<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332019000600328</article-id>
<article-id pub-id-type="doi">10.1016/j.rccar.2019.05.005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Revisión de la evidencia de estudios de supervivencia de pacientes con prótesis valvular biológica]]></article-title>
<article-title xml:lang="en"><![CDATA[Review of the evidence in survival studies of patients with a biological valve replacement]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castañeda-Porras]]></surname>
<given-names><![CDATA[Oneida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Segura, Morón &amp; Castañeda Asesores en Salud Ltda. (SMC-AS) Unidad de Investigaciones ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>26</volume>
<numero>6</numero>
<fpage>328</fpage>
<lpage>337</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332019000600328&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332019000600328&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332019000600328&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  las modificaciones en las características estructurales/funcionales de las prótesis valvulares han derivado en un aumento en las curvas de sobrevida/supervivencia de los pacientes, dada la reducción de las tasas de morbilidad y mortalidad posteriores a intervenciones quirúrgicas de las válvulas cardíacas y los cambios sustanciales en la relación costo-efectividad y costo-beneficio de estos procedimientos.  Objetivo:  conocer la supervivencia de pacientes mayores de 60 años de edad, con prótesis valvular biológica.  Materiales y métodos:  revisión de estudios de seguimiento publicados en los cuales se evaluó la supervivencia de los pacientes sometidos a reemplazo valvular. Se hizo una búsqueda de artículos científicos registrados en la base de datos PubMed, de acuerdo con los descriptores seleccionados como palabras clave &#8722; Prótesis Valvulares Cardíacas/Heart Valve Prosthesis, Bioprótesis/Bioprosthesis, Supervivencia/Survival &#8722; en el programa de gestión de referencias EndNote. Se valoró la fuerza de evidencia científica de cada uno de los artículos seleccionados con la escala de McMaster para estudios cuantitativos.  Resultados:  se obtuvieron 12 referencias y se descartaron 5 (41,7%); calificación global de &#8220;fuerte&#8221; con la escala de McMaster 7 (58,3%). El tiempo promedio de seguimiento fue de 13,7 años y la razón de masculinidad de 1:0,8. La edad promedio de los pacientes fue 67,2 (rango 60,0-78,5) años. La supervivencia promedio a diez años fue del 65%.  Conclusiones:  se observa mayor supervivencia entre los pacientes sometidos a reemplazo valvular mecánico versus biológico; sin embargo, la literatura plantea como opción razonable el uso de prótesis biológicas en pacientes mayores de 60 años. Se reconoce, así mismo, la necesidad de hacer más estudios que puedan corroborar los hallazgos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The modifications in the structural / functional features of replacement valves have led to an increase the survival curves of the patients. This can be seen in the reduction in morbidity and mortality rates after the surgical intervention of the cardiac valves, as well as the substantial changes in the cost-effectivity and cost-benefit ratio of these procedures.  Objective:  To determine the survival of patients over 60 years of age with a biological valve replacement.  Materials and methods:  A review of follow-up published studies that evaluated the survival of patients subjected to a valve replacement. A search was made of the scientific articles registered in the PubMed databases, using the selected descriptors as Key words: Heart Valve Prosthesis, Bioprosthesis, Survival, in the references management program-EndNote. The strength of the scientific evidence in each of the selected articles was assessed using the McMaster scale for quantitative studies.  Results:  A total of 12 references were found and 5 (41.7%) were discarded, and 7 (58.3%) had an overall &#8220;strong&#8221; score with the McMaster scale. The mean follow-up time was 13.7 years, and the male ratio was 1:0.8. The mean age of the patients was 67.2 (range: 60.0-78.5) years. The mean survival rate at 10 years was 65%.  Conclusions:  A higher survival was observed between the patients fitted with a mechanical versus a biological valve. However, the literature has established the use of a biological replacement valve as a reasonable option in patients over 60 years of age. It is also recognised that more studies are needed that can corroborate the findings.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Prótesis valvulares cardíacas]]></kwd>
<kwd lng="es"><![CDATA[Bioprótesis]]></kwd>
<kwd lng="en"><![CDATA[Cardiac valve replacements]]></kwd>
<kwd lng="en"><![CDATA[Biological valve]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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