Evidence map›Paper›PMID 28847640›Full record

ArticleAcademic radiology2017

Increased Epicardial Fat Volume Is Independently Associated with the Presence and Severity of Systemic Sclerosis.

Benjamin D Long, Jadranka Stojanovska, Richard K J Brown, Anil K Attili, Eizabeth A Jackson, Vladimir Ognenovski

Abstract read
In one paragraph

Article in Academic radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
  6. Article
  7. Epicardial adipose tissue in patients with systemic sclerosis.European heart journal. Imaging methods and practice · 2023
    Article
  8. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Benjamin D LongUniversity of Michigan Medical School, Ann Arbor, Michigan.
Jadranka StojanovskaDepartment of Radiology, Cardiothoracic Radiology Division, Frankel Cardiovascular Center, Room 5481, 1500 E. Medical Center Drive, Ann Arbor, MI. Electronic address: jstoanov@umich.edu.
Richard K J BrownDepartment of Radiology, University of Michigan Health System, Ann Arbor, Michigan.
Anil K AttiliDivision for Cardiothoracic Radiology, University of Michigan Health System, Ann Arbor, Michigan.
Eizabeth A JacksonDepartment of Internal Medicine, Cardiovascular Medicine Division, Ann Arbor, MI.
Vladimir OgnenovskiDepartment of Internal Medicine, Division for Rheumatology, University of Michigan Health System, Ann Arbor, Michigan.

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Michigan Institute for Clinical and Health Research (MICHR) (KL2)KL2RR024987 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$2.8M
NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1 TR002240NCRR NIH HHS KL2 RR024987
6 · The paper itself

Abstract

RATIONALE AND

objectivesThe study aimed to determine if intrathoracic fat volumes are associated with the presence and severity of systemic sclerosis (SSc), defined by the presence of pulmonary arterial hypertension (PAH). MATERIALS AND

methodsA total of 265 patients were included in the study, 202 of whom had SSc (134 had SSc with no PAH and 68 had SSc-associated PAH) and who underwent high-resolution computed tomography, and 63 controls who underwent coronary computed tomography angiography with calcium scoring. Intrathoracic and epicardial (EFV) fat volumes were quantified by manual tracing of the mediastinum and the pericardium, the difference of which represents the extrapericardial fat volume. Associations between these three fat volumes and the presence and severity of SSc, adjusted for cardiovascular risk factors and interstitial lung disease, were evaluated by logistic regression analysis.

resultsOf the 202 patients with SSc, the mean age was 55 years (ranged from 20 to 86), and 79% (159 of 202) were women. Adjusted EFV (odds ratio [OR]: 1.065; 95% confidence interval [CI]: 1.046-1.084, P = < 0.0001), extrapericardial fat volume (OR: 1.028, 95% CI: 1.017-1.038, P = < 0.0001), and intrathoracic fat volume (OR: 1.033, 95% CI: 1.023-1.043, P = 0.001) were associated with the presence of SSc. Only EFV was associated with SSc severity (adjusted OR: 1.010, 95% CI: 1.003-1.018, P = 0.007).

conclusionIncreased epicardial fat volume is associated with the presence and severity of SSc, independent of cardiovascular risk factors and interstitial lung disease.

Indexed as

Adipose TissueAdultAgedAged, 80 and overCase-Control StudiesCohort StudiesComputed Tomography AngiographyCross-Sectional StudiesFemaleHumansHypertension, PulmonaryMaleMiddle AgedPericardiumRetrospective StudiesScleroderma, SystemicEpicardial adipose tissueEpicardial fat volumeIdiopathic pulmonary arterial hypertensionMultidetector computed tomographySystemic sclerosis

Identifiers

PMID28847640
PMCPMC5725270

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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.