Evidence map›Paper›PMID 32665359›Full record

SynthesisHeart (British Cardiac Society)2020

Cardiovascular disease in homeless versus housed individuals: a systematic review of observational and interventional studies.

Nader James Al-Shakarchi, Hannah Evans, Serena A Luchenski, Alistair Story, Amitava Banerjee

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Heart (British Cardiac Society), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
8.9field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Review
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  13. Unmet needs: Bringing physical rehabilitation to people experiencing homelessness.PM & R : the journal of injury, function, and rehabilitation · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Cardiovascular Disease Screening in homeless: A Feasibility Study.Journal of the American Heart Association · 2024
    Article
  20. Intersectionality and Social Drivers of Health in Cardiovascular Care.Methodist DeBakey cardiovascular journal · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Nader James Al-ShakarchiMedical School, University College London, London, United Kingdom.ORCID 0000-0003-1496-8103
Hannah EvansInstitute of Health Informatics, University College London, London, United Kingdom.
Serena A LuchenskiInstitute of Epidemiology and Health Care, University College London, London, United Kingdom.
Alistair StoryInstitute of Health Informatics, University College London, London, United Kingdom.
Amitava BanerjeeInstitute of Health Informatics, University College London, London, United Kingdom ami.banerjee@ucl.ac.uk.ORCID 0000-0001-8741-3411
University College London · GBUniversity College London Hospitals NHS Foundation Trust · GB

Funding

Department of Health RP-DG-0117-10003
6 · The paper itself

Abstract

objectivesTo identify: (i) risk of cardiovascular disease (CVD) in homeless versus housed individuals and (ii) interventions for CVD in homeless populations.

methodsWe conducted a systematic literature review in EMBASE until December 2018 using a search strategy for observational and interventional studies without restriction regarding languages or countries. Meta-analyses were conducted, where appropriate and possible. Outcome measures were all-cause and CVD mortality, and morbidity.

resultsOur search identified 17 articles (6 case-control, 11 cohort) concerning risk of CVD and none regarding specific interventions. Nine were included to perform a meta-analysis. The majority (13/17, 76.4%) were high quality and all were based in Europe or North America, including 765 459 individuals, of whom 32 721 were homeless. 12/17 studies were pre-2011. Homeless individuals were more likely to have CVD than non-homeless individuals (pooled OR 2.96; 95% CI 2.80 to 3.13; p<0.0001; heterogeneity p<0.0001; I

conclusionsHomeless people have an approximately three times greater risk of CVD and an increased CVD mortality. However, there are no studies of specific pathways/interventions for CVD in this population. Future research should consider design and evaluation of tailored interventions or integrating CVD into existing interventions.

Indexed as

HousingIll-Housed PersonsSocial Determinants of HealthAdolescentAdultAgedAged, 80 and overCardiovascular DiseasesEuropeFemaleHealth StatusHumansMaleMiddle AgedNorth AmericaObservational Studies as Topicglobal healthcare deliveryhealth care deliveryquality and outcomes of care

Identifiers

PMID32665359
PMCPMC7509384
OpenAlexW3043689957

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.