Evidence map›Paper›PMID 26847197›Full record

ArticleBMC health services research2016

Association of PNPLA3 rs738409 and TM6SF2 rs58542926 with health services utilization in a population-based study.

Julia Köpp, Steffen Fleßa, Wolfgang Lieb, Marcello Ricardo Paulista Markus, Alexander Teumer, Georg Homuth, Henri Wallaschofski, Paul Marschall, Henry Völzke, Sebastian Edgar Baumeister

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Observational
  2. Article
  3. Role of PMRespiratory research · 2019
    Article
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

10 authors at 5 institutions in 1 country.

Julia KöppDepartment of Community Medicine, University Medicine Greifswald, Walther-Rathenau-Straße 48, 17475, Greifswald, Germany.
Steffen FleßaDepartment of Health Care Management, Ernst Moritz Arndt University of Greifswald, Friedrich-Loeffler-Straße 70, 17489, Greifswald, Germany.
Wolfgang LiebInstitute for Epidemiology, Christian Albrechts University, Niemannsweg 11, 24105, Kiel Kiel, Germany.
Marcello Ricardo Paulista MarkusDepartment of Community Medicine, University Medicine Greifswald, Walther-Rathenau-Straße 48, 17475, Greifswald, Germany.
Alexander TeumerDepartment of Community Medicine, University Medicine Greifswald, Walther-Rathenau-Straße 48, 17475, Greifswald, Germany.
Georg HomuthDepartment of Functional Genomics, Ernst Moritz Arndt University of Greifswald, Greifswald, Germany.
Henri WallaschofskiInstitute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
Paul MarschallDepartment of Health Care Management, Ernst Moritz Arndt University of Greifswald, Friedrich-Loeffler-Straße 70, 17489, Greifswald, Germany.
Henry VölzkeDepartment of Community Medicine, University Medicine Greifswald, Walther-Rathenau-Straße 48, 17475, Greifswald, Germany.
Sebastian Edgar BaumeisterDepartment of Community Medicine, University Medicine Greifswald, Walther-Rathenau-Straße 48, 17475, Greifswald, Germany. sebastian.baumeister@ukr.de.
Universitätsmedizin Greifswald · DEUniversität Greifswald · DEKiel University · DEMicromun · DEUniversity of Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatic steatosis confers an increased risk of metabolic and cardiovascular disease and higher health services use. Associations of the single nucleotide polymorphisms (SNP) PNPLA3 rs738409 and TM6SF2 rs58542926 with hepatic steatosis have recently been established. This study investigates the association between rs738409 and rs58542926 with health services utilization in a general population.

methodsData of 3759 participants from Study of Health in Pomerania (SHIP), a population-based study in Germany, were obtained. The annual number of outpatient visits, hospitalization and length of hospital stay was regressed on rs738409 and rs58542926 and adjusted for socio-economic factors, lifestyle habits, clinical factors, and health status.

resultsMinor allele homozygous subjects of rs738409 had an increased odds of hospitalization as compared to major allele homozygous subjects (odds ratio [OR] 1.51; 95% confidence interval [CI], 1.02 to 2.15). Heterozygous subjects did not differ from major allele homozygous subjects with respect to their odds of hospitalization. The three genotype groups of rs738409 were similar with respect to the number of outpatient visits and inpatient days. Minor allele homozygous and heterozygous subjects of rs58542926 had higher outpatient utilization (+53.04% and +67.56%, p < 0.05, respectively) and inpatient days than major allele homozygous subjects.

conclusionsAfter adjustment for several confounding factors, PNPLA3 rs738409 and TM6SF2 rs58542926 were associated with the number of outpatient visits, hospitalization, and inpatient days. Further studies are warranted to replicate our findings and to evaluate whether genetic data can be used to identify subjects with excess health services utilization.

Indexed as

AcyltransferasesAdultAgedDisease ProgressionFemaleGenotypeGermanyHealth ServicesHumansLipaseMaleMembrane ProteinsMiddle AgedNon-alcoholic Fatty Liver DiseaseOdds RatioPhospholipases A2, Calcium-IndependentAcyltransferasesLipaseMembrane ProteinsPhospholipases A2, Calcium-IndependentPNPLA3 protein, humanTM6SF2 protein, human

Identifiers

PMID26847197
PMCPMC4741011
OpenAlexW2266489951

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LicenceCC BY
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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.