Valvular & structural heart diseaseResearch article
Temporal Trends in Mitral Valve Repair Procedures and Outcomes Among Older U.S. Adults
- Medicare beneficiaries undergoing mitral valve (MV) repair between 2017 and 2021 were analyzed
- adjusted Cox models with calendar year as a continuous variable
Authors' conclusion
Between 2017 and 2021, M-TEER utilization increased substantially whereas surgical MV repair declined, resulting in increased overall MV repair utilization. Over the same period, adjusted short-term and midterm mortality improved despite a higher overall comorbidity index.
Study context
- Population
- Medicare beneficiaries undergoing MV repair between 2017 and 2021M-TEER 39,097 · surgical MV repair 42,118
- Participants
- 81,215 beneficiaries
- Comparison
- Temporal trends in procedural utilization, comorbidity burden, and mortality, with calendar year as a continuous variable
- M-TEERn = 39,097
- surgical MV repairn = 42,118
Main finding
As reported in the abstract
Procedure utilization · 2017 to 2021
M-TEER
15.0 to 27.6 per 100,000 beneficiaries (+84.0%)
surgical MV repair
29.1 to 20.7 per 100,000 (−28.9%)
- overall increase in MV repair use
- 9.5%
Further findings
| Outcome | aHR (95% CI) | P value | |
|---|---|---|---|
| Adjusted mortality, overall, per calendar year — calendar year · 30-days · adjusted mortality decreased | 0.92 (0.89–0.94) | P < 0.001 | |
| Adjusted mortality, overall, per calendar year — calendar year · postdischarge 30-days · adjusted mortality decreased | 0.93 (0.89–0.97) | P < 0.001 | |
| Adjusted mortality, overall, per calendar year — calendar year · 1-year · adjusted mortality decreased | 0.98 (0.97–1.00) | P = 0.013 | |
| Adjusted mortality, overall, per calendar year — calendar year · 2-years · adjusted mortality decreased | 0.98 (0.97–0.99) | P < 0.001 | |
| 0.512Adjusted hazard ratio (log scale) |
| Outcome | M-TEER | surgical MV repair | Estimate | P value |
|---|---|---|---|---|
| Elixhauser Comorbidity Index | −0.2% | −5.1% |
- Elixhauser Comorbidity Index — increased overall
- +7.8%
Original publication
Temporal Trends in Mitral Valve Repair Procedures and Outcomes Among Older U.S. Adults. JACC Adv. Published 23 September 2026. doi:10.1016/j.jacadv.2026.103283
Summarised from the published abstract; every number is checked against it