Evidence map›Paper›PMID 29212987›Full record

Trial reportJournal of atherosclerosis and thrombosis2018

Association of Coronary Artery Calcification with Estimated Coronary Heart Disease Risk from Prediction Models in a Community-Based Sample of Japanese Men: The Shiga Epidemiological Study of Subclinical Atherosclerosis (SESSA).

Tai Pham, Akira Fujiyoshi, Hisatomi Arima, Sachiko Tanaka-Mizuno, Takahashi Hisamatsu, Sayaka Kadowaki, Aya Kadota, Maryam Zaid, Akira Sekikawa, Takashi Yamamoto and 4 more

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of atherosclerosis and thrombosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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 1 institution in 2 countries.

Tai PhamDepartment of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science.
Akira FujiyoshiDepartment of Public Health, Shiga University of Medical Science.
Hisatomi ArimaDepartment of Preventive Medicine and Public Health, Fukuoka University.
Sachiko Tanaka-MizunoDepartment of Medical Statistic, Shiga University of Medical Science.
Takahashi HisamatsuDepartment of Environmental Medicine and Public Health, Shimane University.
Sayaka KadowakiDepartment of Public Health, Shiga University of Medical Science.
Aya KadotaDepartment of Public Health, Shiga University of Medical Science.
Maryam ZaidCenter for Epidemiologic Research in Asia, Shiga University of Medical Science.
Akira SekikawaDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh.
Takashi YamamotoDepartment of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science.
Minoru HorieDepartment of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science.
Katsuyuki MiuraDepartment of Public Health, Shiga University of Medical Science.
Hirotsugu UeshimaDepartment of Public Health, Shiga University of Medical Science.
Shiga Epidemiological Study of Subclinical Atherosclerosis (SESSA) Research Group
Shiga University of Medical Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe clinical significance of coronary artery calcification (CAC) is not fully determined in general East Asian populations where background coronary heart disease (CHD) is less common than in USA/Western countries. We cross-sectionally assessed the association between CAC and estimated CHD risk as well as each major risk factor in general Japanese men.

methodsParticipants were 996 randomly selected Japanese men aged 40-79 y, free of stroke, myocardial infarction, or revascularization. We examined an independent relationship between each risk factor used in prediction models and CAC score ≥100 by logistic regression. We then divided the participants into quintiles of estimated CHD risk per prediction model to calculate odds ratio of having CAC score ≥100. Receiver operating characteristic curve and c-index were used to examine discriminative ability of prevalent CAC for each prediction model.

resultsAge, smoking status, and systolic blood pressure were significantly associated with CAC score ≥100 in the multivariable analysis. The odds of having CAC score ≥100 were higher for those in higher quintiles in all prediction models (p-values for trend across quintiles <0.0001 for all models). All prediction models showed fair and similar discriminative abilities to detect CAC score ≥100, with similar c-statistics (around 0.70).

conclusionsIn a community-based sample of Japanese men free of CHD and stroke, CAC score ≥100 was significantly associated with higher estimated CHD risk by prediction models. This finding supports the potential utility of CAC as a biomarker for CHD in a general Japanese male population.

Indexed as

AdultAgedCoronary AngiographyCoronary Artery DiseaseCross-Sectional StudiesEpidemiologic StudiesFemaleHumansJapanMaleMiddle AgedPrevalencePrognosisRisk FactorsVascular CalcificationAbsolute risk prediction modelCommunity-based sampleCoronary artery calcification

Identifiers

PMID29212987
PMCPMC6005228
OpenAlexW2773030285

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.