Evidence map›Paper›PMID 19626399›Full record

ArticleHeart and vessels2009

Interleukin-6 is a stronger prognostic predictor than high-sensitive C-reactive protein in patients with chronic stable heart failure.

Borut Jug, Barbara Guzic Salobir, Nina Vene, Miran Sebestjen, Miso Sabovic, Irena Keber

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
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  14. Observational
  15. Review
  16. Article
  17. Article
  18. The Cardiomyocyte as a Source of Cytokines in Cardiac Injury.Journal of cell science & therapy · 2011
    Article
  19. Article
  20. Inflammation and cardiac outcome.Current opinion in infectious diseases · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Borut JugDepartment of Vascular Diseases, Clinic of Internal Medicine, University Clinical Center Ljubljana, Zaloska 7/VI, Ljubljana SI-1000, Slovenia. borut.jug@gmail.com
Barbara Guzic Salobir
Nina Vene
Miran Sebestjen
Miso Sabovic
Irena Keber

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure is characterized by activation of the immune system which is strongly associated with disease severity and outcome. We sought to compare the prognostic impact of two established inflammatory markers - interleukin-6 (IL-6) and high-sensitivity C-reactive protein (hsCRP) - in patients with chronic heart failure. In stable, optimally managed outpatients with chronic heart failure, baseline levels of hsCRP and IL-6 were determined. Clinical follow-up was obtained and the rate of events (heart failure related deaths or hospitalizations) were recorded. We included 201 patients (32.7% female, NYHA class II [66.2%] or III [33.8%], mean age 70 years). During a median follow up of 614 (367-761) days, 64 (30.9%) patients experienced an event; those with an event had higher levels of hsCRP (median 2.93 [interquartile range 2.36-8.92] vs 2.23 [1.32-5.77] mmol/l) and IL-6 (7.8 [4.7-10.3] vs 4.3 [2.6-7.9] pg/ml). However, on Cox multivariate analysis, IL-6 but not hsCRP emerged as an independent predictor of prognosis (hazard ratio HR(adjusted) 2.74, 95% confidence interval 1.17-6.43; P = 0.020). Our findings suggest that IL-6 is a better prognostic predictor than hsCRP in patients with chronic stable heart failure.

Indexed as

AgedBiomarkersChronic DiseaseC-Reactive ProteinDisease-Free SurvivalFemaleHeart FailureHospitalizationHumansInflammation MediatorsInterleukin-6Kaplan-Meier EstimateMaleMiddle AgedPredictive Value of TestsPrognosisBiomarkersC-Reactive ProteinIL6 protein, humanInflammation MediatorsInterleukin-6

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.