Evidence map›Paper›PMID 32078459›Full record

ArticleStroke2020

Temporal Trends in Stroke Incidence Over Time by Sex and Age in the GCNKSS.

Tracy E Madsen, Jane C Khoury, Michelle Leppert, Kathleen Alwell, Charles J Moomaw, Heidi Sucharew, Daniel Woo, Simona Ferioli, Sharyl Martini, Opeolu Adeoye and 14 more

Erratum issued Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Stroke, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07171242 (Shanghai Prospective Registry Study of Ischemic Stroke), which is not on this map. Cited by 82 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 4 pooled it
11.6field-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.

NCT07171242 recruitingnot on this mapstarted 2024, after this paper: background citation

Shanghai Prospective Registry Study of Ischemic Stroke

TypeobservationalSponsorQiang DongRan2024 to 2029Enrolled15,000ConditionsIschemic Stroke
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 4 syntheses or guidelines pooled it, 163 citations in OpenAlex.

  1. Pooled it
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  5. Trial
  6. Article
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  9. The Neurology of Menopause.Current neurology and neuroscience reports · 2026
    Review
  10. Observational
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 12 institutions in 3 countries.

Tracy E MadsenFrom the Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI (T.E.M.).
Jane C KhouryDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, OH (J.C.K., H.S.).
Michelle LeppertDepartment of Neurology, University of Colorado School of Medicine, Aurora (M.L.).
Kathleen AlwellDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Charles J MoomawDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Heidi SucharewDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, OH (J.C.K., H.S.).
Daniel WooDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Simona FerioliDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Sharyl MartiniDepartment of Neurology, Baylor College of Medicine, Houston, TX (S.M.).
Opeolu AdeoyeDepartment of Emergency Medicine (O.A.), University of Cincinnati College of Medicine, OH.
Pooja KhatriDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Matthew FlahertyDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Felipe De Los Rios La RosaBaptist Health Neuroscience Center, Miami, FL (F.D.L.R.L.R.).
Jason MackeyDepartment of Neurology, Indiana University School of Medicine, Indianapolis (J.M.).
Eva MistryDepartment of Neurology, Vanderbilt University, Nashville, TN (E.M.).
Stacie L DemelDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Elisheva ColemanDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Adam JasneDepartment of Neurology, Yale School of Medicine, New Haven, CT (A.J.).
Sabreena J SlavinDepartment of Neurology, University of Kansas Medical Center, MO (S.J.S.).
Kyle WalshDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Michael StarDepartment of Neurology, Soroka Medical Center, Beersheva, Israel (M.S.).
Joseph P BroderickDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Brett M KisselaDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Dawn O KleindorferDepartment of Neurology and Rehabilitation Medicine (K.A., C.J.M., D.W., S.F., P.K., M.F., S.L.D., E.C., K.W., J.P.B., B.M.K., D.O.K.), University of Cincinnati College of Medicine, OH.
Neuroscience Institute · ITUniversity of Cincinnati Medical Center · USCincinnati Children's Hospital Medical Center · USBaptist Health South Florida · USBaylor College of Medicine · USBrown University · USIndiana University School of MedicineSoroka Medical Center · ILUniversity of Colorado Denver · USUniversity of Kansas Medical Center · USVanderbilt University · USYale University · US

Funding

STROKE INCIDENCE AND OUTCOME AMONG BLACKS AND WHITESR01NS030678 · NINDS · UNIVERSITY OF CINCINNATI · PI KISSELA, BRETT M, KLEINDORFER, DAWN O · 1993 to 2024
$26.7M
Cerebrovascular Fellowship Training ProgramT32NS047996 · NINDS · UNIVERSITY OF CINCINNATI · PI Joseph Paul Broderick, Stacie Demel · 2006 to 2026
$3.7M
StoP STRokE: Sex-Specific Prevention of Stroke Through Reproductive Risk Factors and Sex Hormone EffectsK23HL140081 · NHLBI · RHODE ISLAND HOSPITAL · PI MADSEN, TRACY · 2018 to 2022
$945k
Blood Pressure after Endovascular Stroke Therapy-II: A Randomized TrialK23NS113858 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MISTRY, EVA · 2019 to 2023
$901k
NHLBI NIH HHS K23 HL140081NINDS NIH HHS K23 NS113858NINDS NIH HHS R01 NS030678NINDS NIH HHS T32 NS047996
6 · The paper itself

Abstract

Background and Purpose- Sex differences in stroke incidence over time were previously reported from the GCNKSS (Greater Cincinnati/Northern Kentucky Stroke Study). We aimed to determine whether these differences continued through 2015 and whether they were driven by particular age groups. Methods- Within the GCNKSS population of 1.3 million, incident (first ever) strokes among residents ≥20 years of age were ascertained at all local hospitals during 5 periods: July 1993 to June 1994 and calendar years 1999, 2005, 2010, and 2015. Out-of-hospital cases were sampled. Sex-specific incidence rates per 100 000 were adjusted for age and race and standardized to the 2010 US Census. Trends over time by sex were compared (overall and age stratified). Sex-specific case fatality rates were also reported. Bonferroni corrections were applied for multiple comparisons. Results- Over the 5 study periods, there were 9733 incident strokes (56.3% women). For women, there were 229 (95% CI, 215-242) per 100 000 incident strokes in 1993/1994 and 174 (95% CI, 163-185) in 2015 (

Indexed as

AdultAgedAged, 80 and overAge FactorsBrain IschemiaFemaleHumansIncidenceKentuckyMaleMiddle AgedOhioSex FactorsStrokeTime Factorsadulthumansincidencesexstroke

Identifiers

PMID32078459
PMCPMC7286565
OpenAlexW3005742203

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Registered trials

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.