Evidence map›Paper›PMID 29855349›Full record

ArticleArthritis research & therapy2018

Association between inflammation and systolic blood pressure in RA compared to patients without RA.

Zhi Yu, Seoyoung C Kim, Kathleen Vanni, Jie Huang, Rishi Desai, Shawn N Murphy, Daniel H Solomon, Katherine P Liao

Erratum issuedOpen access · goldAbstract readComparative Study
In one paragraph

Article in Arthritis research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Zhi YuDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Seoyoung C KimDivision of Rheumatology, Allergy and Immunology, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Kathleen VanniDivision of Rheumatology, Allergy and Immunology, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Jie HuangDivision of Rheumatology, Allergy and Immunology, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Rishi DesaiDivision of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA, USA.
Shawn N MurphyResearch Computing, Partners HealthCare, Charlestown, MA, USA.
Daniel H SolomonDivision of Rheumatology, Allergy and Immunology, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Katherine P LiaoDivision of Rheumatology, Allergy and Immunology, Brigham and Women's Hospital, Boston, MA, 02115, USA. kliao@bwh.harvard.edu.
Brigham and Women's Hospital · USJohns Hopkins University · USMass General Brigham · US

Funding

Informatics for Integrating Biology/ the Bedside (RMI)U54LM008748 · NLM · BRIGHAM AND WOMEN'S HOSPITAL · PI KOHANE, ISAAC S. · 2004 to 2013
$39.0M
TrainingU54HG007963 · NHGRI · HARVARD MEDICAL SCHOOL · PI KOHANE, ISAAC S., MURPHY, SHAWN N · 2014 to 2018
$18.3M
Finding Genomic Profiles of COVID-19 Phenotypes from the EHRU01HG008685 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIZABETH W KARLSON, Matthew S Lebo · 2015 to 2026
$13.6M
Lipids, Inflammation, and Cardiovascular Risk in Rheumatoid ArthritisR01HL127118 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LIAO, KATHERINE PHOENIX · 2016 to 2020
$4.1M
mi2b2 Enabled Pediatric Radiological Decision SupportR01EB014947 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI GRANT, PATRICIA ELLEN, HIRSCHTICK, RANDY L · 2012 to 2015
$2.8M
NHGRI NIH HHS U01 HG008685NHGRI NIH HHS U54 HG007963NHLBI NIH HHS R01 HL127118NIAMS NIH HHS P30 AR2072577NIBIB NIH HHS R01 EB014947NLM NIH HHS U54 LM008748
6 · The paper itself

Abstract

backgroundThe relationship between inflammation and blood pressure (BP) has been studied mainly in the general population. In this study, we examined the association between inflammation and BP across a broader range of inflammation observed in rheumatoid arthritis (RA) and non-RA outpatients.

methodsWe studied subjects from a tertiary care outpatient population with C-reactive protein (CRP) and BP measured on the same date in 2009-2010; RA outpatients were identified using a validated algorithm. General population data were obtained from the National Health and Nutrition Examination Survey (NHANES) as comparison. To study the cross-sectional association between CRP and BP in the three groups, we constructed a generalized additive model. Longitudinal association between CRP and BP was examined using a repeated-measures linear mixed-effects model in RA outpatients with significant change in inflammation at two consecutive time points.

resultsWe studied 24,325 subjects from the outpatient population, of whom 1811 had RA, and 5561 were from NHANES. In RA outpatients, we observed a positive relationship between CRP and systolic BP (SBP) at CRP < 6 mg/L and an inverse association at CRP ≥ 6 mg/L. A similar inverse U-shaped relationship was observed in non-RA outpatients. In NHANES, we observed a positive relationship between CRP and SBP as demonstrated by previous studies. Longitudinal analysis in RA showed that every 10 mg/L increase in CRP was associated with a 0.38 mmHg reduction in SBP.

conclusionsAcross a broad range of CRP observed in RA and non-RA outpatients, we found an inverse U-shaped relationship between CRP and SBP, highlighting a relationship not previously observed when studying the general population.

Indexed as

AdultAgedArthritis, RheumatoidBiomarkersBlood PressureC-Reactive ProteinCross-Sectional StudiesFemaleHumansInflammationLongitudinal StudiesMaleMiddle AgedNutrition SurveysBiomarkersC-Reactive ProteinBlood pressureInflammationRheumatoid arthritis

Identifiers

PMID29855349
PMCPMC5984318
OpenAlexW2807082773

What OpenQuestion holds

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LicenceCC BY
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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.