Evidence map›Paper›PMID 27084272›Full record

ArticleBMJ open2016

Sex differences in aneurysm morphologies and clinical outcomes in ruptured anterior communicating artery aneurysms: a retrospective study.

Boli Lin, Weijian Chen, Lei Ruan, Yongchun Chen, Ming Zhong, Qichuan Zhuge, Liang Hao Fan, Bing Zhao, Yunjun Yang

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  7. Why Are Women Predisposed to Intracranial Aneurysm?Frontiers in cardiovascular medicine · 2022
    Review
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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

9 authors at 2 institutions in 2 countries.

Boli LinZhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China Department of Radiology, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
Weijian ChenDepartment of Radiology, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
Lei RuanDepartment of Radiology, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
Yongchun ChenDepartment of Radiology, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
Ming ZhongDepartment of Neurosurgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
Qichuan ZhugeZhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China Department of Neurosurgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
Liang Hao FanDepartment of Neurosurgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
Bing ZhaoDepartment of Neurosurgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA.
Yunjun YangZhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China Department of Radiology, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
First Affiliated Hospital of Wenzhou Medical University · CNWenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRuptured anterior communicating artery (ACoA) aneurysms occur more frequently in men. The purpose of the study was to investigate sex difference in aneurysm morphologies and clinical outcomes in patients with ruptured ACoA aneurysms.

settingA tertiary referral hospital.

participantsA total of 574 consecutive patients with ACoA aneurysms were admitted to our hospital from December 2007 to February 2015. In all, 474 patients (257 men and 217 women) with ruptured ACoA aneurysms were included in the study.

main outcome measuresAneurysm morphologies were measured using computed tomographic angiography and clinical outcomes were measured with Glasgow coma score at discharge.

resultsThe aneurysm sizes (p=0.001), aneurysm heights (p=0.011), size ratios (p<0.001), flow angles (p=0.047) and vessel angles (p=0.046) were larger in the male patients than in the females. The female patients more often had larger vessel sizes (p=0.002). Multivariate logistic analysis revealed that significant differences in aneurysm morphologies between men and women were aneurysm size (OR 1.1, 95% CI 1.0 to 1.3; p=0.036), aneurysm height (OR 0.8, 95% CI 0. to 0.9; p=0.006) and size ratio (OR 1.4, 95% CI 0.5 to 1.7; p=0.001). There were no statistically significant differences in the outcomes between men and women (OR 1.0, 95% CI 0.6 to 1.7, p=0.857).

conclusionsThe men were independently associated with larger aneurysm sizes, greater aneurysm heights and larger size ratios. Sex was not a risk factor for poor outcome in patients with ruptured ACoA aneurysms.

Indexed as

Sex CharacteristicsAgedAneurysm, RupturedAnterior Cerebral ArteryFemaleGlasgow Coma ScaleHumansIntracranial AneurysmLogistic ModelsMaleMiddle AgedMultivariate AnalysisRetrospective StudiesRisk FactorsTomography, X-Ray ComputedNEUROSURGERY

Identifiers

PMID27084272
PMCPMC4838700
OpenAlexW2341873383

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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.