Evidence map›Paper›PMID 33234170›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2020

High-sensitive C-reactive protein and homocysteine levels in patients with newly diagnosed bipolar disorder, their first-degree relatives, and healthy control persons-Results from a clinical study.

Marc Østergaard Nielsen, Nanna Aagaard Petersen, Klara Coello, Sharleny Stanislaus, Sigurd A Melbye, Hanne Lie Kjærstad, Kimie Stefanie Ormstrup Sletved, Ruth Frikke-Schmidt, Roger S McIntyre, Maj Vinberg and 1 more

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Marc Østergaard NielsenCopenhagen Affective Disorders Research Centre (CADIC), Psychiatric Centre Copenhagen, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-7722-7655
Nanna Aagaard PetersenCopenhagen Affective Disorders Research Centre (CADIC), Psychiatric Centre Copenhagen, Rigshospitalet, Copenhagen, Denmark.
Klara CoelloCopenhagen Affective Disorders Research Centre (CADIC), Psychiatric Centre Copenhagen, Rigshospitalet, Copenhagen, Denmark.
Sharleny StanislausCopenhagen Affective Disorders Research Centre (CADIC), Psychiatric Centre Copenhagen, Rigshospitalet, Copenhagen, Denmark.
Sigurd A MelbyeCopenhagen Affective Disorders Research Centre (CADIC), Psychiatric Centre Copenhagen, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-1514-5424
Hanne Lie KjærstadCopenhagen Affective Disorders Research Centre (CADIC), Psychiatric Centre Copenhagen, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-7781-8853
Kimie Stefanie Ormstrup SletvedCopenhagen Affective Disorders Research Centre (CADIC), Psychiatric Centre Copenhagen, Rigshospitalet, Copenhagen, Denmark.
Ruth Frikke-SchmidtDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Roger S McIntyreMood Disorders Psychopharmacology Unit, University Health Network, Toronto, Ontario, Canada.
Maj VinbergCopenhagen Affective Disorders Research Centre (CADIC), Psychiatric Centre Copenhagen, Rigshospitalet, Copenhagen, Denmark.
Lars Vedel KessingCopenhagen Affective Disorders Research Centre (CADIC), Psychiatric Centre Copenhagen, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-9377-9436

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChanges in inflammatory and metabolic markers are implicated in the pathogenesis in both the development and progression of bipolar disorder (BD). Notwithstanding, these markers have not been investigated in newly diagnosed BD.

methodsWe compared high-sensitive C-reactive protein (hs-CRP) and homocysteine (Hcy) levels in 372 patients with newly diagnosed BD, 106 unaffected first-degree relatives (URs), and 201 healthy control persons (HCs). Within the patient group, we also investigated possible associations between hs-CRP and Hcy, respectively, with illness-related characteristics and psychotropic medication.

resultsNo statistically significant differences in Hcy and hs-CRP levels were found when comparing BD and URs with HCs. Similarly, there were no differences when comparing only patients in remission or patients with affective symptoms, respectively, with HCs. Hcy levels were found to be 11.9% (95% CI: 1.030-1.219) higher in patients with BD when compared with their URs (p = 0.008), when adjusting for folate and cobalamin status, age, sex, and self-reported activity levels. Hcy levels were significantly associated with folate, cobalamin, gender, and age in all models (p < 0.05).

conclusionOur results do not support hs-CRP or Hcy as markers in newly diagnosed BD.

Indexed as

AdultBiomarkersBipolar DisorderCase-Control StudiesC-Reactive ProteinFemaleHomocysteineHumansMaleMiddle AgedBiomarkersC-Reactive ProteinHomocysteineBipolar disorderC-reactive proteinhomocysteineunaffected relatives

Identifiers

PMID33234170
PMCPMC8057370

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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.