Evidence map›Paper›PMID 29164774›Full record

ArticleHuman brain mapping2018

Task-related changes in degree centrality and local coherence of the posterior cingulate cortex after major cardiac surgery in older adults.

Jeffrey N Browndyke, Miles Berger, Patrick J Smith, Todd B Harshbarger, Zachary A Monge, Viral Panchal, Tiffany L Bisanar, Donald D Glower, John H Alexander, Roberto Cabeza and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Human brain mapping, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 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

14 authors at 3 institutions in 1 country.

Jeffrey N BrowndykeGeriatric Behavioral Health Division, Department of Psychiatry & Behavioral Sciences, Duke University Health System, Durham, North Carolina.ORCID 0000-0002-8573-7073
Miles BergerDivision of Neuroanesthesiology, Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
Patrick J SmithBehavioral Medicine Division, Department of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, North Carolina.
Todd B HarshbargerDuke Brain Imaging and Analysis Center, Duke University, Durham, North Carolina.
Zachary A MongeCenter for Cognitive Neuroscience, Duke University, Durham, North Carolina.
Viral PanchalDepartment of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
Tiffany L BisanarDepartment of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
Donald D GlowerCardiovascular & Thoracic Division, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
John H AlexanderDuke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina.
Roberto CabezaDuke Institute for Brain Sciences, Duke University, Durham, North Carolina.
Kathleen Welsh-BohmerGeriatric Behavioral Health Division, Department of Psychiatry & Behavioral Sciences, Duke University Health System, Durham, North Carolina.
Mark F NewmanDepartment of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
Joseph P MathewDepartment of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
Duke Neurologic Outcomes Research Group (NORG)
Duke Medical Center · USDuke University · USClinical Research Institute · US

Funding

Lidocaine for Neuroprotection During Cardiac SurgeryR01HL096978 · NHLBI · DUKE UNIVERSITY · PI MATHEW, JOSEPH P · 2009 to 2013
$1.8M
Neuro-inflammation in Postoperative Cognitive Dysfunction: CSF and fMRI StudiesK76AG057022 · NIA · DUKE UNIVERSITY · PI BERGER, MILES · 2017 to 2022
$1.4M
Assessing Large-scale Brain Connectivities in Mild Cognitive ImpairmentR01AG042599 · NIA · UNIVERSITY OF GEORGIA · PI LIU, TIANMING · 2013 to 2017
$1.4M
Cortical Beta-amyloid Levels and Neurocognitive Performance After Cardiac SurgeryR21HL108280 · NHLBI · DUKE UNIVERSITY · PI MATHEW, JOSEPH P · 2011 to 2012
$432k
Functional Connectivity Changes In Attention Networks after Cardiac SurgeryR21HL109971 · NHLBI · DUKE UNIVERSITY · PI BROWNDYKE, JEFFREY N, MATHEW, JOSEPH P · 2012 to 2013
$422k
The Significance of Perioperative Changes in CSF tau levels in the ElderlyR03AG050918 · NIA · DUKE UNIVERSITY · PI BERGER, MILES · 2015 to 2016
$219k
NHLBI NIH HHS R01 HL096978NHLBI NIH HHS R21 HL108280NHLBI NIH HHS R21 HL109971NIA NIH HHS K76 AG057022NIA NIH HHS R01 AG042599NIA NIH HHS R03 AG050918
6 · The paper itself

Abstract

objectivesOlder adults often display postoperative cognitive decline (POCD) after surgery, yet it is unclear to what extent functional connectivity (FC) alterations may underlie these deficits. We examined for postoperative voxel-wise FC changes in response to increased working memory load demands in cardiac surgery patients and nonsurgical controls. EXPERIMENTAL

designOlder cardiac surgery patients (n = 25) completed a verbal N-back working memory task during MRI scanning and cognitive testing before and 6 weeks after surgery; nonsurgical controls with cardiac disease (n = 26) underwent these assessments at identical time intervals. We measured postoperative changes in degree centrality, the number of edges attached to a brain node, and local coherence, the temporal homogeneity of regional functional correlations, using voxel-wise graph theory-based FC metrics. Group × time differences were evaluated in these FC metrics associated with increased N-back working memory load (2-back > 1-back), using a two-stage partitioned variance, mixed ANCOVA. PRINCIPAL OBSERVATIONS: Cardiac surgery patients demonstrated postoperative working memory load-related degree centrality increases in the left dorsal posterior cingulate cortex (dPCC; p < .001, cluster p-FWE < .05). The dPCC also showed a postoperative increase in working memory load-associated local coherence (p < .001, cluster p-FWE < .05). dPCC degree centrality and local coherence increases were inversely associated with global cognitive change in surgery patients (p < .01), but not in controls.

conclusionsCardiac surgery patients showed postoperative increases in working memory load-associated degree centrality and local coherence of the dPCC that were inversely associated with postoperative global cognitive outcomes and independent of perioperative cerebrovascular damage.

Indexed as

Cardiac Surgical ProceduresAgedAged, 80 and overCognitive DysfunctionFemaleGyrus CinguliHumansMaleMemory, Short-TermMiddle AgedPostoperative Complicationsanesthesiaattentionbraincognitive dysfunctionfunctional neuroimaginggyrus cingulamagnetic resonance imagingmemoryneuropsychological testsshort-termthoracic surgery

Identifiers

PMID29164774
PMCPMC5764802
OpenAlexW2769015421

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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.