Evidence map›Paper›PMID 26315003›Full record

SynthesisJournal of neurosurgery2016

Association of traumatic brain injury with subsequent neurological and psychiatric disease: a meta-analysis.

David C Perry, Virginia E Sturm, Matthew J Peterson, Carl F Pieper, Thomas Bullock, Bradley F Boeve, Bruce L Miller, Kevin M Guskiewicz, Mitchel S Berger, Joel H Kramer and 1 more

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of neurosurgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06288698 (Analyzing Enrolment and Engagement Trends in Individuals Confronting TBI), which is not on this map. Cited by 219 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
219citing papers in PubMed, 14 pooled it
16.8field-weighted citation impact, top 1% 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.

NCT06288698 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Analyzing Enrolment and Engagement Trends in Individuals Confronting TBI: Insights From TBI Clinical Trials

TypeobservationalSponsorPower Life Sciences Inc.Ran2025 to 2027Enrolled500ConditionsTBI
3 · Its place in the literature

Who cites it

219 citing papers in PubMed, 14 syntheses or guidelines pooled it, 425 citations in OpenAlex.

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  8. Stroke risk following traumatic brain injury: Systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2021
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159 more citing papers are in PubMed but not listed here.

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 6 institutions in 1 country.

David C PerryDepartments of 1 Neurology and.
Virginia E SturmDepartments of 1 Neurology and.
Matthew J PetersonGeriatric Research, Education, and Clinical Center, Veterans Affairs Medical Center;
Carl F PieperBiostatistics and Bioinformatics, and.
Thomas BullockUCSF School of Medicine, University of California, San Francisco, California;
Bradley F BoeveDepartment of Neurology, Mayo Clinic, Rochester, Minnesota; and.
Bruce L MillerDepartments of 1 Neurology and.
Kevin M GuskiewiczDepartment of Exercise and Sport Science, University of North Carolina, Chapel Hill, North Carolina.
Mitchel S BergerNeurosurgery;
Joel H KramerDepartments of 1 Neurology and.
Kathleen A Welsh-BohmerPsychiatry and Behavioral Sciences, Duke University, Durham, North Carolina;
University of California, San Francisco · USDuke University · USGeriatric Research Education and Clinical Center · USMayo Clinic · USNeurology, Inc · USUniversity of North Carolina at Chapel Hill · US

Funding

TDP-43 Loss-of-Function: Biology to BiomarkersP01AG019724 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Jennifer Merrilees · 2002 to 2026
$67.2M
SUPPLEMENT TO ALZHEIMERS DISEASE PATIENT REGISTRYU01AG006786 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, JACK, CLIFFORD R. · 1986 to 2023
$49.6M
UC Irvine Alzheimer's Disease Research Center Induced Pluripotent Stem Cell CoreP50AG016573 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI LAFERLA, FRANK M · 2000 to 2019
$37.0M
THE PGRN/TDP-43 AXIS IN ALZHEIMER?S DISEASE AND NEURODEGENERATIONP50AG016574 · NIA · MAYO CLINIC ROCHESTER · PI BU, GUOJUN · 1999 to 2018
$36.9M
PrPSc SPECIFIC INTERACTION WITH NOVEL PrP-Fc FUSION PROTEINSP50AG023501 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MILLER, BRUCE L · 2004 to 2018
$27.1M
The Frontotemporal Lobar Degeneration Neuroimaging InitiativeR01AG032306 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROSEN, HOWARD J · 2009 to 2013
$10.0M
NEUROPATHOLOGY COREP30AG028377 · NIA · DUKE UNIVERSITY · PI WELSH-BOHMER, KATHLEEN ANNE · 2006 to 2011
$9.6M
Epidemiology of Familial Late-Onset Alzheimer's DiseaseR01AG041797 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P · 2012 to 2016
$4.2M
Inter-disciplinary Program for Training and Mentoring in CER Methods and PracticeKM1CA156687 · NCI · DUKE UNIVERSITY · PI ABERNETHY, AMY P., DELONG, ELIZABETH R. · 2010 to 2010
$2.4M
Reward processing in frontotemporal dementiaK23AG045289 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PERRY, DAVID C · 2014 to 2018
$880k
Identifying the Neural Basis and Functional Role of Emotional Empathy in DementiaK23AG040127 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STURM, VIRGINIA EMILY · 2012 to 2016
$713k
NCI NIH HHS KM1 CA156687NCI NIH HHS KM1CA156687NIA NIH HHS 1K23AG040127NIA NIH HHS K23 AG040127NIA NIH HHS K23 AG045289NIA NIH HHS P01 AG019724NIA NIH HHS P01AG019724NIA NIH HHS P30 AG028377NIA NIH HHS P30 AG28377NIA NIH HHS P50 AG016574NIA NIH HHS P50 AG023501NIA NIH HHS P50AG023501NIA NIH HHS P50 AG1657303NIA NIH HHS R01 AG032306NIA NIH HHS R01 AG041797NIA NIH HHS U01 AG006786
6 · The paper itself

Abstract

objectiveMild traumatic brain injury (TBI) has been proposed as a risk factor for the development of Alzheimer's disease, Parkinson's disease, depression, and other illnesses. This study's objective was to determine the association of prior mild TBI with the subsequent diagnosis (that is, at least 1 year postinjury) of neurological or psychiatric disease.

methodsAll studies from January 1995 to February 2012 reporting TBI as a risk factor for diagnoses of interest were identified by searching PubMed, study references, and review articles. Reviewers abstracted the data and assessed study designs and characteristics.

resultsFifty-seven studies met the inclusion criteria. A random effects meta-analysis revealed a significant association of prior TBI with subsequent neurological and psychiatric diagnoses. The pooled odds ratio (OR) for the development of any illness subsequent to prior TBI was 1.67 (95% CI 1.44-1.93, p < 0.0001). Prior TBI was independently associated with both neurological (OR 1.55, 95% CI 1.31-1.83, p < 0.0001) and psychiatric (OR 2.00, 95% CI 1.50-2.66, p < 0.0001) outcomes. Analyses of individual diagnoses revealed higher odds of Alzheimer's disease, Parkinson's disease, mild cognitive impairment, depression, mixed affective disorders, and bipolar disorder in individuals with previous TBI as compared to those without TBI. This association was present when examining only studies of mild TBI and when considering the influence of study design and characteristics. Analysis of a subset of studies demonstrated no evidence that multiple TBIs were associated with higher odds of disease than a single TBI.

conclusionsHistory of TBI, including mild TBI, is associated with the development of neurological and psychiatric illness. This finding indicates that either TBI is a risk factor for heterogeneous pathological processes or that TBI may contribute to a common pathological mechanism.

Indexed as

Brain ConcussionBrain InjuriesDementiaHumansMental DisordersNervous System DiseasesRisk FactorsALS = amyotrophic lateral sclerosisCI = confidence intervalCTE = chronic traumatic encephalopathydementiahead injuryLOC = loss of consciousnessmeta-analysisOR = odds ratiopsychiatryTBI = traumatic brain injurytraumatic brain injury

Identifiers

PMID26315003
PMCPMC4751029
OpenAlexW2130029062

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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.