Evidence map›Paper›PMID 35695973›Full record

ArticleDigestive diseases and sciences2023

Cardiovascular Risk Factors and Physical Fitness Among Subjects with Asymptomatic Colonic Diverticulosis.

Offir Ukashi, Barak Pflantzer, Yiftach Barash, Eyal Klang, Shlomo Segev, David J Ozeri, Ido Veisman, Adi Lahat, Ido Laish, Uri Kopylov and 1 more

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Article in Digestive diseases and sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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

11 authors at 2 institutions in 1 country.

Offir UkashiDepartment of Gastroenterology, Sheba Medical Center, Ha'ela 1, Ramat Gan, Israel. Offir.Ukashi@sheba.health.gov.il.ORCID http://orcid.org/0000-0002-8601-6550
Barak PflantzerDepartment of Internal Medicine A, Sheba Medical Center, Ha'ela 1, Ramat Gan, Israel.
Yiftach BarashSackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Eyal KlangSackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Shlomo SegevSackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
David J OzeriDepartment of Internal Medicine A, Sheba Medical Center, Ha'ela 1, Ramat Gan, Israel.
Ido VeismanDepartment of Gastroenterology, Sheba Medical Center, Ha'ela 1, Ramat Gan, Israel.
Adi LahatDepartment of Gastroenterology, Sheba Medical Center, Ha'ela 1, Ramat Gan, Israel.
Ido LaishDepartment of Gastroenterology, Sheba Medical Center, Ha'ela 1, Ramat Gan, Israel.
Uri KopylovDepartment of Gastroenterology, Sheba Medical Center, Ha'ela 1, Ramat Gan, Israel.
Amit OppenheimDepartment of Internal Medicine A, Sheba Medical Center, Ha'ela 1, Ramat Gan, Israel.
Tel Aviv University · ILHebrew University of Jerusalem · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between diverticular disease and atherosclerotic cardiovascular disease (ASCVD) has been demonstrated previously, mainly in symptomatic subjects.

aimsTo evaluate 10 years cardiovascular risk, exercise performance and association to ASCVD among subjects with asymptomatic diverticulosis.

methodsA retrospective cross-sectional cohort of self-referred participants in a medical screening program, who underwent a screening colonoscopy. Demographics, clinical and laboratory variables, ASCVD score, and metabolic equivalents (METs) during treadmill stress test were compared between subjects with and without diverticulosis as diagnosed on screening colonoscopy.

results4586 participants underwent screening colonoscopy; 799 (17.4%) had diverticulosis. Among 50-69 yo participants, diverticulosis subjects had a higher ASCVD score compared to non-diverticulosis subjects. Exercise performance was comparable between the groups, across all age groups. Using logistic regression analysis, advanced age group (50-59 yo Adjusted odds ratio (AOR) [95% confidence interval (CI)] 2.57 (1.52-4.34), p < 0.001; 60-69 yo, AOR 2.87 (2.09-3.95), p < 0.001; ≥ 70 yo AOR 4.81 (3.23-7.15), p < 0.001; compared to < 50 yo age group), smoking [AOR 1.27 (1.05-1.55), p = 0.016], HTN [AOR 1.27 (1.03-1.56), p = 0.022], obesity [AOR 1.36 (1.06-1.74), p = 0.014] and male sex [AOR 1.29 (1.02-1.64), p = 0.036] were associated with diverticular detection during screening colonoscopy. Among males, achieving METs score ≥ 10 was inversely associated with diverticular detection during screening colonoscopy [AOR 0.64 (0.43-0.95), p = 0.027].

conclusionsTen years probability for ASCVD estimated by the ASCVD score is higher among subjects with asymptomatic diverticulosis compared to subjects without diverticulosis. Improved exercise performance is demonstrated for the first time to correlate with decreased probability for diverticular disease in screening colonoscopy.

Indexed as

AtherosclerosisCardiovascular DiseasesDiverticular DiseasesDiverticulosis, ColonicDiverticulumCross-Sectional StudiesHeart Disease Risk FactorsHumansMalePhysical FitnessRetrospective StudiesRisk FactorsASCVDDiverticulosisExercise performanceMETsScreening colonoscopy

Identifiers

PMID35695973
OpenAlexW4282600943

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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.