Evidence map›Paper›PMID 31782133›Full record

SynthesisThe British journal of dermatology2020

Partner bereavement and risk of psoriasis and atopic eczema: cohort studies in the U.K. and Denmark.

A Y S Wong, T Frøslev, H J Forbes, A Kjaersgaard, A Mulick, K Mansfield, R J Silverwood, H T Sørensen, L Smeeth, S A J Schmidt and 1 more

Erratum issuedOpen access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in The British journal of dermatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

A Y S WongFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, U.K.ORCID 0000-0002-8618-7333
T FrøslevDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
H J ForbesFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, U.K.
A KjaersgaardDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
A MulickFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, U.K.
K MansfieldFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, U.K.
R J SilverwoodFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, U.K.
H T SørensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
L SmeethFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, U.K.
S A J SchmidtDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
S M LanganFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, U.K.
University of London · GBAarhus University Hospital · DK

Funding

Medical Research Council MR/S003940/1Wellcome Trust 205039/Z/16/Z
6 · The paper itself

Abstract

backgroundStress is commonly cited as a risk factor for psoriasis and atopic eczema, but such evidence is limited.

objectivesTo investigate the association between partner bereavement (an extreme life stressor) and psoriasis or atopic eczema.

methodsWe conducted cohort studies using data from the U.K. Clinical Practice Research Datalink (1997-2017) and Danish nationwide registries (1997-2016). The exposed cohort was partners who experienced partner bereavement. The comparison cohort was up to 10 nonbereaved partners, matched to each bereaved partner by age, sex, county of residence (Denmark) and general practice (U.K.). Outcomes were the first recorded diagnosis of psoriasis or atopic eczema. We estimated hazard ratios (HRs) and confidence intervals (CIs) using a stratified Cox proportional hazards model in both settings, which were then pooled in a meta-analysis.

resultsThe pooled adjusted HR for the association between bereavement and psoriasis was 1·01 (95% CI 0·98-1·04) across the entire follow-up. Similar results were found in other shorter follow-up periods. Pooled adjusted HRs for the association between bereavement and atopic eczema were 0·97 (95% CI 0·84-1·12) across the entire follow-up, 1·09 (95% CI 0·86-1·38) within 0-30 days, 1·18 (95% CI 1·04-1·35) within 0-90 days, 1·14 (95% CI 1·06-1·22) within 0-365 days and 1·07 (95% CI 1·02-1·12) within 0-1095 days.

conclusionsWe found a modest increase in the risk of atopic eczema within 3 years following bereavement, which peaked in the first 3 months. Acute stress may play a role in triggering onset of new atopic eczema or relapse of atopic eczema previously in remission. We observed no evidence for increased long-term risk of psoriasis and atopic eczema following bereavement.

Indexed as

BereavementDermatitis, AtopicPsoriasisCohort StudiesDenmarkHumansRisk Factors

Identifiers

PMID31782133
PMCPMC7496681
OpenAlexW2990809227

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.