Evidence map›Paper›PMID 30735527›Full record

Trial reportPloS one2019

Subclinical atherosclerosis in psoriasis. Usefulness of femoral artery ultrasound for the diagnosis, and analysis of its relationship with insulin resistance.

Alvaro Gonzalez-Cantero, Jorge Gonzalez-Cantero, Ana Isabel Sanchez-Moya, Cristina Perez-Hortet, Salvador Arias-Santiago, Cristina Schoendorff-Ortega, Jorge Luis Gonzalez-Calvin

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.5field-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

26 citing papers in PubMed, 39 citations in OpenAlex.

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  20. Psoriasis and Cardiovascular Disease: A Narrative Review.Korean journal of family medicine · 2021
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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

7 authors at 4 institutions in 1 country.

Alvaro Gonzalez-CanteroDepartment of Dermatology, Complejo Hospitalario de Toledo, Toledo, Spain.ORCID 0000-0001-8060-4784
Jorge Gonzalez-CanteroDepartment of Radiology, Gregorio Marañon Hospital, Madrid, Spain.
Ana Isabel Sanchez-MoyaDepartment of Dermatology, Complejo Hospitalario de Toledo, Toledo, Spain.
Cristina Perez-HortetDepartment of Dermatology, Complejo Hospitalario de Toledo, Toledo, Spain.
Salvador Arias-SantiagoDepartment of Dermatology, Virgen de las Nieves Hospital, Granada, Spain.
Cristina Schoendorff-OrtegaDepartment of Dermatology, Complejo Hospitalario de Toledo, Toledo, Spain.
Jorge Luis Gonzalez-CalvinDepartment of Gastroenterology, University Hospital San Cecilio, Granada, Spain.
Complejo Hospitalario Universitario de Toledo · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario Virgen de las Nieves · ESInstituto de Investigación Biosanitaria de Granada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsoriasis is associated with an increased risk of cardiovascular disease (CVD) at younger ages that is not identifiable by traditional risk factors. Screening for subclinical atherosclerosis with ultrasound has only been investigated in carotid arteries. Femoral artery ultrasound has never been considered for this purpose. The link between psoriasis and accelerated atherosclerosis has not yet been established.

objectiveTo study the usefulness of femoral artery ultrasound for the detection of subclinical atherosclerosis in psoriasis. We also investigated its possible relationship with changes in insulin resistance.

methodsWe conducted a cross-sectional study in 140 participants, 70 patients with moderate-to-severe psoriasis and 70 healthy controls, matched 1:1 for age, sex, and BMI. Femoral and carotid atherosclerotic plaques were evaluated by ultrasonography. Insulin resistance was assessed by the homeostasis model assessment method (HOMA-IR).

resultsFemoral atherosclerotic plaque prevalence was significantly higher in patients with psoriasis (44.64%) than in controls (19.07%) (p<0.005), but no significant difference was found in carotid plaque prevalence (p<0.3). Femoral plaques were significantly more prevalent than carotid plaques (21.42%) among patients with psoriasis (p<0.001). In the regression analysis, insulin resistance was the most influential determinant of atherosclerosis in psoriasis and C-reactive protein the most significant predictor of insulin resistance.

conclusionsUltrasound screening for femoral atherosclerotic plaques improves the detection of subclinical atherosclerosis in patients with psoriasis, whereas the study of carotid arteries is not sufficiently accurate. Insulin resistance appears to play a greater role in the development of atherosclerosis in these patients in comparison to other classical CVD risk factors.

Indexed as

AtherosclerosisCarotid Artery DiseasesInsulin ResistancePlaque, AtheroscleroticPsoriasisAgedCross-Sectional StudiesFemaleFemoral ArteryHumansMaleMiddle AgedPrevalenceUltrasonography

Identifiers

PMID30735527
PMCPMC6368294
OpenAlexW2912488437

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.