Evidence map›Paper›PMID 26937915›Full record

ArticleMedicine2016

Association Between Kidney Stones and Risk of Stroke: A Nationwide Population-Based Cohort Study.

Shih-Yi Lin, Cheng-Li Lin, Yen-Jung Chang, Wu-Huei Hsu, Cheng-Chieh Lin, I-Kuan Wang, Chiz-Tzung Chang, Chao-Hsiang Chang, Ming-Chia Lin, Chia-Hung Kao

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.3field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Kidney failure from kidney stones: an ANZDATA study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Article
  5. Review
  6. Article
  7. Nephrolithiasis: A Red Flag for Cardiovascular Risk.Journal of clinical medicine · 2022
    Review
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Decreased Risk of Renal Calculi in Patients Receiving Androgen Deprivation Therapy for Prostate Cancer.International journal of environmental research and public health · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. 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 2 institutions in 2 countries.

Shih-Yi LinFrom the Graduate Institute of Clinical Medical Science (S-YL, W-HH, C-CL, I-KW, C-TC, C-HC, C-HK), College of Medicine, China Medical University; Division of Nephrology and Kidney Institute (S-YL, I-KW, C-TC); Management Office for Health Data (C-LL); Department of Public Health (C-LL), China Medical University, Taichung; Department of Health Promotion and Health Education (Y-JC), National Taiwan Normal University, Taipei; Department of Chest Medicine (W-HH); Department of Family Medicine (C-CL); Department of Urology (C-HC), China Medical University Hospital, Taichung; Department of Nuclear Medicine (M-CL), E-Da Hospital, I-Shou University, Kaohsiung; and Department of Nuclear Medicine and PET Center (C-HK), China Medical University Hospital, Taichung, Taiwan.
Cheng-Li Lin
Yen-Jung Chang
Wu-Huei Hsu
Cheng-Chieh Lin
I-Kuan Wang
Chiz-Tzung Chang
Chao-Hsiang Chang
Ming-Chia Lin
Chia-Hung Kao
Bridge University · SSChina Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nephrolithiasis is highly prevalent and has been associated with vascular diseases such as cardiovascular events. Few studies have comprehensively associated renal stones with stroke.This study explored whether patients with renal stones were at a higher stroke risk than those without renal stones. A national insurance claim dataset of 22 million enrollees in Taiwan was used to identify 53,659 patients with renal stones, and 214,107 were selected as age-, sex-, and comorbidity-matched controls for a 13-year follow-up.The relative stroke risk for the RS cohort was 1.06-fold higher than that for the non-RS group (95% confidence interval [CI] = 1.01-1.11). Age-specific analysis revealed that the adjusted stroke risk for the RS cohort increased as age decreased, with the highest risk of 1.47-fold (95% CI = 1.10-1.96) in patients aged 20 to 34 years, followed by a 1.12-fold risk (95% CI = 1.00-1.25) in patients aged 35 to 50 years. Sex-specific analysis clarified that women in the RS group had a 1.12-fold stroke risk compared with women in the non-RS group (95% CI = 1.03-1.21). Patients who had undergone >4 surgeries had up to 42.5-fold higher risk of stroke (95% CI = 33.8-53.4).The study utilized the national database and demonstrated that patients, particularly women and the younger population, with nephrolithiasis have an increased risk of ischemic stroke development. Patients treated with medication or through surgery for RSs showed steady and higher risks of stroke than those without surgical or medical intervention.

Indexed as

AdultAgedAge FactorsFemaleHumansKidney CalculiMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsStrokeTaiwan

Identifiers

PMID26937915
PMCPMC4779012
OpenAlexW2323499910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.