPostgraduate Program in Health Sciences, Medical School, Federal University of Amazonas, Manaus, Amazonas, Brazil.
Igor Alexandre Makoto Ono SousaDepartment of Medicine, Medical School, Amazonas State University, Manaus, Amazonas, Brazil.
Ana Luiza Azevedo De CarvalhoPostgraduate Program in Health Sciences, Medical School, Federal University of Amazonas, Manaus, Amazonas, Brazil.
Luana Izabela Azevedo De CarvalhoUniversity Hospital Getúlio Vargas, Federal University of Amazonas, Manaus, Amazonas, Brazil.
Edward Araujo JúniorDepartment of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil.
Luciane Alves Da Rocha AmorimPostgraduate Program in Health Sciences, Medical School, Federal University of Amazonas, Manaus, Amazonas, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The objective of this study was to evaluate the impact of the implementation of a National Plan for the Assistance of Children with Congenital Heart Disease (CHD) in Brazil on infant mortality rates. Methods: This retrospective cohort study analyzed data from the Mortality Information System (SIM) for the period 2012-2023. In 2017, the Brazilian Ministry of Health launched a National Health Policy through Ordinance No. 1727, aiming to expand pediatric cardiac surgery capacity and reduce regional disparities in care for CHD. The study included all deaths among children under 1 year of age with CHD, identified using the International Classification of Diseases-10 codes Q20-Q28. We compared the mean infant mortality rates between two periods: before (2012-2017) and after (2018-2023) the policy implementation. In addition, we examined the relationship between CHD mortality and socioeconomic indicators, including the Human Development Index (HDI) and the Social Vulnerability Index (SVI). Results: There was no significant reduction in infant mortality rates between the two periods. When analyzing mortality rates by Brazilian region, no statistically significant differences were observed before and after the ordinance, except for the north region, which showed a worsening trend (112.9 vs. 125.3 deaths per 100,000 live births; Conclusions: So far, no significant change in infant mortality due to CHD has been observed in Brazil following the implementation of the National Plan for the Assistance of Children with CHD.

Indexed as

Congenital heart diseasehealth inequitieshealth policyinfant mortality

Identifiers

PMID41938244
PMCPMC13048532

What Socratic holds

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LicenceCC BY-NC-SA
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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 Socratic graph.