Evidence map›Paper›PMID 24667823›Full record

Trial reportPloS one2014

The effect of the systemic inflammatory response on plasma vitamin 25 (OH) D concentrations adjusted for albumin.

Rawia A Ghashut, Dinesh Talwar, John Kinsella, Andrew Duncan, Donald C McMillan

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Association of Vitamin D Levels With Outcome in Patients With Melanoma After Adjustment For C-Reactive Protein.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Trial
  5. Article
  6. Review
  7. Vitamin D deficiency in hip fracture patients is associated with an increased mortality risk.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Review
  14. Observational
  15. Article
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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

5 authors at 2 institutions in 1 country.

Rawia A GhashutAcademic Unit of Anaesthesia, College of Medical, Veterinary and Life of Sciences- University of Glasgow, Glasgow Royal Infirmary, Glasgow, United Kingdom; Academic Unit of Surgery, College of Medical, Veterinary and Life of Sciences- University of Glasgow, Glasgow Royal Infirmary, Glasgow, United Kingdom.
Dinesh TalwarThe Scottish Trace Element and Micronutrient Reference Laboratory, Department of Biochemistry, Glasgow Royal Infirmary, Glasgow, United Kingdom.
John KinsellaAcademic Unit of Anaesthesia, College of Medical, Veterinary and Life of Sciences- University of Glasgow, Glasgow Royal Infirmary, Glasgow, United Kingdom.
Andrew DuncanThe Scottish Trace Element and Micronutrient Reference Laboratory, Department of Biochemistry, Glasgow Royal Infirmary, Glasgow, United Kingdom.
Donald C McMillanAcademic Unit of Surgery, College of Medical, Veterinary and Life of Sciences- University of Glasgow, Glasgow Royal Infirmary, Glasgow, United Kingdom.
Glasgow Royal Infirmary · GBUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlasma 25-hydroxyvitamin D (25(OH) D) deficiencies are associated with several diseases. The magnitude of systemic inflammatory response, as evidenced by C-reactive protein (CRP), is a major factor associated with lower 25(OH)D. Other aspects of the systemic inflammatory response may be important in determining plasma 25 (OH)D concentrations.

aimTo examine the relationship between plasma 25(OH)D, CRP and albumin concentrations in two patient cohorts.

methods5327 patients referred for nutritional assessment and 117 patients with critical illness were examined. Plasma 25 (OH) D concentrations were measured using standard methods. Intra and between assay imprecision was <10%.

resultIn the large cohort, plasma 25 (OH) D was significantly associated with CRP (r(s)  =  -0.113, p<0.001) and albumin (rs = 0.192, p<0.001). 3711 patients had CRP concentrations ≤ 10 mg/L; with decreasing albumin concentrations ≥ 35, 25-34 and <25 g/l, median concentrations of 25 (OH) D were significantly lower from 35 to 28 to 14 nmol/l (p<0.001). This decrease was significant when albumin concentrations were reduced between 25-34 g/L (p<0.001) and when albumin <25 g/L (p<0.001). 1271 patients had CRP concentrations between 11-80 mg/L; with decreasing albumin concentrations ≥ 35, 25-34 and <25 g/l, median concentrations of 25 (OH) D were significantly lower from 31 to 24 to 19 nmol/l (p<0.001). This decrease was significant when albumin concentration were 25-34 g/L (p<0.001) and when albumin <25 g/L (p<0.001). 345 patients had CRP concentrations >80 mg/L; with decreasing albumin concentrations ≥ 35, 25-34 and <25 g/l, median concentrations of 25 (OH) D were not significantly altered varying from 19 to 23 to 23 nmol/l. Similar relationships were also obtained in the cohort of patients with critical illness.

conclusionPlasma concentrations of 25(OH) D were independently associated with both CRP and albumin and consistent with the systemic inflammatory response as a major confounding factor in determining vitamin D status.

Indexed as

AdolescentAdultAgedAged, 80 and overC-Reactive ProteinFemaleHumansMaleMiddle AgedRetrospective StudiesSerum AlbuminSystemic Inflammatory Response SyndromeVitamin DVitamin D Deficiency25-hydroxyvitamin DC-Reactive ProteinSerum AlbuminVitamin D

Identifiers

PMID24667823
PMCPMC3965436
OpenAlexW2148475186

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.