Evidence map›Paper›PMID 21911804›Full record

ArticleCirculation2011

Thrombomodulin gene variants are associated with increased mortality after coronary artery bypass surgery in replicated analyses.

Robert L Lobato, William D White, Joseph P Mathew, Mark F Newman, Peter K Smith, Charles B McCants, John H Alexander, Mihai V Podgoreanu, Duke Perioperative Genetics and Safety Outcomes (PEGASUS) Investigative Team

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Circulation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

23 citing papers in PubMed, 35 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Robert L LobatoDepartment of Anesthesia, Stanford University School of Medicine, Stanford, CA, USA.
William D White
Joseph P Mathew
Mark F Newman
Peter K Smith
Charles B McCants
John H Alexander
Mihai V Podgoreanu
Duke Perioperative Genetics and Safety Outcomes (PEGASUS) Investigative Team
Stanford University · US

Funding

Genetics Myocardial Adverse Outcomes/Graft Failure-CABGR01HL075273 · NHLBI · DUKE UNIVERSITY · PI PODGOREANU, MIHAI V. · 2004 to 2008
$3.2M
Cross-species analysis of myocardial susceptibility to perioperative stressR01HL092071 · NHLBI · DUKE UNIVERSITY · PI PODGOREANU, MIHAI V. · 2007 to 2010
$1.9M
AGING AND COGNITION AFTER CARDIAC SURGERYR01AG009663 · NIA · DUKE UNIVERSITY · PI NEWMAN, MARK FRANKLIN · 1991 to 2003
$1.3M
GENETIC BASIS OF COGNITIVE DECLINE AFTER SUGERYR01HL054316 · NHLBI · DUKE UNIVERSITY · PI NEWMAN, MARK FRANKLIN · 1997 to 2000
$261k
NHLBI NIH HHS R01 HL075273NHLBI NIH HHS R01-HL075273NHLBI NIH HHS R01 HL092071NHLBI NIH HHS R01-HL092071NHLBI NIH HHS R01-HL54316NIA NIH HHS R01-AG09663
6 · The paper itself

Abstract

backgroundWe tested the hypothesis that genetic variation in thrombotic and inflammatory pathways is independently associated with long-term mortality after coronary artery bypass graft (CABG) surgery. METHODS AND

resultsTwo separate cohorts of patients undergoing CABG surgery at a single institution were examined, and all-cause mortality between 30 days and 5 years after the index CABG was ascertained from the National Death Index. In a discovery cohort of 1018 patients, a panel of 90 single-nucleotide polymorphisms (SNPs) in 49 candidate genes was tested with Cox proportional hazard models to identify clinical and genomic multivariate predictors of incident death. After adjustment for multiple comparisons and clinical predictors of mortality, the homozygote minor allele of a common variant in the thrombomodulin (THBD) gene (rs1042579) was independently associated with significantly increased risk of all-cause mortality (hazard ratio, 2.26; 95% CI, 1.31 to 3.92; P=0.003). Six tag SNPs in the THBD gene, 1 of which (rs3176123) in complete linkage disequilibrium with rs1042579, were then assessed in an independent validation cohort of 930 patients. After multivariate adjustment for the clinical predictors identified in the discovery cohort and multiple testing, the homozygote minor allele of rs3176123 independently predicted all-cause mortality (hazard ratio, 3.6; 95% CI, 1.67 to 7.78; P=0.001).

conclusionsIn 2 independent cardiac surgery cohorts, linked common allelic variants in the THBD gene are independently associated with increased long-term mortality risk after CABG and significantly improve the classification ability of traditional postoperative mortality prediction models.

Indexed as

Coronary Artery BypassAgedCohort StudiesCoronary Artery DiseaseFemaleGenetic Predisposition to DiseaseGenotypeHumansMaleMiddle AgedPolymorphism, Single NucleotideProportional Hazards ModelsProspective StudiesRisk FactorsSurvival RateThrombomodulinThrombomodulin

Identifiers

PMID21911804
PMCPMC3192987
OpenAlexW2114252135

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Registered trials

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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.