Evidence map›Paper›PMID 27898996›Full record

ArticleArthritis care & research2017

Calcium Pyrophosphate Deposition Disease and Associated Medical Comorbidities: A National Cross-Sectional Study of US Veterans.

Crystal Kleiber Balderrama, Ann K Rosenthal, Daniel Lans, Jasvinder A Singh, Christie M Bartels

Open access · greenAbstract read
In one paragraph

Article in Arthritis care & research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 85 citations in OpenAlex.

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  15. Pseudogout of the lumbar spine.Radiology case reports · 2023
    Article
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  17. Chondrocalcinosis and Osteoarthritis: A Literature Review.European journal of rheumatology · 2023
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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

5 authors at 4 institutions in 1 country.

Crystal Kleiber BalderramaMedical College of Wisconsin and the Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin.
Ann K RosenthalMedical College of Wisconsin and the Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin.
Daniel LansClement J. Zablocki VA Medical Center, Milwaukee, Wisconsin.
Jasvinder A SinghUniversity of Alabama at Birmingham and Birmingham VA Medical Center, Birmingham, Alabama.
Christie M BartelsUniversity of Wisconsin and the William S. Middleton VA Medical Center, Madison, Wisconsin.
Medical College of Wisconsin · USBirmingham VA Medical Center · USMilwaukee VA Medical Center · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

ANK-dependent ATP efflux causes calcium pyrophosphate deposition in cartilageI01CX001143 · VA · CLEMENT J. ZABLOCKI VA MEDICAL CENTER · PI ROSENTHAL, ANN K · 2015 to 2018
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CSRD VA I01 CX001143
6 · The paper itself

Abstract

objectiveCalcium pyrophosphate deposition disease (CPDD) is a common cause of acute and chronic arthritis, yet there are few large epidemiologic studies of CPDD. We sought to characterize CPDD in the national Veterans Affairs (VA) population.

methodsUsing data from the Department of VA Corporate Data Warehouse, patients with International Classification of Diseases, Ninth Revision, codes for CPDD seen at any VA medical center from 2010 through 2014 were matched by age and sex with control patients without CPDD. We used multivariate analysis to compare the prevalence and odds ratios (ORs) of various comorbidities, substance use, medication exposures, and arthroplasties among patients with and without CPDD.

resultsWe identified 25,157 patients with CPDD, yielding a point prevalence of 5.2 per 1,000. The mean ± SD age was 68.1 ± 12.3 years, and 95% were male. The strongest positive associations with CPDD were hyperparathyroidism (OR 3.35 [95% confidence interval (95% CI) 2.96-3.79]), gout (OR 2.82 [95% CI 2.69-2.95]), osteoarthritis (OR 2.26 [95% CI 2.15-2.37]), rheumatoid arthritis (OR 1.88 [95% CI 1.74-2.03]), and hemochromatosis (OR 1.87 [95% CI 1.57-2.24]). Positive associations were also seen with higher odds for osteoporosis (OR 1.26 [95% CI 1.16-1.36]), hypomagnesemia (OR 1.23 [95% CI 1.16-1.30]), chronic kidney disease (OR 1.12 [95% CI 1.07-1.18]), and calcium supplementation (OR 1.15 [95% CI 1.06-1.24). Negative associations were seen with proton-pump inhibitors (OR 0.58 [95% CI 0.55-0.60]) and loop diuretics (OR 0.80 [95% CI 0.76-0.84]).

conclusionUsing a large national data set, we confirmed known associations with CPDD, provided support for positive associations with rheumatoid arthritis, hypomagnesemia, and osteoporosis, and suggested potential novel negative associations with commonly used medications.

Indexed as

AgedAged, 80 and overArthritis, RheumatoidCase-Control StudiesChondrocalcinosisComorbidityCross-Sectional StudiesFemaleGoutHemochromatosisHumansHyperparathyroidismMagnesium DeficiencyMaleMiddle AgedOdds Ratio

Identifiers

PMID27898996
PMCPMC5472491
OpenAlexW2559593716

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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.