Evidence map›Paper›PMID 31340450›Full record

ArticleJournal of clinical medicine2019

Incidence of Cardiovascular Disease in Patients with Familial Hypercholesterolemia Phenotype: Analysis of 5 Years Follow-Up of Real-World Data from More than 1.5 Million Patients.

Luís Masana, Alberto Zamora, Núria Plana, Marc Comas-Cufí, Maria Garcia-Gil, Ruth Martí-Lluch, Anna Ponjoan, Lia Alves-Cabratosa, Roberto Elosua, Jaume Marrugat and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
10.6field-weighted citation impact, top 1% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  15. TheInternational journal of environmental research and public health · 2022
    Article
  16. Article
  17. Review
  18. Treatment Inertia in Patients With Familial Hypercholesterolemia.Journal of the American Heart Association · 2021
    Article
  19. Pediatric Lipid Disorders.Pediatric annals · 2021
    Article
  20. Review
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

12 authors at 5 institutions in 1 country.

Luís MasanaLipids and Arteriosclerosis Research Unit, Sant Joan University Hospital, 43204 Reus, Catalonia, Spain.
Alberto ZamoraXarxa de Unitats de Lipids de Catalunya (XULA), 17300 Girona, Catalonia, Spain.ORCID 0000-0001-6907-0654
Núria PlanaLipids and Arteriosclerosis Research Unit, Sant Joan University Hospital, 43204 Reus, Catalonia, Spain.
Marc Comas-CufíInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), 08007 Barcelona, Catalonia, Spain.ORCID 0000-0001-9759-0622
Maria Garcia-GilInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), 08007 Barcelona, Catalonia, Spain.
Ruth Martí-LluchInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), 08007 Barcelona, Catalonia, Spain.ORCID 0000-0002-7320-9521
Anna PonjoanInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), 08007 Barcelona, Catalonia, Spain.ORCID 0000-0003-4314-6387
Lia Alves-CabratosaInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), 08007 Barcelona, Catalonia, Spain.
Roberto ElosuaCIBER of Cardiovascular Diseases (CIBERCV), 08003 Barcelona, Catalonia, Spain.
Jaume MarrugatCIBER of Cardiovascular Diseases (CIBERCV), 08003 Barcelona, Catalonia, Spain.
Irene R DéganoCIBER of Cardiovascular Diseases (CIBERCV), 08003 Barcelona, Catalonia, Spain.
Rafel RamosDepartment of Medical Sciences, School of Medicine, University of Girona, 17071 Girona, Catalonia, Spain. rramos.girona.ics@gencat.cat.
Catalan Institute for Water Research · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ESInstitut de Recerca Biomèdica Catalunya Sud · ESUniversitat de Girona · ESUniversitat de Vic - Universitat Central de Catalunya · ES

Funding

Departament de Salut, Generalitat de Catalunya [SLT002/16/00145, SLT006/17/00029].Departament d'Innovació, Universitats i Empresa, Generalitat de Catalunya [2017 SGR 1146] and [2017 SGR 222]Instituto de Salud Carlos III RD16/0007/0004; RD12/0042/0061, RD12/0042/0013
6 · The paper itself

Abstract

In the statin era, the incidence of atherosclerotic cardiovascular diseases (ASCVD) in patients with familial hypercholesterolemia (FH) has not been updated. We aimed to determine the incidence of ASCVD in patients with FH-phenotype (FH-P) and to compare it with that of normal low-density lipoprotein cholesterol (LDL-C) patients. We performed a retrospective cohort study using the Database of the Catalan primary care system, including ≥18-year-old patients with an LDL-C measurement. From 1,589,264 patients available before 2009, 12,823 fulfilled FH-P criteria and 514,176 patients were normolipidemic (LDL-C < 115 mg/dL). In primary prevention, patients with FH-P had incidences of ASCVD and coronary heart disease (CHD) of 14.9/1000 and 5.8/1000 person-years, respectively, compared to 7.1/1000 and 2.1/1000 person-years in the normolipidemic group. FH-P showed hazard ratio (HR) of 7.1 and 16.7 for ASCVD and CHD, respectively, in patients younger than 35 years. In secondary prevention, patients with FH-P had incidences of ASCVD and CHD of 89.7/1000 and 34.5/1000 person-years, respectively, compared to 90.9/1000 and 28.2/1000 person-years in the normolipidemic group (HR in patients younger than 35 years: 2.4 and 6.0). In the statin era, FH-P remains associated with high cardiovascular risk, compared with the normolipidemic population. This excess of risk is markedly high in young individuals.

Indexed as

atherosclerosiscardiovascular diseasesFamilial Hypercholesterolemiaincidencepreventionreal-world datarisk assessment

Identifiers

PMID31340450
PMCPMC6678686
OpenAlexW2963410448

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.