Evidence map›Paper›PMID 34244251›Full record

ArticleBMJ open2021

Trends in cardiovascular disease in Scottish military veterans: a retrospective cohort study.

Beverly P Bergman, Daniel F Mackay, Jill P Pell

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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  6. Suicide among Scottish military veterans: follow-up and trends.Occupational and environmental medicine · 2022
    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

3 authors at 1 institution in 1 country.

Beverly P BergmanInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK Beverly.Bergman@glasgow.ac.uk.ORCID 0000-0003-4596-3399
Daniel F MackayInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Jill P PellInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
University of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the risk of cardiovascular disease (CVD) in Scottish military veterans in comparison with people who had never served in long-term follow-up to 2017, and to compare the findings with our earlier study to 2012 to assess trends.

designRetrospective cohort study with up to 37 years follow-up.

settingPseudo-anonymised extract of computerised Scottish National Health Service records and national vital records.

participants78 000 veterans and 253 000 people with no record of service matched for age, sex and area of residence. OUTCOME MEASURES: Risk of first occurrence of acute myocardial infarction, peripheral arterial disease and stroke in veterans compared with non-veterans, overall and by sex and birth cohort.

resultsA first episode of CVD was recorded in 5.7% of veterans and 4.8% of non-veterans overall, Cox proportional HR 1.16, 95% CIs 1.12 to 1.20, p=0.001. The difference was only significant for men, and for veterans born before 1960, and was highest in veterans with the shortest service. In all categories, the difference in risk was less than at the end of 2012.

conclusionsThe excess burden of CVD in veterans which was evident at the end of 2012 has reduced in the following 5 years from 23% to 16% overall. The increased risk continues to affect only those veterans born prior to 1960, suggesting that improvements in military health promotion since 1978, when veterans born from 1960 joined the armed forces, have had an important and ongoing beneficial effect on the long-term health of veterans.

Indexed as

Cardiovascular DiseasesVeteransHumansMaleProportional Hazards ModelsRetrospective StudiesRisk FactorsScotlandState Medicinecardiac epidemiologyepidemiologypublic health

Identifiers

PMID34244251
PMCPMC8273476
OpenAlexW3180807782

What OpenQuestion holds

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LicenceCC BY-NC
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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.