Evidence map›Paper›PMID 35452183›Full record

ArticleClinical and translational medicine2022

Exploring disease interrelationships in patients with lymphatic disorders: A single center retrospective experience.

Stanley G Rockson, Xin Zhou, Lan Zhao, Davood K Hosseini, Xinguo Jiang, Andrew J Sweatt, Dongeon Kim, Wen Tian, Michael P Snyder, Mark R Nicolls

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Stanley G RocksonStanford Center for Lymphatic and Venous Disorders, Division of Cardiovascular Medicine, Stanford University, School of Medicine, Stanford, California, USA.ORCID 0000-0003-1253-474X
Xin ZhouDepartment of Genetics, Stanford University, School of Medicine, Stanford, California, USA.
Lan ZhaoVeteran Affairs Palo Alto Health Care System, Palo Alto, California, USA.
Davood K HosseiniStanford Center for Lymphatic and Venous Disorders, Division of Cardiovascular Medicine, Stanford University, School of Medicine, Stanford, California, USA.
Xinguo JiangVeteran Affairs Palo Alto Health Care System, Palo Alto, California, USA.
Andrew J SweattDivision of Pulmonary, Allergy, and Critical Care Medicine, Stanford University, School of Medicine, Stanford, California, USA.
Dongeon KimVeteran Affairs Palo Alto Health Care System, Palo Alto, California, USA.
Wen TianVeteran Affairs Palo Alto Health Care System, Palo Alto, California, USA.
Michael P SnyderDepartment of Genetics, Stanford University, School of Medicine, Stanford, California, USA.
Mark R NicollsVeteran Affairs Palo Alto Health Care System, Palo Alto, California, USA.
VA Palo Alto Health Care System · USStanford University · USStanford Medicine · US

Funding

Stanford Medicine Center for Longevity and Healthy Aging Research Education CoreP30AG059307 · NIA · STANFORD UNIVERSITY · PI MALDONADO, YVONNE A. · 2018 to 2025
$4.9M
Critical Role for Microvasculature in Airway TransplantationR01HL095686 · NHLBI · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI NICOLLS, MARK ROBERT · 2010 to 2022
$4.7M
Regulatory T Cells and Pulmonary HypertensionR01HL158714 · NHLBI · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI NICOLLS, MARK ROBERT · 2021 to 2024
$2.5M
A Critical Role for Leukotriene B4 in LymphedemaR01HL141105 · NHLBI · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI NICOLLS, MARK ROBERT · 2019 to 2022
$2.3M
A Critical Role for Hypoxia-Inducible Factors in LymphedemaR01HL150583 · NHLBI · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI JIANG, XINGUO · 2021 to 2024
$2.3M
Reclassifying Pulmonary Arterial Hypertension Into Immune Phenotypes Using Machine LearningK23HL151892 · NHLBI · STANFORD UNIVERSITY · PI SWEATT, ANDREW JOHN · 2020 to 2024
$942k
BMPR2 mutations, Neointimal Transformation and Pulmonary Arterial HypertensionI01BX005628 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI Mark Robert Nicolls · 2021 to 2026
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BLRD VA I01 BX005628NHLBI NIH HHS K23 HL151892NHLBI NIH HHS R01 HL095686NHLBI NIH HHS R01 HL141105NHLBI NIH HHS R01 HL150583NHLBI NIH HHS R01 HL158714NIA NIH HHS P30 AG059307NIH HHS P30AG059307NIH HHS R01HL095686NIH HHS R01Hl141105NIH HHS R01HL150583
6 · The paper itself

Abstract

backgroundThe lymphatic contribution to the circulation is of paramount importance in regulating fluid homeostasis, immune cell trafficking/activation and lipid metabolism. In comparison to the blood vasculature, the impact of the lymphatics has been underappreciated, both in health and disease, likely due to a less well-delineated anatomy and function. Emerging data suggest that lymphatic dysfunction can be pivotal in the initiation and development of a variety of diseases across broad organ systems. Understanding the clinical associations between lymphatic dysfunction and non-lymphatic morbidity provides valuable evidence for future investigations and may foster the discovery of novel biomarkers and therapies.

methodsWe retrospectively analysed the electronic medical records of 724 patients referred to the Stanford Center for Lymphatic and Venous Disorders. Patients with an established lymphatic diagnosis were assigned to groups of secondary lymphoedema, lipoedema or primary lymphovascular disease. Individuals found to have no lymphatic disorder were served as the non-lymphatic controls. The prevalence of comorbid conditions was enumerated. Pairwise co-occurrence pattern analyses, validated by Jaccard similarity tests, was utilised to investigate disease-disease interrelationships.

resultsComorbidity analyses underscored the expected relationship between the presence of secondary lymphoedema and those diseases that damage the lymphatics. Cardiovascular conditions were common in all lymphatic subgroups. Additionally, statistically significant alteration of disease-disease interrelationships was noted in all three lymphatic categories when compared to the control population.

conclusionsThe presence or absence of a lymphatic disease significantly influences disease interrelationships in the study cohorts. As a physiologic substrate, the lymphatic circulation may be an underappreciated participant in disease pathogenesis. These relationships warrant further, prospective scrutiny and study.

Indexed as

LipedemaLymphatic DiseasesLymphedemaHumansProspective StudiesRetrospective Studiesco-morbiditydisease co-occurrencedisease interrelationshiplipedemalymphedemalymphovascular disease

Identifiers

PMID35452183
PMCPMC9028099
OpenAlexW4224222563

What OpenQuestion holds

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LicenceCC BY
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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.