Evidence map›Paper›PMID 33305219›Full record

ArticleCJC open2020

Exploring Occupational, Recreational, and Environmental Associations in Patients With Clinically Manifest Cardiac Sarcoidosis.

Stewart D Spence, Maria C Medor, Pablo B Nery, Eva Shepherd-Perkins, Daniel Juneau, Steve Promislow, Alyssa Nikolla, Robert A deKemp, Rob S Beanlands, David H Birnie

Open access · goldAbstract read
In one paragraph

Article in CJC open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 36% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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 at 1 institution in 1 country.

Stewart D SpenceDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Maria C MedorDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Pablo B NeryDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Eva Shepherd-PerkinsDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Daniel JuneauDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Steve PromislowDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Alyssa NikollaDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Robert A deKempDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Rob S BeanlandsDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
David H BirnieDepartment of Medicine (Cardiology), University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
University of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSarcoidosis is a condition of unknown etiology. A number of occupational, recreational, and environmental exposures have been associated with the development of extra-cardiac sarcoidosis. Patients with clinically manifest cardiac sarcoidosis (CS) have a distinct clinical phenotype. We sought to explore the exposures associated with clinically manifest CS.

methodsTwo groups of patients were recruited in a prospective registry: cases (patients with clinically manifest CS) and controls (patients without sarcoidosis and who had similar cardiac presentations to cases). A validated survey, previously used in other sarcoidosis phenotypes, was sent to all patients.

resultsA total of 113 patients met the inclusion criteria and were sent the survey, of whom 79 of 113 (69.9%) completed the survey. We found 3 environmental associations. First, we found a negative association of CS with smoking, with 8 of 43 (18.6%) CS patients being current or ex-smokers compared to 17 of 36 (47.2%) of the controls. Second, we found a positive association with mold exposure, with 21 of 43 (48.8%) CS patients having a prior history of mold exposure compared to 9 of 36 (25.0%) of the controls. After multivariable analysis, there remained significant associations between CS and smoking (odds ratio 0.14 [95% confidence interval 0.04-0.51],

conclusionsWe found a negative association between smoking history and the diagnosis of CS. We also found a significant 5-fold increase in mold exposure and a positive association with duration of acne in patients with CS compared to controls.

Identifiers

PMID33305219
PMCPMC7711021
OpenAlexW3042829891

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.