Evidence map›Paper›PMID 26788075›Full record

ArticleArchives of medical science : AMS2015

Ear lobe crease: a marker of coronary artery disease?

Aris P Agouridis, Moses S Elisaf, Devaki R Nair, Dimitri P Mikhailidis

Registry-linked trialAbstract read
In one paragraph

Article in Archives of medical science : AMS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07427745 (PRESENCE OF FRANK'S SIGN), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07427745 completednot on this mapstarted 2024, after this paper: background citation

Presence of frank's sign: a comparative evaluation in smokers and non-smokers

TypeobservationalSponsorSamsun UniversityRan2024 to 2025Enrolled404ConditionsSmoking ( Cigarette), Cardiovascular DiseaseArmsTo obtain bilateral ear photographs, To take a medical history
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Diagonal earlobe crease (Frank's sign) and increased risk of cerebrovascular diseases: review of the literature and implications for clinical practice.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Pooled it
  2. Article
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  8. Dermatological manifestations of cardiac conditions.The British journal of cardiology · 2022
    Article
  9. Article
  10. Article
  11. The Histological Basis of Frank's Sign.Head and neck pathology · 2021
    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

4 authors.

Aris P AgouridisDepartment of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece; Department of Clinical Biochemistry (Vascular Disease Prevention Clinics), Royal Free London Foundation Trust, Pond Street, London, UK.
Moses S ElisafDepartment of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece.
Devaki R NairDepartment of Clinical Biochemistry (Vascular Disease Prevention Clinics), Royal Free London Foundation Trust, Pond Street, London, UK.
Dimitri P MikhailidisDepartment of Clinical Biochemistry (Vascular Disease Prevention Clinics), Royal Free Hospital Campus, University College London Medical School, University College London (UCL), London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ear lobe crease (ELC) has been defined as a deep wrinkle that extends backwards from the tragus to the auricle. It has been proposed that ELC is a predictor of coronary artery disease (CAD). In this review, we consider the possible association between ELC and CAD. Our aim is to systematically address all the relevant evidence in this field. There are many studies that support an association between ELC and CAD. However, other studies did not find such an association. A recent meta-analysis supports the hypothesis that ELC could be a marker of CAD. However, several limitations raise doubts as to whether we should accept this link.

Indexed as

coronary artery diseaseear lobe creaseFrank's sign

Identifiers

PMID26788075
PMCPMC4697048

What OpenQuestion holds

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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.