Evidence map›Paper›PMID 30595080›Full record

Trial reportJournal of the American Heart Association2019

Association Between Plasma Neutrophil Gelatinase-Associated Lipocalin and Cardiac Disease Hospitalizations and Deaths in Older Women.

James J H Chong, Richard L Prince, Peter L Thompson, Sujitha Thavapalachandran, Esther Ooi, Amanda Devine, E E M Lim, Elizabeth Byrnes, Germaine Wong, Wai H Lim and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
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  6. Article
  7. Calcaneal quantitative ultrasound is associated with all-cause and cardiovascular disease mortality independent of hip bone mineral density.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  8. Observational
  9. Review
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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 5 institutions in 1 country.

James J H Chong1 Centre for Heart Research Westmead Institute for Medical Research The University of Sydney Westmead New South Wales Australia.
Richard L Prince4 Medical School University of Western Australia Perth Australia.
Peter L Thompson7 Department of Cardiology Sir Charles Gairdner Hospital Perth Australia.
Sujitha Thavapalachandran1 Centre for Heart Research Westmead Institute for Medical Research The University of Sydney Westmead New South Wales Australia.
Esther Ooi4 Medical School University of Western Australia Perth Australia.
Amanda Devine10 School of Medical and Health Sciences Edith Cowan University Joondalup Western Australia Australia.
E E M Lim9 PathWest Sir Charles Gairdner Hospital Perth Australia.
Elizabeth Byrnes9 PathWest Sir Charles Gairdner Hospital Perth Australia.
Germaine Wong11 Centre for Kidney Research Children's Hospital at Westmead School of Public Health Sydney Medical School The University of Sydney Sydney Australia.
Wai H Lim8 Department of Renal Medicine Sir Charles Gairdner Hospital Perth Australia.
Joshua R Lewis4 Medical School University of Western Australia Perth Australia.
Sir Charles Gairdner Hospital · AUThe University of Western Australia · AUThe University of Sydney · AUChildren's Hospital at Westmead · AUEdith Cowan University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Neutrophil gelatinase-associated lipocalin ( NGAL ) or lipocalin 2 may promote atherosclerosis and plaque instability leading to increased risk of cardiac events. We investigated the relationships between plasma NGAL , cardiovascular disease biomarkers, and long-term cardiac events. Methods and Results The study population consisted of 1131 ambulant older white women (mean age 75 years) without clinical coronary heart disease ( CHD ) and measures of plasma NGAL in the Perth Longitudinal Study of Ageing Women with 14.5-year CHD and heart failure hospitalizations or death (events) captured using linked records. Over 14.5 years, 256 women had CHD events, while 118 had heart failure events. Per SD increase in log-transformed NGAL there was a 35% to 37% increase in relative hazards for CHD and heart failure events in unadjusted analyses, which remained significant after adjustment for conventional risk factors for CHD events (hazard ratio 1.29, 95% CI 1.13-1.48, P<0.001) but not heart failure ( P>0.05). Women in the highest 2 quartiles of NGAL had higher relative hazards for CHD events compared with women in the lowest quartile hazard ratio 1.61, 95% CI 1.08-2.39, P=0.019 and hazard ratio 1.97, 95% CI 1.33-3.93, P=0.001, respectively. These associations were independent of high-sensitivity cardiac troponin I, homocysteine, and estimated renal function. NGAL correctly reclassified 1 in 4 women who sustained a CHD event up in risk and 1 in 10 women without CHD events down in risk. Conclusions NGAL was associated with increased risk of long-term CHD events, independent of conventional risk factors and biomarkers. These findings provide mechanistic insight into the role of NGAL with cardiac events.

Indexed as

Women's HealthAgedBiomarkersCause of DeathFemaleFollow-Up StudiesHeart DiseasesHospitalizationHumansLipocalin-2New South WalesPrognosisProspective StudiesRisk AssessmentRisk FactorsSurvival RateBiomarkersLipocalin-2coronary heart diseaseelderlylipocalin 2myocyte necrosisneutrophil gelatinase‐associated lipocalin

Identifiers

PMID30595080
PMCPMC6405726
OpenAlexW2908459474

What OpenQuestion holds

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LicenceCC BY-NC
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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.