Evidence map›Paper›PMID 32957411›Full record

SynthesisMedicine2020

Neurofilament light chain level in traumatic brain injury: A system review and meta-analysis.

Wenyan Gao, Zhongshan Zhang, Xiaoling Lv, Qing Wu, Jing Yan, Genxiang Mao, Wenmin Xing

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 3% 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

46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  3. The role of spectrin breakdown products in patients with traumatic brain injury: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
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  8. Pathway-level proteomics identifies subcellular trafficking dysregulation as a molecular signature in severe traumatic brain injury.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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  13. Exercise Training and Biomarkers of Neuroaxonal Injury in Multiple Sclerosis: Narrative Review.International journal of environmental research and public health · 2026
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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

7 authors at 3 institutions in 2 countries.

Wenyan GaoKey Laboratory of Neuropsychiatric, Drug Research of Zhejiang Province, Institute of Materia Medica, Zhejiang Academy of Medical Sciences&Hangzhou Medical College.
Zhongshan ZhangKey Laboratory of Vector Biology and Pathogen Control of Zhejiang Province.
Xiaoling LvZhejiang Provincial Key Lab of Geriatrics, Department of Geriatrics, Zhejiang Hospital.
Qing WuZhejiang Provincial Key Lab of Geriatrics, Department of Geriatrics, Zhejiang Hospital.
Jing YanZhejiang Provincial Key Lab of Geriatrics, Department of Geriatrics, Zhejiang Hospital.
Genxiang MaoZhejiang Provincial Key Lab of Geriatrics, Department of Geriatrics, Zhejiang Hospital.
Wenmin XingZhejiang Provincial Key Lab of Geriatrics, Department of Geriatrics, Zhejiang Hospital.ORCID 0000-0003-3980-2011
Zhejiang Hospital · CNVector (United States) · USZhejiang Academy of Medical Sciences · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurofilament light (NfL) level was obviously increased in traumatic brain injury (TBI) individuals. But, no comprehensive meta-analysis has ever been conducted to assess the diagnostic performance of NfL. This study aims to evaluate the relationship between NfL level and TBI through a meta-analysis.

methodsStudies were selected from Pubmed, Web of science, Embase, Google Scholar, PMC and Chinese National Knowledge Infrastructure (CNKI), and the Chinese Biomedical Literature Database (CBM) through inclusion and exclusion criteria. The standard mean difference (SMD) and 95% confidence interval (CI) were calculated using the random-effect model or fixed-effect model to assess the association between NfL level and TBI. Subgroup analysis according to sample collection time, sample type and detection method was performed. The influence analysis and publication bias was also conducted. All analyses were performed using the RevMan 5.3 and Stata 12 software.

resultsA total of 9 studies were included. Results indicated that TBI individuals had a higher NfL expression level compared with the non-TBI individuals (SMD = 2.48, 95% CI = 1.52-3.43, I = 96%, P < .01). Similar NfL increasing was also observed in Caucasian population, 0-48 hour and 6-10 days sample collection time, as well as cerebrospinal fluid (CSF), serum, plasma sample subgroup analysis. Moreover, the NfL increasing still existed no matter the NfL expression level was detected by ELISA or Simoa assay.

conclusionNfL expression level was increased in TBI individuals, which indicated that NfL could be a potential biomarker in the diagnosis of TBI and other neurodegenerative diseases.

Indexed as

AdolescentAdultAgedAged, 80 and overBiomarkersBlood Chemical AnalysisBrain Injuries, TraumaticEnzyme-Linked Immunosorbent AssayFemaleHumansImmunoassayMaleMiddle AgedNeurofilament ProteinsYoung AdultBiomarkersneurofilament protein LNeurofilament Proteins

Identifiers

PMID32957411
PMCPMC7505327
OpenAlexW3087215391

What OpenQuestion holds

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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.