Evidence map›Paper›PMID 32102838›Full record

ArticleJournal of epidemiology and community health2020

Association between C reactive protein and all-cause mortality in the ELSA-Brasil cohort.

Chams B Maluf, Sandhi Maria Barreto, Luana Giatti, Antonio Luiz Ribeiro, Pedro G Vidigal, Douglas R M Azevedo, Rosane H Griep, Sheila Maria Alvim Matos, Chen Ji, Francesco P Cappuccio and 1 more

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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.

Chams B MalufClinical Pathology, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil chamsbm12@gmail.com.ORCID 0000-0002-3690-2554
Sandhi Maria BarretoPreventive Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Luana GiattiPreventive Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Antonio Luiz RibeiroClinical Hospital and School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Pedro G VidigalClinical Pathology, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Douglas R M AzevedoDepartment of Statistics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Rosane H GriepEpidemiology, Oswaldo Cruz Foundation-National School of Public Health, Rio de Janeiro, Brazil.
Sheila Maria Alvim MatosInstitute of Public Health, Universidade Federal da Bahia, Salvador, Bahia, Brazil.
Chen JiWarwick Medical School, University of Warwick, Coventry, UK.
Francesco P CappuccioWarwick Medical School, University of Warwick, Coventry, UK.
Michelle A MillerWarwick Medical School, University of Warwick, Coventry, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-sensitivity C reactive protein (hsCRP) has been proposed as a marker of incident cardiovascular disease and vascular mortality, and may also be a marker of non-vascular mortality. However, most evidence comes from either North American or European cohorts. The present proposal aims to investigate the association of hsCRP with the risk of all-cause mortality in a multiethnic Brazilian population.

methodsBaseline data (2008-2010) of a cohort of 14 238 subjects participating in the Brazilian Longitudinal Study of Adult Health were used. hsCRP was assayed with immunochemistry. The association of baseline covariates with all-cause mortality was calculated by Cox regression for univariate model and adjusted for different confounders after a mean follow-up of 8.0±1.1 years. The final model was adjusted for age, sex, self-rated race/ethnicity, schooling, health behaviours and prevalent chronic disease.

resultsThe risk of death increased steadily by quartiles of hsCRP, from 1.45 (95% CI 1.05 to 2.01) in quartile 2 to 1.95 (95% CI 1.42 to 2.69) in quartile 4, compared with quartile 1. Furthermore, the persistence of a significant graded association after the exclusion of deaths in the first year of follow-up suggests that these results are unlikely to be due to reverse causality. Finally, the HR was unaffected by the exclusion of participants who had self-reported medical history of diabetes, cancer and chronic obstructive pulmonary disease.

conclusionsOur study shows that hsCRP level is associated with mortality in a highly admixed population, independent of a large set of lifestyle and clinical variables.

Indexed as

MortalityAdultAgedBiomarkersBrazilCardiovascular DiseasesCause of DeathCohort StudiesC-Reactive ProteinFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedNeoplasmsBiomarkersC-Reactive Proteincohort studiesepidemiologymortality

Identifiers

PMID32102838
PMCPMC7307658

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Registered trials

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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.