Evidence map›Paper›PMID 33104469›Full record

ReviewStroke2020

Identifying Genetic and Biological Determinants of Race-Ethnic Disparities in Stroke in the United States.

Debora Kamin Mukaz, Neil A Zakai, Salvador Cruz-Flores, Louise D McCullough, Mary Cushman

Open access · bronzeAbstract readReview
In one paragraph

Review in Stroke, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. DECODING STROKE DISPARITIES: ZIP CODES, COLOR CODES, AND EPIGENETIC CODES.Transactions of the American Clinical and Climatological Association · 2024
    Article
  12. Article
  13. Intersectionality in Alzheimer's Disease: The Role of Female Sex and Black American Race in the Development and Prevalence of Alzheimer's Disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  14. Article
  15. Review
  16. Brain-body pathways linking racism and health.The American psychologist · 2022
    Article
  17. Article
  18. Observational
  19. 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

5 authors at 3 institutions in 2 countries.

Debora Kamin MukazDepartment of Medicine, Vermont Center on Cardiovascular and Brain Health (D.K.M., N.A.Z., M.C.), Larner College of Medicine at the University of Vermont, Burlington.
Neil A ZakaiDepartment of Medicine, Vermont Center on Cardiovascular and Brain Health (D.K.M., N.A.Z., M.C.), Larner College of Medicine at the University of Vermont, Burlington.
Salvador Cruz-FloresDepartment of Neurology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso (S.C.-F.).
Louise D McCulloughDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston (L.D.M.).
Mary CushmanDepartment of Medicine, Vermont Center on Cardiovascular and Brain Health (D.K.M., N.A.Z., M.C.), Larner College of Medicine at the University of Vermont, Burlington.
University of Vermont · USTexas Tech University · USThe University of Texas Health Science Center · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
Vermont Center for Cardiovascular and Brain HealthP20GM135007 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Kathryn H Morelli · 2020 to 2026
$17.4M
Impact of SAH on Parenchymal Arterioles and Neurovascular CouplingP01HL095488 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI CIPOLLA, MARILYN J · 2010 to 2014
$11.4M
Regional & Racial Differences in Hemostasis & Risk of Stroke & Heart DiseaseK08HL096841 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI ZAKAI, NEIL ADRIAN · 2010 to 2014
$705k
NHLBI NIH HHS K08 HL096841NIGMS NIH HHS P20 GM135007NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

In the United States, causes of racial differences in stroke and its risk factors remain only partly understood, and there is a long-standing disparity in stroke incidence and mortality impacting Black Americans. Only half of the excess risk of stroke in the United States Black population is explained by traditional risk factors, suggesting potential effects of other factors including genetic and biological characteristics. Here, we nonsystematically reviewed candidate laboratory biomarkers for stroke and their relationships to racial disparities in stroke. Current evidence indicates that IL-6 (interleukin-6), a proinflammatory cytokine, mediates racial disparities in stroke through its association with traditional risk factors. Only one reviewed biomarker, Lp(a) (lipoprotein[a]), is a race-specific risk factor for stroke. Lp(a) is highly genetically determined and levels are substantially higher in Black than White people; clinical and pharmaceutical ramifications for stroke prevention remain uncertain. Other studied stroke risk biomarkers did not explain racial differences in stroke. More research on Lp(a) and other biological and genetic risk factors is needed to understand and mitigate racial disparities in stroke.

Indexed as

Health Status DisparitiesBiomarkersBlack or African AmericanBlood CoagulationFactor VIIIFibrin Fibrinogen Degradation ProductsFibrinogenGenetic Predisposition to DiseaseHumansIncidenceInflammationInterleukin-6Lipoprotein(a)Protein CRisk FactorsSickle Cell TraitBiomarkersFactor VIIIFibrin Fibrinogen Degradation Productsfibrin fragment DFibrinogenInterleukin-6Lipoprotein(a)Protein Cbiomarkerincidenceinterleukin-6lipoproteinsrisk factors

Identifiers

PMID33104469
PMCPMC7594163
OpenAlexW3094157915

What OpenQuestion holds

Textmetadata
LicenceTDM
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.