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. 2022 Nov 1;26(11):802–809. doi: 10.5152/AnatolJCardiol.2022.1665

Supplement Table 1C.

Summary of Findings and Strength of Evidence (GRADE) for 1-Year Results

TAVI Compared to SAVR for Low-Risk Surgical Patients with Aortic Stenosis
Patient or population: low-risk surgical patients with aortic stenosis
Settings:
Intervention: TAVI1
Comparison: SAVR2
Outcomes Illustrative Comparative Risks* (95% CI) Relative Effect (95% CI) No of Participants (Studies) Quality of the Evidence (GRADE) Comments
Assumed Risk Corresponding Risk
SAVR TAVI
All-cause mortality
Follow-up: 1 year
Study population RR 0.66 (0.41-1.06) 2633 (3 studies) ⊕⊕⊕⊕ High
32 per 1000 21 per 1000 (13-34)
Moderate
30 per 1000 21 per 1000 (12-32)
Cardiovascular mortality
Follow-up: 1 year
Study population RR 0.56 (0.33-0.94) 2633 (3 studies) ⊕⊕⊕⊕ High
29 per 1000 16 per 1000 (10-27)
Moderate
27 per 1000 15 per 1000 (9-25)
Stroke
Follow-up: 1 year
Study population RR 0.71 (0.4-1.25) 2633 (3 studies) ⊕⊕⊕⊕ High
39 per 1000 27 per 1000 (15-48)
Moderate
43 per 1000 31 per 1000 (17-54)
Transient ischemic attack
Follow-up: 1 year
Study population RR 0.98 (0.52-1.83) 2633 (3 studies) ⊕⊕⊕⊕ High
15 per 1000 15 per 1000 (8-27)
Moderate
15 per 1000 15 per 1000 (8-27)
Myocardial infarction
Follow-up: 1 year
Study population RR 0.74 (0.43-1.27) 2633 (3 studies) ⊕⊕⊕⊕ High
23 per 1000 17 per 1000 (10-29)
Moderate
22 per 1000 16 per 1000 (9-28)
Life-threatening or disabling bleeding
Follow-up: 1 year
Study population RR 0.32 (0.24-0.42) 2353 (2 studies) ⊕⊕⊕⊕ High
156 per 1000 50 per 1000 (38-66)
Moderate
173 per 1000 55 per 1000 (42-73)
Permanent pacemaker implantation
Follow-up: 1 year
Study population RR 3.42 (1.33-8.82) 2633 (3 studies) ⊕⊕⊕⊝ Moderate3,4
57 per 1000 194 per 1000 (76-501)
Moderate
53 per 1000 181 per 1000 (70-467)
New-atrial fibrillation
Follow-up: 1 year
Study population RR 0.25 (0.18-0.36) 2633 (3 studies) ⊕⊕⊕⊕ High3,4
386 per 1000 96 per 1000 (69-139)
Moderate
384 per 1000 96 per 1000 (69-138)
*The basis for the assumed risk (e.g., the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
RR, risk ratio.
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.
1Transcatheter aortic valve implantation; 2surgical aortic valve replacement; 3inconsistency; 4large effect.