Evidence map›Paper›PMID 34588244›Full record

ArticleBMJ open2021

Association between systemic sclerosis and peripheral arterial disease: a nationwide observation retrospective claim records cohort study in Taiwan.

Ming-Chia Hsieh, Hsin-Hung Chen, Tzu-Yi Chou, Ta-Wei Su, Cheng-Li Lin, Chia-Hung Kao

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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. 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

6 authors at 3 institutions in 3 countries.

Ming-Chia Hsieh *U Come Joint Clinic, Taichung, Taiwan.
Hsin-Hung Chen *Department of Internal Medicine, Asia University Hospital, Taichung, Taiwan.
Tzu-Yi ChouDepartment of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan.
Ta-Wei SuDepartment of Surgery, Chang Gung University, Taoyuan, Taiwan.
Cheng-Li LinManagement Office for Health Data, China Medical University Hospital, Taichung, Taiwan.
Chia-Hung KaoGraduate Institute of Biomedical Sciences, College of Medicine, China Medical University;Department of Nuclear Medicine and PET Center, China Medical University Hospital;Department of Bioinformatics and Medical Engineering, Asia University;Center of Augmented Intelligence in Healthcare, China Medical University Hospital, Taichung, Taiwan d10040@mail.cmuh.org.tw.ORCID 0000-0002-6368-3676
China Medical University · TWAsia University · TWChang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRecent studies have proposed associations between systemic sclerosis (SSc) and atherosclerosis and between SSc and cardiovascular disease. However, in Asia, no large-scale studies have focused on the association between peripheral arterial disease (PAD) and SSc.

settingA nationwide observation retrospective cohort study.

participantsThe National Health Insurance Research Database was used for selecting patients diagnosed with SSc from 2000 to 2011. Patients diagnosed with PAD before the index date were excluded. PRIMARY AND SECONDARY OUTCOME MEASURES: The SSc cohort comprised 1106 patients with SSc, and the non-SSc cohort comprised 4424 matched controls. The Cox proportional hazards regression model was used for analysing the adjusted risk of PAD between the case and control patients.

resultsThe SSc cohort exhibited a significantly higher risk (HR=2.15, 95% CI=1.47 to 3.14) of PAD than did the non-SSc cohort. Patients with heart failure exhibited the highest risk of PAD (adjusted HR=2.10, 95% CI=1.20 to 3.70). Moreover, even without any comorbidities, the SSc cohort exhibited a significantly higher risk (adjusted HR=4.17 fold, 95% CI=1.98 to 8.77) of PAD than did the non-SSc cohort.

conclusionSSc is associated with a significantly high risk of PAD. Further studies are required to reduce the PAD risk among patients with SSc.

Indexed as

Peripheral Arterial DiseaseScleroderma, SystemicCohort StudiesComorbidityHumansIncidenceProportional Hazards ModelsRetrospective StudiesRisk FactorsTaiwanepidemiologyrheumatologyvascular medicine

Identifiers

PMID34588244
PMCPMC8483053
OpenAlexW3203648027

What OpenQuestion holds

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Registered trials

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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.