Evidence map›Paper›PMID 35025100›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2022

Cardiovascular disease and the risk of dementia: a survival analysis using administrative data from Manitoba.

Luc Clair, Hope Anderson, Christopher Anderson, Okechukwu Ekuma, Heather J Prior

Open access · greenAbstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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  13. Cognitive trajectories and incident dementia after a cardiovascular event in older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
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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

5 authors at 3 institutions in 1 country.

Luc ClairDepartment of Economics, University of Winnipeg, 515 Portage, Avenue, Winnipeg, MB, R3B 2E9, Canada. l.clair@uwinnipeg.ca.ORCID 0000-0002-7068-7958
Hope AndersonCanadian Centre for Agri-Food Research in Health and Medicine, Winnipeg, MB, Canada.
Christopher AndersonDepartment of Pharmacology and Therapeutics, University of Manitoba, Winnipeg, MB, Canada.
Okechukwu EkumaManitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada.
Heather J PriorManitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada.
Agriculture and Agri-Food Canada · CAManitoba Health · CAHealth Sciences Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRecent research has shown that cardiovascular disease (CVD) raises the risk of dementia and other forms of cognitive decline. Generally, these studies are unable to model the time of diagnosis of CVD in their analyses and treat CVD as a time-fixed variable. Our objective was to assess the risk of being diagnosed with dementia for individuals diagnosed with CVD when CVD is time-dependent.

methodsWe performed a retrospective cohort study using administrative health datasets from the Manitoba Population Research Data Repository in Canada. We constructed a longitudinal dataset to track individuals enrolled in the Manitoba Health Insurance Registry between April 1, 1997 and March 31, 2015. The study population consisted of 496,192 individuals 30 years of age or older who were not diagnosed with CVD or dementia prior to April 1, 1997. Diagnoses of CVD and dementia were based on diagnosis codes from medical claims and hospitalizations and the use of prescription medications. Hazard ratios were then computed using adjusted Cox-proportional hazards analyses.

resultsAmong the CVD subgroups considered, atrial fibrillation, ischemic heart disease, and stroke increased the risk of developing dementia, with stroke doubling one's risk of being diagnosed with the disease (hazard ratio: 1.95; 95% confidence interval: 1.9, 2.01). Age, lower socioeconomic status, and worsening comorbidities also increased the risk of being diagnosed with dementia.

conclusionA diagnosis of CVD is associated with an increased risk of a future diagnosis of dementia. Promoting good cardiovascular health may serve as an effective measure for preventing dementia.

Indexed as

Cardiovascular DiseasesDementiaStrokeHumansManitobaProportional Hazards ModelsRetrospective StudiesRisk FactorsSurvival AnalysisCardiovascular diseaseDementiaRetrospective studySurvival analysisTime-varying coefficients

Identifiers

PMID35025100
PMCPMC9043061
OpenAlexW4205532140

What OpenQuestion holds

Textmetadata
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.