Evidence map›Paper›PMID 29453342›Full record

ArticleScientific reports2018

Prediction of coronary disease incidence by biomarkers of inflammation, oxidation, and metabolism.

Isaac Subirana, Montserrat Fitó, Oscar Diaz, Joan Vila, Albert Francés, Eva Delpon, Juan Sanchis, Roberto Elosua, Daniel Muñoz-Aguayo, Irene R Dégano and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
5.3field-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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  4. Cohort Profile: The Girona Heart Registry.International journal of epidemiology · 2025
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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

11 authors at 7 institutions in 1 country.

Isaac SubiranaCIBER of Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
Montserrat FitóCardiovascular Risk and Nutrition Research Group, Program of Epidemiology and Public Health, IMIM, Barcelona, Spain.
Oscar DiazCardiovascular Epidemiology and Genetics Research Group, Program of Epidemiology and Public Health, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Joan VilaCIBER of Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
Albert FrancésHospital del Mar, Barcelona, Spain.
Eva DelponUniversidad Complutense, Madrid, Spain.
Juan SanchisServei de Cardiologia, INCLIVA, Departament de Medicina, Hospital Clínico Universitario de Valencia, Universitat de Valencia, Valencia, Spain.
Roberto ElosuaCardiovascular Epidemiology and Genetics Research Group, Program of Epidemiology and Public Health, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Daniel Muñoz-AguayoCardiovascular Risk and Nutrition Research Group, Program of Epidemiology and Public Health, IMIM, Barcelona, Spain.
Irene R DéganoCIBER of Cardiovascular Diseases (CIBERCV), ISCIII, Madrid, Spain. iroman@imim.es.
Jaume MarrugatCIBER of Cardiovascular Diseases (CIBERCV), ISCIII, Madrid, Spain. jmarrugat@imim.es.
Instituto de Salud Carlos III · ESHospital Del Mar · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ESHospital Clínico Universitario de Valencia · ESHospital del Mar Research Institute · ESSpanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effect of circulating biomarkers in predicting coronary artery disease (CAD) is not fully elucidated. This study aimed to determine the relationship with CAD and the predictive capacity of nine biomarkers of inflammation (TNF-α, IL-10, IL-6, MCP-1, CRP), oxidation (GHS-Px), and metabolism (adiponectin, leptin, and insulin). This was a case-cohort study, within the REGICOR population-cohorts (North-Eastern Spain), of 105 CAD cases and 638 individuals randomly selected from a cohort of 5,404 participants aged 35-74 years (mean follow-up = 6.1 years). Biomarkers' hazard ratio (HR)/standard deviation was estimated with Cox models adjusted for age, sex, and classical risk factors. Discrimination improvement and reclassification were analyzed with the c-index and the Net reclassification index (NRI). GHS-Px (adjusted HRs = 0.77; 95%CI:0.60-0.99), insulin (1.46; 1.08-1.98), leptin (1.40; 1.03-1.90), IL-6 (1.34; 1.03-1.74), and TNF-α (1.80; 1.26-2.57) were significantly associated with CAD incidence. In the model adjusted for all biomarkers, TNF-α (1.87;1.31-2.66) and insulin (1.59;1.16-2.19) were independently associated with CAD. This final model, compared to a model without biomarkers, showed a c-index difference of 1.3% (-0.7, 3.2) and a continuous NRI of 33.7% (2.6, 61.9). TNF-α and insulin are independently associated with CAD incidence and they improve reclassification when added to a model including classical risk factors.

Indexed as

AdultAgedBiomarkersCardiovascular DiseasesCohort StudiesCoronary Artery DiseaseCoronary DiseaseFemaleHeartHumansIncidenceInflammationMaleMiddle AgedMorbidityOxidation-ReductionBiomarkers

Identifiers

PMID29453342
PMCPMC5816603
OpenAlexW2805730366

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.