Evidence map›Paper›PMID 36507867›Full record

ArticleUnited European gastroenterology journal2023

Ulcerative colitis increases risk of hypertension in a UK biobank cohort study.

Jinshen He, Shaozhao Zhang, Yun Qiu, Fen Liu, Zishan Liu, Jinyu Tan, Fan Hu, Xiaomin Wu, Yu Wang, Longyuan Zhou and 5 more

Open access · hybridAbstract read
In one paragraph

Article in United European gastroenterology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Jinshen HeDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-7559-5243
Shaozhao ZhangDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yun QiuDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Fen LiuDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Zishan LiuDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jinyu TanDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Fan HuDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xiaomin WuDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yu WangDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Longyuan ZhouDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Shixian HuDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Minhu ChenDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xinxue LiaoDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xiaodong ZhuangDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Ren MaoDepartment of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Sun Yat-sen University · CN

Funding

Medical Research Council MC_PC_17228
6 · The paper itself

Abstract

objectiveInflammatory bowel disease (IBD) is not only a chronic inflammatory disorder of the gastrointestinal tract but also accompanied by systemic inflammation. The onset of hypertension is closely related to systemic inflammation. However, the relationship between IBD and hypertension has not been investigated. We aimed to investigate the potential association between IBD and the incidence of hypertension.

methodWe retrieved IBD onset and the incidence of hypertension from a public database UK Biobank. The association between the onset of IBD and subsequent incidence of hypertension was analyzed using a multivariate Cox regression analysis, and propensity score matching was performed for sensitivity analysis.

resultOf a total of 281,064 participants included in the study, 2376 (0.8%) were diagnosed with IBD at baseline, and 20,129 (7.2%) in the whole cohort developed hypertension with a median follow-up duration of 8.1 years (interquartile range [IQR] 7.3-8.8 years). Patients with IBD had a higher cumulative risk of hypertension compared with general population (10.9% in ulcerative colitis [UC], 7.7% in Crohn's disease [CD], and 9.3% in IBD unclassified [IBD-U] vs. 7.1% in non-IBD, p < 0.001). Multivariate Cox regression analysis identified that UC, rather than CD or IBD-U, was independently associated with subsequent occurrence of hypertension (HR 1.30, 95% CI: 1.11-1.52, p = 0.001). In propensity matching analysis, UC also showed its robustness as a risk factor for the prediction of hypertension (HR 1.56, 95% CI: 1.21-2.03, p = 0.001).

conclusionIn IBD patients, UC rather than CD is associated with a higher risk for the incidence of hypertension compared with general population. Close monitoring of hypertension might be required in clinical practice.

Indexed as

Colitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesBiological Specimen BanksCohort StudiesHumansInflammationUnited Kingdomepidemiologyhypertensioninflammatory bowel diseasepredictorUK Biobankulcerative colitis

Identifiers

PMID36507867
PMCPMC9892434
OpenAlexW4311202316

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.