Evidence map›Paper›PMID 25293721›Full record

ArticleEuropean journal of human genetics : EJHG2015

A genetic risk score for hypertension associates with the risk of ischemic stroke in a Swedish case-control study.

Cristiano Fava, Marketa Sjögren, Sandra Olsson, Håkan Lövkvist, Katarina Jood, Gunnar Engström, Bo Hedblad, Bo Norrving, Christina Jern, Arne Lindgren and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.5field-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

17 citing papers in PubMed, 33 citations in OpenAlex.

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  5. A Novel Afrocentric Stroke Risk Assessment Score: Models from the Siren Study.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
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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

11 authors at 2 institutions in 1 country.

Cristiano Fava1] Department of Clinical Sciences, Lund University, Lund University Hospital of Malmö, Malmö, Sweden [2] Department of Medicine, University Hospital of Verona, Verona, Italy.
Marketa SjögrenDepartment of Clinical Sciences, Lund University, Lund University Hospital of Malmö, Malmö, Sweden.
Sandra OlssonDepartment of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Håkan LövkvistDepartment of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden.
Katarina JoodDepartment of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Gunnar EngströmDepartment of Clinical Sciences, Lund University, Lund University Hospital of Malmö, Malmö, Sweden.
Bo HedbladDepartment of Clinical Sciences, Lund University, Lund University Hospital of Malmö, Malmö, Sweden.
Bo NorrvingDepartment of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden.
Christina JernDepartment of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Arne Lindgren1] Department of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden [2] Department of Neurology, Skåne University Hospital, Lund, Sweden.
Olle MelanderDepartment of Clinical Sciences, Lund University, Lund University Hospital of Malmö, Malmö, Sweden.
Lund University · SEUniversity of Gothenburg · SE

Funding

European Research Council 282255
6 · The paper itself

Abstract

Genetic risk scores (GRS), summing up the total effect of several single-nucleotide polymorphisms (SNPs) in genes associated with either coronary risk or cardiovascular risk factors, have been tested for association with ischemic stroke with conflicting results. Recently an association was found between a GRS based on 29 SNPs discovered by genome-wide association studies and hypertension. The aim of our study was to investigate the possible association of the same GRS with ischemic stroke on top of other 'traditional risk factors', also testing its potential improvement in indices of discrimination and reclassification, in a Swedish case-control study. Twenty-nine SNPs were genotyped in 3677 stroke cases and 2415 controls included in the Lund Stroke Register (LSR), the Malmö Diet and Cancer (MDC) study and the Sahlgrenska Academy Study on Ischemic Stroke (SAHLSIS). The analysis was conducted in the combined sample, and separately for the three studies. After adjustment for hypertension, diabetes mellitus and smoking habits, the GRS was associated with ischemic stroke in the combined sample (OR (95% CI) 1.086 (1.029-1.147) per SD increase in the GRS P=0.003) with similar trends in all three samples: LSR (1.050 (0.967-1.140); P=0.25), MDC (1.168 (1.060-1.288); P=0.002) and SAHLSIS (1.124 (0.997-1.267); P=0.055). Measures of risk discrimination and reclassification improved marginally using the GRS. A blood pressure GRS is independently associated with ischemic stroke risk in three Swedish case-control studies, however, the effect size is low and adds marginally to prediction of stroke on top of traditional risk factors including hypertension.

Indexed as

Polymorphism, Single NucleotideAgedAged, 80 and overBrain IschemiaCase-Control StudiesFemaleGene FrequencyGenetic Predisposition to DiseaseGenome-Wide Association StudyGenotypeHumansHypertensionMaleMiddle AgedProportional Hazards ModelsProspective Studies

Identifiers

PMID25293721
PMCPMC4351890
OpenAlexW1996309528

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.