Evidence map›Paper›PMID 31119696›Full record

ArticleAging clinical and experimental research2020

Levothyroxine treatment and incident dementia in adults with atrial fibrillation.

Per Wändell, Axel C Carlsson, Xinjun Li, Jan Sundquist, Kristina Sundquist

Open access · hybridAbstract read
In one paragraph

Article in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

5 authors at 3 institutions in 3 countries.

Per WändellDivision of Family Medicine and Primary Care, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Alfred Nobels Allé 23, 141 83, Huddinge, Sweden. per.wandell@ki.se.ORCID http://orcid.org/0000-0001-5169-2965
Axel C CarlssonDivision of Family Medicine and Primary Care, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Alfred Nobels Allé 23, 141 83, Huddinge, Sweden.
Xinjun LiCenter for Primary Health Care Research, Lund University, Malmö, Sweden.
Jan SundquistCenter for Primary Health Care Research, Lund University, Malmö, Sweden.
Kristina SundquistCenter for Primary Health Care Research, Lund University, Malmö, Sweden.
Karolinska Institutet · SEShimane University · JPLund University · SE

Funding

Neighborhoods and Coronary Disease: Exploring Mechanisms and Improving MethodsR01HL116381 · NHLBI · LUNDS UNIVERSITET · PI SUNDQUIST, KRISTINA · 2014 to 2017
$1.9M
Foundation for the National Institutes of Health R01HL116381NHLBI NIH HHS R01 HL116381Vetenskapsrådet 2016-01176
6 · The paper itself

Abstract

objectiveLevothyroxine treatment is common among older adults as is atrial fibrillation (AF), yet less is known about its potential effects on the development of dementia.

methodsThe study population included all adults with diagnosed AF (n = 156,104) aged ≥ 45 years in Sweden without an earlier recorded diagnosis of dementia. Individuals with a dispensed prescription of levothyroxine on two or more occasions between July 1 2005 and December 31 2006 in Sweden were considered exposed (n = 12,978; 8.3%), and were compared to all other patients with AF without this treatment. Cox regression with hazard ratios (HRs) and 95% confidence interval (95% CI), with outcome defined as dementia of all causes between January 1, 2007 and December 31, 2015, was used in the analysis. Adjustments were made for socio-demographic factors (age, immigration status, marital status, educational level, neighborhood socioeconomic status), co-morbidity (cardiovascular disease, obesity, diabetes, COPD, depression, anxiety and alcohol related diagnoses), and cardiovascular medications.

resultsDuring follow-up, a total of 9054 patients with AF were diagnosed with dementia (5.8%). We found no significant association of levothyroxine treatment and incident dementia, fully adjusted HR 1.03 (95% CI 0.96-1.11), neither among men and women, nor in different age-groups or subgroups of dementia.

conclusionWe found no significant association of levothyroxine treatment and incident dementia among patients with AF, which contrasts some earlier findings.

Indexed as

AdultAgedAged, 80 and overAtrial FibrillationCase-Control StudiesComorbidityCross-Sectional StudiesDementiaFemaleHumansMaleMiddle AgedProportional Hazards ModelsRegistriesRisk FactorsSwedenThyroxineAlzheimer’s diseaseAtrial fibrillationDementiaDrug treatmentGenderLevothyroxine

Identifiers

PMID31119696
PMCPMC6872912
OpenAlexW2945193817

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.