Evidence map›Paper›PMID 26230728›Full record

ArticlePloS one2015

The Additive Value of Femoral Ultrasound for Subclinical Atherosclerosis Assessment in a Single Center Cohort of 962 Adults, Including High Risk Patients with Rheumatoid Arthritis, Human Immunodeficiency Virus Infection and Type 2 Diabetes Mellitus.

Athanasios D Protogerou, Jaap Fransen, Evangelia Zampeli, Antonis A Argyris, Evagelia Aissopou, Aikaterini Arida, George D Konstantonis, Nikos Tentolouris, Konstantinos Makrilakis, Mina Psichogiou and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 41 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

13 authors at 4 institutions in 3 countries.

Athanasios D ProtogerouFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece; Joint Academic Rheumatology Program of the National and Kapodistrian University of Athens Medical School, Athens, Greece.
Jaap FransenDepartment of Rheumatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Evangelia ZampeliFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece; Joint Academic Rheumatology Program of the National and Kapodistrian University of Athens Medical School, Athens, Greece.
Antonis A ArgyrisFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece.
Evagelia AissopouFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece.
Aikaterini AridaFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece; Joint Academic Rheumatology Program of the National and Kapodistrian University of Athens Medical School, Athens, Greece.
George D KonstantonisFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece; Joint Academic Rheumatology Program of the National and Kapodistrian University of Athens Medical School, Athens, Greece.
Nikos TentolourisFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece.
Konstantinos MakrilakisFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece.
Mina PsichogiouFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece.
George DaikosFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece.
George D KitasDepartment of Rheumatology, Dudley Group NHS Foundation Trust, Dudley, United Kingdom; Arthritis Research UK Epidemiology Unit, University of Manchester, Manchester, United Kingdom.
Petros P SfikakisFirst Department of Propaedeutic & Internal Medicine, Laikon Hospital, Athens, Greece; Joint Academic Rheumatology Program of the National and Kapodistrian University of Athens Medical School, Athens, Greece.
Laiko General Hospital of Athens · GRNational and Kapodistrian University of Athens · GRRadboud University Medical Center · NLUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPresence of femoral atheromatic plaques, an emerging cardiovascular disease (CVD) biomarker additional to carotid plaques, is poorly investigated in conditions associating with accelerated atherosclerosis such as Rheumatoid Arthritis (RA), Human Immunodeficiency Virus (HIV) infection and Type 2 Diabetes Mellitus (T2DM). OBJECTIVE/

methodsTo assess the frequency of femoral/carotid subclinical atheromatosis phenotypes in RA, HIV and T2DM and search for each disease-specific probability of either femoral and/or carotid subclinical atheromatosis, we examined by ultrasound a single-center cohort of CVD-free individuals comprised of consecutive non-diabetic patients with RA (n=226) and HIV (n=133), T2DM patients (n=109) and non-diabetic individuals with suspected/known hypertension (n=494) who served as reference group.

resultsSubclinical atheromatosis--defined as local plaque presence in at least on arterial bed--was diagnosed in 50% of the overall population. Among them, femoral plaques only were found in 25% of either RA or HIV patients, as well as in 16% of T2DM patients and 35% of reference subjects. After adjusting for all classical CVD risk factors, RA and HIV patients had comparable probability to reference group of having femoral plaques, but higher probability (1.75; 1.17-2.63 (odds ratio; 95% confidence intervals), 2.04; 1.14-3.64, respectively) of having carotid plaques, whereas T2DM patients had higher probability to have femoral and carotid plaques, albeit, due to their pronounced dyslipidemic profile.

conclusionRA and HIV accelerate predominantly carotid than femoral. A "two windows" carotid/femoral, rather than carotid alone ultrasound, screening improves substantially subclinical atheromatosis detection in patients at high CVD risk.

Indexed as

AdultArthritis, RheumatoidAtherosclerosisBiomarkersCarotid ArteriesCarotid Artery DiseasesDiabetes Mellitus, Type 2FemaleFemoral ArteryHIV InfectionsHumansMaleMiddle AgedNeckPlaque, AtheroscleroticRisk FactorsBiomarkers

Identifiers

PMID26230728
PMCPMC4521696
OpenAlexW1759970732

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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.