Evidence map›Paper›PMID 10903648›Full record

SynthesisBMJ (Clinical research ed.)2000

Low grade inflammation and coronary heart disease: prospective study and updated meta-analyses.

J Danesh, P Whincup, M Walker, L Lennon, A Thomson, P Appleby, J R Gallimore, M B Pepys

Registry-linked trialOpen access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04663165 (Biomarkers in Gingival Exudate and Blood Serum Before and After Surgical Treatment of Periodontitis), which is not on this map. Cited by 410 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
410citing papers in PubMed, 10 pooled it
74.2field-weighted citation impact, top 1% of its field
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.

NCT04663165 nacompletednot on this mapstarted 2010, after this paper: background citation

Biomarkers in Gingival Exudate and Blood Serum Before and After Surgical Treatment of Periodontitis

TypeinterventionalSponsorAnders HolmlundRan2010 to 2015Enrolled21ConditionsPeriodontitisArmsPeriodontal surgery, Regenerative periodontal surgery
3 · Its place in the literature

Who cites it

410 citing papers in PubMed, 10 syntheses or guidelines pooled it, 1,693 citations in OpenAlex.

  1. Pooled it
  2. Antibiotics for secondary prevention of coronary heart disease.The Cochrane database of systematic reviews · 2021
    Pooled it
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  7. Relationship Between Low Bone Mineral Density and Fractures With Incident Cardiovascular Disease: A Systematic Review and Meta-Analysis.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    Pooled it
  8. Pooled it
  9. C-reactive protein level predicts mortality in COPD: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2017
    Pooled it
  10. Serum inflammatory markers in obstructive sleep apnea: a meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2013
    Pooled it
  11. Trial
  12. Building a database for brain 18 kDa translocator protein imaged using [Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2019
    Trial
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  15. Circadian misalignment increases cardiovascular disease risk factors in humans.Proceedings of the National Academy of Sciences of the United States of America · 2016
    Trial
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  19. Article
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350 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

J DaneshClinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Radcliffe Infirmary, Oxford OX2 6HE.
P Whincup
M Walker
L Lennon
A Thomson
P Appleby
J R Gallimore
M B Pepys
University of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess associations between baseline values of four different circulating markers of inflammation and future risk of coronary heart disease, potential triggers of systemic inflammation (such as persistent infection), and other markers of inflammation.

designNested case-control comparisons in a prospective, population based cohort.

settingGeneral practices in 18 towns in Britain.

participants506 men who died from coronary heart disease or had a non-fatal myocardial infarction and 1025 men who remained free of such disease until 1996 selected from 5661 men aged 40-59 years who provided blood samples in 1978-1980.

main outcome measuresPlasma concentrations of C reactive protein, serum amyloid A protein, and serum albumin and leucocyte count. Information on fatal and non-fatal coronary heart disease was obtained from medical records and death certificates.

resultsCompared with men in the bottom third of baseline measurements of C reactive protein, men in the top third had an odds ratio for coronary heart disease of 2.13 (95% confidence interval 1.38 to 3.28) after age, town, smoking, vascular risk factors, and indicators of socioeconomic status were adjusted for. Similar adjusted odds ratios were 1.65 (1.07 to 2.55) for serum amyloid A protein; 1.12 (0.71 to 1.77) for leucocyte count; and 0.67 (0.43 to 1.04) for albumin. No strong associations were observed of these factors with Helicobacter pylori seropositivity, Chlamydia pneumoniae IgG titres, or plasma total homocysteine concentrations. Baseline values of the acute phase reactants were significantly associated with one another (P<0.0001), although the association between low serum albumin concentration and leucocyte count was weaker (P=0.08).

conclusionIn the context of results from other relevant studies these findings suggest that some inflammatory processes, unrelated to the chronic infections studied here, are likely to be involved in coronary heart disease.

Indexed as

Acute-Phase ReactionAdultBiomarkersCase-Control StudiesCohort StudiesCoronary DiseaseC-Reactive ProteinHumansInflammationMaleMiddle AgedOdds RatioProspective StudiesBiomarkersC-Reactive Protein

Identifiers

PMID10903648
PMCPMC27435
OpenAlexW2100419955

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.