Evidence map›Paper›PMID 27312697›Full record

ArticleDiabetologia2016

Copeptin and the risk of incident stroke, CHD and cardiovascular mortality in older men with and without diabetes: The British Regional Heart Study.

S Goya Wannamethee, Paul Welsh, Lucy Lennon, Olia Papacosta, Peter H Whincup, Naveed Sattar

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 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
3.6field-weighted citation impact, top 7% 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, 31 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

S Goya WannametheeDepartment of Primary Care and Population Health, UCL Medical School, Royal Free Campus, Rowland Hill St, London, NW3 2PF, UK. g.wannamethee@ucl.ac.uk.
Paul WelshInstitute of Cardiovascular and Medical Sciences, BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Lucy LennonDepartment of Primary Care and Population Health, UCL Medical School, Royal Free Campus, Rowland Hill St, London, NW3 2PF, UK.
Olia PapacostaDepartment of Primary Care and Population Health, UCL Medical School, Royal Free Campus, Rowland Hill St, London, NW3 2PF, UK.
Peter H WhincupPopulation Health Research Institute, St George's, University of London, London, UK.
Naveed SattarInstitute of Cardiovascular and Medical Sciences, BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
The Royal Free Hospital · GBUniversity of Glasgow · GBSt George's, University of London · GBUniversity College London · GB

Funding

British Heart Foundation FS/12/62/29889British Heart Foundation RG/08/013/25942British Heart Foundation RG/13/16/30528
6 · The paper itself

Abstract

aims/hypothesisThis study aimed to examine the association between copeptin (a surrogate marker of arginine vasopressin) and incident stroke, CHD and cardiovascular mortality in older men with and without diabetes.

methodsWe conducted a prospective study of 3536 men aged 60-79 years who were followed for an average of 13 years. During this period, there were 437 major CHD events (fatal and non-fatal myocardial infarction [MI]), 323 stroke events (fatal and non-fatal) and 497 cardiovascular disease (CVD) deaths. Prevalent diabetes was defined on the basis of a history of doctor-diagnosed diabetes or fasting blood glucose ≥7.0 mmol or HbA1c ≥6.5% (48 mmol/mol) (n = 428).

resultsNo association was seen between copeptin and incident stroke or CVD mortality in men without diabetes after adjustment for conventional cardiovascular risk factors, renal dysfunction, and insulin and N-terminal pro B-type natriuretic peptide levels. In contrast, elevated copeptin levels were associated with an increased risk of stroke and CVD mortality in men with diabetes after these adjustments. Compared with those in the lowest tertile of copeptin, men in the top tertile had adjusted relative HRs for stroke and CVD death of 2.34 (95% CI 1.04, 5.27) and 2.21 (1.12, 4.36), respectively. The risk of stroke and CVD mortality remained increased after the exclusion of men with prevalent stroke or MI. Higher levels of copeptin were associated with increased risk of CHD in the diabetic and non-diabetic groups, but these associations were attenuated after exclusion of individuals with a previous stroke or MI. CONCLUSIONS/

interpretationCopeptin was independently associated with an increased risk of incident stroke and CVD mortality in men with diabetes, but not in men without diabetes. Targeting the arginine vasopressin system might have beneficial effects on CVD mortality and stroke risk in older men with diabetes.

Indexed as

AgedBiomarkersCardiovascular DiseasesDiabetes MellitusGlycopeptidesHumansIncidenceMaleMiddle AgedMyocardial InfarctionNatriuretic Peptide, BrainPeptide FragmentsPrevalenceProspective StudiesRisk FactorsStrokeBiomarkerscopeptinsGlycopeptidesNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Cardiovascular mortalityCopeptinCoronary heart diseaseDiabetesEpidemiologyStroke

Identifiers

PMID27312697
PMCPMC4969339
OpenAlexW2444018086

What OpenQuestion holds

Textmetadata
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.