Evidence map›Paper›PMID 33414844›Full record

ArticleTherapeutic advances in neurological disorders2020

Sex disparity in long-term stroke recurrence and mortality in a rural population in the United States.

Clare Lambert, Durgesh Chaudhary, Oluwaseyi Olulana, Shima Shahjouei, Venkatesh Avula, Jiang Li, Vida Abedi, Ramin Zand

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The Impact of Sex and Gender on Stroke.Circulation research · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. 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

8 authors at 3 institutions in 1 country.

Clare LambertGeisinger NeuroScience Institute, Geisinger Health System, Danville, PA, USA.
Durgesh ChaudharyGeisinger NeuroScience Institute, Geisinger Health System, Danville, PA, USA.
Oluwaseyi OlulanaGeisinger NeuroScience Institute, Geisinger Health System, Danville, PA, USA.
Shima ShahjoueiGeisinger NeuroScience Institute, Geisinger Health System, Danville, PA, USA.
Venkatesh AvulaGeisinger NeuroScience Institute, Geisinger Health System, Danville, PA, USA.
Jiang LiDepartment of Molecular and Functional Genomics, Weis Center for Research, Geisinger Health System, Danville, PA, USA.
Vida AbediDepartment of Molecular and Functional Genomics, Weis Center for Research, Geisinger Health System, Danville, PA, USA.
Ramin ZandGeisinger NeuroScience Institute, Geisinger Health System, 100 North Academy Ave., Danville, PA 17822, USA.ORCID https://orcid.org/0000-0002-9477-0094
Geisinger Neuroscience Institute · USBiocom · USGeisinger Health System · US

Funding

Electronic Health Record Data and Predictive Analytic Methods for HFR56HL116832 · NHLBI · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI YAN, XIAOWEI SHERRY · 2018 to 2018
$761k
NHLBI NIH HHS R56 HL116832
6 · The paper itself

Abstract

backgroundSeveral studies suggest women may be disproportionately affected by poorer stroke outcomes than men. This study aims to investigate whether women have a higher risk of all-cause mortality and recurrence after an ischemic stroke than men in a rural population in central Pennsylvania, United States.

methodsWe analyzed consecutive ischemic stroke patients captured in the Geisinger NeuroScience Ischemic Stroke research database from 2004 to 2019. Kaplan-Meier (KM) estimator curves stratified by gender and age were used to plot survival probabilities and Cox Proportional Hazards Ratios were used to analyze outcomes of all-cause mortality and the composite outcome of ischemic stroke recurrence or death. Fine-Gray Competing Risk models were used for the outcome of recurrent ischemic stroke, with death as the competing risk. Two models were generated; Model 1 was adjusted by data-driven associated health factors, and Model 2 was adjusted by traditional vascular risk factors.

resultsAmong 8900 adult ischemic stroke patients [median age of 71.6 (interquartile range: 61.1-81.2) years and 48% women], women had a higher crude all-cause mortality. The KM curves demonstrated a 63.3% survival in women compared with a 65.7% survival in men (

conclusionSex was not an independent risk factor for all-cause mortality and ischemic stroke recurrence in the rural population in central Pennsylvania.

Indexed as

EHRischemic strokerecurrent strokerisk factorsrisk modelrural populationsex disparitystroke mortality

Identifiers

PMID33414844
PMCPMC7750897
OpenAlexW3111465594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.