Evidence map›Paper›PMID 31708993›Full record

ArticleImmunity & ageing : I & A2019

Associations of plasma high-sensitivity C-reactive protein concentrations with all-cause and cause-specific mortality among middle-aged and elderly individuals.

Zhi-Hao Li, Wen-Fang Zhong, Yue-Bin Lv, Virginia Byers Kraus, Xiang Gao, Pei-Liang Chen, Qing-Mei Huang, Jin-Dong Ni, Xiao-Ming Shi, Chen Mao and 1 more

Abstract read
In one paragraph

Article in Immunity & ageing : I & A, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Zhi-Hao Li *1Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, 510515 Guangdong China.
Wen-Fang Zhong *1Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, 510515 Guangdong China.
Yue-Bin Lv2National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Virginia Byers Kraus3Duke Molecular Physiology Institute and Division of Rheumatology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina USA.
Xiang Gao4Department of Nutritional Sciences, Pennsylvania State University, University Park, PA USA.
Pei-Liang Chen1Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, 510515 Guangdong China.
Qing-Mei Huang1Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, 510515 Guangdong China.
Jin-Dong Ni5Department of Epidemiology and Biostatistics, Dongguan Key Laboratory of Environmental Medicine, School of Public Health, Guangdong Medical University, Dongguan, Guangdong China.
Xiao-Ming Shi2National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Chen Mao1Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, 510515 Guangdong China.
Xian-Bo Wu1Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, 510515 Guangdong China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association of high-sensitivity C-reactive protein (hsCRP) with mortality is controversial. We aimed to investigate the associations of hsCRP concentrations with the risks of all-cause and cause-specific mortality and identify potential modifying factors affecting these associations among middle-aged and elderly individuals.

methodsThis community-based prospective cohort study included 14,220 participants aged 50+ years (mean age: 64.9 years) from the Health and Retirement Study. Cox proportional hazard models were employed to estimate the associations between the hsCRP concentrations and the risk of all-cause and cause-specific mortality with adjustment for sociodemographic and lifestyle factors, self-reported medical history, and other potential confounders.

resultsIn total, 1730 all-cause deaths were recorded, including 725 cardiovascular- and 417 cancer-related deaths, after an 80,572 person-year follow-up (median: 6.4 years; range: 3.6-8.1 years). The comparisons of the groups with the highest (quartile 4) and lowest (quartile 1) hsCRP concentrations revealed that the adjusted hazard ratios and 95% confidence intervals were 1.50 (1.31-1.72) for all-cause mortality, 1.44 (1.13-1.82) for cardiovascular mortality, and 1.67 (1.23-2.26) for cancer mortality. The associations between high hsCRP concentrations and the risks of all-cause, cardiovascular, and cancer mortality were similar in the men and women (

conclusionsAmong middle-aged and older individuals, elevated hsCRP concentration could increase the risk of all-cause, cardiovascular, and cancer mortality in men and women.

Indexed as

All-cause mortalityCancer mortalityCardiovascular mortalityHigh-sensitivity C-reactive protein

Identifiers

PMID31708993
PMCPMC6833146

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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.