{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T21:55:33Z","timestamp":1790978133601,"version":"4.1.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    Truncus arteriosus (TA) is a rare congenital cardiac anomaly requiring early surgical intervention, typically through either a single-stage neonatal repair {primary correction (PC)} or staged repair (SR), involving initial palliation followed by definitive correction. The optimal approach remains debatable.\n                    <jats:bold>Methods<\/jats:bold>\n                    A systematic search of multiple databases identified studies comparing SR and PC in TA. Pooled odds ratios (ORs), mean differences (MDs), and 95% confidence intervals (CIs) were calculated using RevMan v8.13.0. Time-to-event data for freedom from reoperation were reconstructed from published Kaplan\u2013Meier (KM) curves, and pooled hazard ratios (HRs) with 95% CI were estimated using a Cox frailty model.\n                    <jats:bold>Results:<\/jats:bold>\n                    Five studies comprising 534 pediatric patients were included, with 274 (51.3%) in the SR cohort. SR was associated with a significantly lower incidence of unplanned surgical reinterventions following complete repair at the end of follow-up [OR 0.28; 95% CI 0.14-0.55;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.02], while mortality at follow-up did not differ significantly between the approaches [OR 0.59; 95% CI 0.10-3.34;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.32]. Reconstructed KM curve demonstrated greater freedom from reoperation in the SR group over 12 years [HR 0.39; 95% CI 0.17-0.89;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.025]. Early perioperative outcomes, including cardiopulmonary bypass and aortic cross-clamp times, delayed sternal closure, intubation duration, early mortality, intensive care unit, and hospital stay, were similar between groups.\n                    <jats:bold>Conclusion<\/jats:bold>\n                    SR demonstrated fewer late unplanned reoperations over 12 years with comparable survival and perioperative outcomes to PC. However, these findings are based on low-certainty evidence from limited retrospective studies, warranting cautious interpretation.\n                  <\/jats:p>","DOI":"10.1177\/21501351261423199","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T10:50:41Z","timestamp":1775559041000},"page":"751-760","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Timing the Repair in Truncus Arteriosus: A Systematic Review and Meta-analysis with Reconstructed Time-to-Event Data Comparing Staged Repair and Primary Correction"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3563-4211","authenticated-orcid":false,"given":"Kristine","family":"Santos","sequence":"first","affiliation":[{"name":"New Vision University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wellgner Fernandes Oliveira","family":"Amador","sequence":"additional","affiliation":[{"name":"Universidade Federal de Campina Grande"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sriharsha","family":"Koduru","sequence":"additional","affiliation":[{"name":"Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pandora Eloa Oliveira","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Universidade Federal de Campina Grande"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amorim Domingos","family":"Neves","sequence":"additional","affiliation":[{"name":"Ural State Medical Univers"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mislav","family":"Planinc","sequence":"additional","affiliation":[{"name":"University Hospital Centre Zagreb"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.5090\/jcs.22.106"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000041324"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-025-03790-z"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezab455"},{"issue":"6","key":"e_1_3_2_6_2","first-page":"754","article-title":"Common arterial trunk: current implementation of the primary and staged repair strategies","volume":"21","author":"Sandrio S","year":"2015","unstructured":"Sandrio S, Ruffer A, Purbojo A, Glockler M, Dittrich S, Cesnjevara R. 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