Evidence map›Paper›PMID 30200460›Full record

ArticleBrain sciences2018

Gender Differences and Comorbidities in U.S. Adults with Bipolar Disorder.

Rikinkumar S Patel, Sanya Virani, Hina Saeed, Sai Nimmagadda, Jupi Talukdar, Nagy A Youssef

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 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

6 authors at 6 institutions in 3 countries.

Rikinkumar S PatelDepartment of Psychiatry, Griffin Memorial Hospital, 900 E Main St, Norman, OK 73071, USA. dr.rknpatel@gmail.com.ORCID 0000-0002-2895-9155
Sanya ViraniDepartment of Psychiatry, Maimonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219, USA. svirani@maimonidesmed.org.
Hina SaeedBaqai Medical University, 51, Deh Tor, Gadap Road, Super Highway, Karachi 74600, Pakistan. hinasadeel@gmail.com.
Sai NimmagaddaUniversity of Illinois College of Medicine, 1 Illini Dr, Peoria, IL 61605, USA. nimmagaddasaik@gmail.com.
Jupi TalukdarGauhati Medical College and Hospital, GMCH Rd, Bhangagarh, Guwahati, Assam 781032, India. jupi1589@gmail.com.
Nagy A YoussefMedical College of Georgia, Augusta University, 997 St. Sebastian Way, Augusta, GA 30912, USA. NYOUSSEF@augusta.edu.ORCID 0000-0002-1922-9396
Augusta University · USBaqai Medical University · PKGauhati Medical College and Hospital · INGriffin Hospital · USIllinois College · USMaimonides Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPast studies have evaluated the association of various comorbidities with bipolar disorder. This study analyzes differences in the prevalence and association of medical and psychiatric comorbidities in bipolar patients by gender.

methodsA retrospective analysis was conducted using the Nationwide Inpatient Sample (2010⁻2014). Using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes, we narrowed the study population to comprise those with a primary diagnosis of bipolar disorder and then obtained information about comorbidities. The differences in comorbidities by gender were quantified using chi-square tests and the logistic regression model (odds ratio (OR)).

resultsHypertension (20.5%), asthma (12.5%) and hypothyroidism (8.1%) were the top medical comorbidities found in bipolar patients. Migraine and hypothyroidism were seen three times higher in females (OR = 3.074 and OR = 3.001; respectively). Females with bipolar disorder had higher odds of comorbid inflammatory disorders like asthma (OR = 1.755), Crohn's disease (OR = 1.197) and multiple sclerosis (OR = 2.440) compared to males. Females had a two-fold higher likelihood of comorbid post-traumatic stress disorder (PTSD) (OR = 2.253) followed by personality disorders (OR = 1.692) and anxiety disorders (OR = 1.663) compared to males.

conclusionWomen with bipolar disorder have a much higher medical comorbidity burden than men and may highly benefit from an integrated team of physicians to manage their condition and improve their health-related quality of life.

Indexed as

bipolar disordercomorbiditiesgender differencesinpatient psychiatry

Identifiers

PMID30200460
PMCPMC6162692
OpenAlexW2889430383

What OpenQuestion holds

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LicenceCC BY
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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.