Evidence map›Paper›PMID 32900883›Full record

SynthesisRMD open2020

Systemic lupus erythematosus; stroke and myocardial infarction risk: a systematic review and meta-analysis.

Jinoos Yazdany, Nick Pooley, Julia Langham, Lindsay Nicholson, Sue Langham, Nina Embleton, Xia Wang, Barnabas Desta, Volkan Barut, Edward Hammond

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Stroke in autoimmune rheumatic diseases.Rheumatology international · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Proceedings of the 2Mediterranean journal of rheumatology · 2026
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Myocardial infarction in rheumatic diseases.Rheumatology international · 2025
    Review
  19. Cardiac Involvement in Systemic Lupus Erythematosus.Reviews in cardiovascular medicine · 2025
    Review
  20. Article
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

10 authors.

Jinoos YazdanyDivision of Rheumatology, Department of Medicine, University of California, San Francisco, California, USA.
Nick PooleySystematic Review Group, Maverex Limited, Manchester, UK.
Julia LanghamEpidemiology Group, Maverex Limited, Manchester, UK.
Lindsay NicholsonSystematic Review Group, Maverex Limited, Manchester, UK.
Sue LanghamHealth Economics Group, Maverex Limited, Manchester, UK.
Nina EmbletonStatistical Group, Maverex Limited, Manchester, UK.
Xia WangData Science & AI, AstraZeneca, Gaithersburg, Maryland, USA.
Barnabas DestaGlobal Pricing and Market Access, AstraZeneca, Gaithersburg, Maryland, USA barnabas.desta@astrazeneca.com.
Volkan BarutGlobal Medical Affairs, AstraZeneca, Cambridge, UK.
Edward HammondBioPharmaceuticals Medical, AstraZeneca, Gaithersburg, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the risk of stroke and myocardial infarction (MI) in adult patients with systemic lupus erythematosus (SLE) through a systematic review and meta-analysis.

methodsWe searched MEDLINE and EMBASE from inception to May 2020 to identify observational studies (cohort and cross-sectional) that evaluated risk of stroke and MI in adult patients with SLE compared with the general population or healthy controls. Studies were included if they reported effect-size estimates that could be used for calculating pooled-effect estimates. Random-effects models were used to calculate pooled risk ratios (RRs) and 95% CIs for stroke and MI. Heterogeneity quantified by the I

resultsIn total, 26 studies were included in this meta-analysis: 14, 5 and 7 studies on stroke, MI and both stroke and MI, respectively. The pooled RR for ischaemic stroke was 2.18 (95% CI 1.78 to 2.67; I

conclusionsOverall, patients with SLE were identified to have a twofold to threefold higher risk of stroke and MI. Future research on the interaction between known SLE-specific modifiable risk factors and risk of stroke and MI to support development of prevention and treatment strategies are needed. PROSPERO REGISTRATION NUMBER: CRD42018098690.

Indexed as

BiomarkersDiagnosis, DifferentialDisease SusceptibilityHumansLupus Erythematosus, SystemicMyocardial InfarctionOdds RatioRisk AssessmentRisk FactorsStrokeBiomarkersCardiovascular DiseaseEpidemiologyOutcomes researchSystemic Lupus Erythematosus

Identifiers

PMID32900883
PMCPMC7722272

What OpenQuestion holds

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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.