Evidence map›Paper›PMID 35034032›Full record

ArticleCerebrovascular diseases (Basel, Switzerland)2022

Rural-Urban Differences in Diagnosed Cervical Artery Dissection in New York State.

Madeleine Dulany Hunter, Erin R Kulick, Eliza Miller, Joshua Willey, Amelia K Boehme, Charles Branas, Mitchell S V Elkind

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cerebrovascular diseases (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Madeleine Dulany HunterDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Erin R KulickDepartment of Epidemiology and Biostatistics, College of Public Health, Temple University, Philadelphia, Pennsylvania, USA.
Eliza MillerDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Joshua WilleyDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Amelia K BoehmeDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Charles BranasDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.
Mitchell S V ElkindDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.

Funding

Neurovascular Unit Dysfunction in Women with Severe PreeclampsiaK23NS107645 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MILLER, ELIZA C · 2019 to 2023
$1.1M
NINDS NIH HHS K23 NS107645
6 · The paper itself

Abstract

backgroundCervical artery dissection (CeAD) is a leading cause of stroke in young adults. Incidence estimates may be limited by under- or overdiagnosis.

objectiveWe aimed to investigate if CeAD diagnosis would be higher in urban centers compared to rural regions of New York State (NYS).

methodsFor this ecological study, administrative codes were used to identify CeAD discharges in the NYS Statewide Planning and Research Cooperative System (SPARCS) from 2009 to 2014. Rural Urban Commuting Area (RUCA) codes were taken from the US Department of Agriculture and included the classifications metropolitan, micropolitan, small town, and rural. Negative binomial models were used to calculate effect estimates and 95% confidence limits (eβ; 95% CL) for the association between RUCA classification and the number of dissections per ZIP code. Models were further adjusted by population.

resultsPopulation information was obtained from the US Census Bureau on 1,797 NYS ZIP codes (70.7% of NYS ZIP codes), 826 of which had at least 1 CeAD-related discharge from 2009 to 2014. Nonrural ZIP codes were more likely to report more CeAD cases relative to rural areas even after adjusting for population (metropolitan effect = eβ 5.00; 95% CI: 3.75-6.66; micropolitan effect 3.02; 95% CI: 2.16-4.23; small town effect 2.34; 95% CI: 1.58-3.47).

conclusionsCeAD diagnosis correlates with population density as defined by rural-urban status. Our results could be due to underdiagnosis in rural areas or overdiagnosis with increasing urbanicity.

Indexed as

Rural PopulationStrokeArteriesHumansNew YorkUrban PopulationYoung AdultCervical artery dissectionEpidemiologyRural areaUrban area

Identifiers

PMID35034032
PMCPMC9256775

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