Evidence map›Paper›PMID 27235695›Full record

Trial reportAmerican journal of hypertension2016

Association Between Markers of Inflammation and Total Stroke by Hypertensive Status Among Women.

Monik C Jiménez, Kathryn M Rexrode, Gregory Kotler, Brendan M Everett, Robert J Glynn, I-Min Lee, Julie E Buring, Paul M Ridker, Howard D Sesso

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of hypertension, 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
1.9field-weighted citation impact, top 14% 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, 17 citations in OpenAlex.

  1. Article
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  5. Salt-Sensitive Hypertension Induces Osteoclastogenesis and Bone ResorptionFrontiers in cell and developmental biology · 2022
    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

9 authors at 2 institutions in 1 country.

Monik C JiménezDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; mjimenez11@partners.org.
Kathryn M RexrodeDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA;
Gregory KotlerDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA;
Brendan M EverettDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA;
Robert J GlynnDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA;
I-Min LeeDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA;
Julie E BuringDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA;
Paul M RidkerDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA;
Howard D SessoDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA; Division of Aging, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Brigham and Women's Hospital · USHarvard University · US

Funding

The Women's Health Study: Infrastructure Support for Continued Cohort Follow-upUM1CA182913 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 2014 to 2018
$4.0M
Examining Racial Disparities in StrokeK01HL124391 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI JIMENEZ, MONIK CARMEN · 2014 to 2018
$761k
NCI NIH HHS UM1 CA182913NHLBI NIH HHS K01 HL124391
6 · The paper itself

Abstract

backgroundMarkers of systemic inflammation (high-sensitivity C-reactive protein [hsCRP], soluble intercellular adhesion molecule 1 [sICAM-1], and fibrinogen) have been associated with a greater risk of total and ischemic stroke, in addition to elevated blood pressure. However, the role of these inflammatory markers on stroke pathophysiology by hypertension status is uncertain.

methodsBlood samples were collected and assayed for hsCRP, sICAM-1, and fibrinogen among 27,330 initially healthy women from the Women's Health Study, and women were followed up from 1992 to 2013. Prior to randomization, the baseline questionnaire collected self-reported hypertension status, cardiovascular risk factors, and lifestyle factors. New cases of total, ischemic, and hemorrhagic stroke were updated annually through questionnaires and confirmed by medical records according to the National Survey of Stroke criteria. Multivariable Cox models estimated overall associations between each inflammatory marker and stroke and separately stratified by hypertension status.

resultsWe observed 629 incident total strokes over 477,278 person-years. In adjusted analyses, extreme quartiles of hsCRP and sICAM-1 were each associated with a significantly greater risk of total stroke (hsCRP: hazard ratios [HR] = 1.77, 95% confidence interval [CI]: 1.39-2.26; sICAM-1: HR = 1.28, 95% CI: 1.00-1.63). Fibrinogen was not associated with a significantly greater stroke risk. In analyses stratified by hypertension status, elevated hsCRP was associated with a nonstatistically significant greater risk of total stroke among prehypertensive and hypertensive women.

conclusionsThese data indicate that hsCRP and sICAM-1 are associated with hypertension status and stroke risk among women. Further work should examine the role of inflammatory markers on ischemic stroke subtypes and clarify mechanisms.

Indexed as

BiomarkersCohort StudiesC-Reactive ProteinFemaleFibrinogenHumansHypertensionIncidenceInflammationIntercellular Adhesion Molecule-1Middle AgedStrokeUnited StatesBiomarkersC-Reactive ProteinFibrinogenIntercellular Adhesion Molecule-1blood pressurefibrinogenhigh-sensitivity C-reactive proteinhypertensionintercellular adhesion molecule 1ischemic strokeprehypertension.

Identifiers

PMID27235695
PMCPMC4978228
OpenAlexW2402289416

What OpenQuestion holds

Textmetadata
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.