Evidence map›Paper›PMID 28549073›Full record

SynthesisAmerican journal of epidemiology2017

Use of Repeated Blood Pressure and Cholesterol Measurements to Improve Cardiovascular Disease Risk Prediction: An Individual-Participant-Data Meta-Analysis.

Ellie Paige, Jessica Barrett, Lisa Pennells, Michael Sweeting, Peter Willeit, Emanuele Di Angelantonio, Vilmundur Gudnason, Børge G Nordestgaard, Bruce M Psaty, Uri Goldbourt and 37 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in American journal of epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. A Taxonomy of Data Synthesis.Personality & social psychology bulletin · 2026
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  13. Residual risks and evolving atherosclerotic plaques.Molecular and cellular biochemistry · 2023
    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

47 authors.

Ellie Paige
Jessica Barrett
Lisa Pennells
Michael Sweeting
Peter Willeit
Emanuele Di Angelantonio
Vilmundur Gudnason
Børge G Nordestgaard
Bruce M Psaty
Uri Goldbourt
Lyle G Best
Gerd Assmann
Jukka T Salonen
Paul J Nietert
W M Monique Verschuren
Eric J Brunner
Richard A Kronmal
Veikko Salomaa
Stephan J L Bakker
Gilles R Dagenais
Shinichi Sato
Jan-Håkan Jansson
Johann Willeit
Altan Onat
Agustin Gómez de la Cámara
Ronan Roussel
Henry Völzke
Rachel Dankner
Robert W Tipping
Tom W Meade
Chiara Donfrancesco
Lewis H Kuller
Annette Peters
John Gallacher
Daan Kromhout
Hiroyasu Iso
Matthew Knuiman
Edoardo Casiglia
Maryam Kavousi
Luigi Palmieri
Johan Sundström
Barry R Davis
Inger Njølstad
David Couper
John Danesh
Simon G Thompson
Angela Wood

Funding

CVD in American Indians Study and Data Management Center and OK Field CenterR01HL109284 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI STONER, JULIE A · 2013 to 2018
$4.6M
British Heart Foundation RG/08/014/24067British Heart Foundation RG/13/13/30194British Heart Foundation RG/13/2/30098British Heart Foundation RG/16/11/32334Medical Research Council G0701619Medical Research Council G0902100Medical Research Council MC_UU_00002/5Medical Research Council MR/K014811/1Medical Research Council MR/L003120/1Medical Research Council MR/L501566/1NHLBI NIH HHS R01 HL109284
6 · The paper itself

Abstract

The added value of incorporating information from repeated blood pressure and cholesterol measurements to predict cardiovascular disease (CVD) risk has not been rigorously assessed. We used data on 191,445 adults from the Emerging Risk Factors Collaboration (38 cohorts from 17 countries with data encompassing 1962-2014) with more than 1 million measurements of systolic blood pressure, total cholesterol, and high-density lipoprotein cholesterol. Over a median 12 years of follow-up, 21,170 CVD events occurred. Risk prediction models using cumulative mean values of repeated measurements and summary measures from longitudinal modeling of the repeated measurements were compared with models using measurements from a single time point. Risk discrimination (C-index) and net reclassification were calculated, and changes in C-indices were meta-analyzed across studies. Compared with the single-time-point model, the cumulative means and longitudinal models increased the C-index by 0.0040 (95% confidence interval (CI): 0.0023, 0.0057) and 0.0023 (95% CI: 0.0005, 0.0042), respectively. Reclassification was also improved in both models; compared with the single-time-point model, overall net reclassification improvements were 0.0369 (95% CI: 0.0303, 0.0436) for the cumulative-means model and 0.0177 (95% CI: 0.0110, 0.0243) for the longitudinal model. In conclusion, incorporating repeated measurements of blood pressure and cholesterol into CVD risk prediction models slightly improves risk prediction.

Indexed as

Blood Pressure DeterminationAdultAgedBlood PressureCardiovascular DiseasesCholesterolFemaleHumansMiddle AgedRisk AssessmentRisk FactorsCholesterolcardiovascular diseaselongitudinal measurementsrepeated measurementsrisk factorsrisk prediction

Identifiers

PMID28549073
PMCPMC5860526

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.