Evidence map›Paper›PMID 21481392›Full record

SynthesisAtherosclerosis2011

Interleukin 18 and coronary heart disease: prospective study and systematic review.

Barbara J M H Jefferis, Olia Papacosta, Christopher G Owen, S Goya Wannamethee, Steve E Humphries, Mark Woodward, Lucy T Lennon, Andrew Thomson, Paul Welsh, Ann Rumley and 2 more

Erratum issuedOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Atherosclerosis, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 72 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 7% 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.

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

72 citing papers in PubMed, 3 syntheses or guidelines pooled it, 122 citations in OpenAlex.

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  11. Intravascular hemolysis as a converging mechanism in hemolytic disorders.American journal of physiology. Heart and circulatory physiology · 2025
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Barbara J M H JefferisDepartment of Primary Care and Population Health, University College London, London NW3 2PF, UK. B.jefferis@ucl.ac.uk
Olia Papacosta
Christopher G Owen
S Goya Wannamethee
Steve E Humphries
Mark Woodward
Lucy T Lennon
Andrew Thomson
Paul Welsh
Ann Rumley
Gordon D O Lowe
Peter H Whincup
Roland Hill (United Kingdom) · GBUniversity of Glasgow · GBSt George's, University of London · GBDepartment of Health and Social Care · GBThe George Institute for Global Health · AUUniversity College London · GB

Funding

British Heart Foundation RG/04/003British Heart Foundation RG/08/008British Heart Foundation RG/08/008/25291British Heart Foundation RG/08/013/25942
6 · The paper itself

Abstract

aimPrevious studies suggest that circulating levels of interleukin-18 (IL-18) may be prospectively related to risk of coronary heart disease (CHD) in the general population. We report new data from the largest prospective study to date, which are combined with data from all published prospective studies in a meta-analysis.

methodsWe measured baseline IL-18 levels in stored serum samples of subjects from a case-control study nested within a prospective study of 5661 men aged 40-59 years recruited from general practices in 18 British towns in 1978-1980 and followed-up for up to 16 years (median time to event 8.4 years) for fatal CHD and non-fatal myocardial infarction (595 cases, 1238 controls).

resultsIL-18 concentrations were strongly related to cigarette smoking, triglyceride, HDL-cholesterol (inversely) and to circulating levels of several inflammatory and haemostatic markers. Men in the top third of baseline IL-18 levels had an age-adjusted odds ratio (OR) for CHD of 1.55 (95% CI 1.21, 1.98) compared with those in the lowest third; this was reduced to 1.30 (95% CI 0.99, 1.69) after additional adjustment for vascular risk factors and 1.12 (95% CI 0.84, 1.49) after further adjustment for CRP and IL-6. In meta-analyses of CVD, associations (or effect sizes) were consistent between studies; RRs were 1.64 [corrected] (95% CI 1.48, 1.83) [corrected] after age adjustment, 1.39 (95% CI 1.25, [corrected] 1.55) after additional risk factor adjustment and 1.34 (95% CI 1.17, 1.53) [corrected] after additional adjustment for inflammatory markers.

conclusionsCirculating IL-18 is prospectively and independently associated with CVD risk.

Indexed as

AdultCase-Control StudiesCoronary DiseaseFollow-Up StudiesGenotypeHumansInflammationInterleukin-18Middle AgedModels, StatisticalOdds RatioProspective StudiesRiskRisk FactorsUnited KingdomInterleukin-18

Identifiers

PMID21481392
PMCPMC3146704
OpenAlexW2097502821

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.