Evidence map›Paper›PMID 37032341›Full record

SynthesisBMC psychiatry2023

Lifetime posttraumatic stress disorder as a predictor of mortality: a systematic review and meta-analysis.

Dinuli Nilaweera, Aung Zaw Zaw Phyo, Achamyeleh Birhanu Teshale, Htet Lin Htun, Jo Wrigglesworth, Caroline Gurvich, Rosanne Freak-Poli, Joanne Ryan

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
15.3field-weighted citation impact, top 1% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 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

8 authors at 1 institution in 1 country.

Dinuli NilaweeraSchool of Public Health and Preventive Medicine, Monash University, Level 5, Melbourne, VIC, 3004, Australia.
Aung Zaw Zaw PhyoSchool of Public Health and Preventive Medicine, Monash University, Level 5, Melbourne, VIC, 3004, Australia.
Achamyeleh Birhanu TeshaleSchool of Public Health and Preventive Medicine, Monash University, Level 5, Melbourne, VIC, 3004, Australia.
Htet Lin HtunSchool of Public Health and Preventive Medicine, Monash University, Level 5, Melbourne, VIC, 3004, Australia.
Jo WrigglesworthSchool of Public Health and Preventive Medicine, Monash University, Level 5, Melbourne, VIC, 3004, Australia.
Caroline GurvichDepartment of Psychiatry, Central Clinical School, Alfred Hospital and Monash University, Melbourne, VIC, 2004, Australia.
Rosanne Freak-PoliSchool of Public Health and Preventive Medicine, Monash University, Level 5, Melbourne, VIC, 3004, Australia.
Joanne RyanSchool of Public Health and Preventive Medicine, Monash University, Level 5, Melbourne, VIC, 3004, Australia. joanne.ryan@monash.edu.
Monash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPosttraumatic Stress Disorder (PTSD) could potentially increase the risk of mortality, and there is a need for a meta-analysis to quantify this association. This study aims to determine the extent to which PTSD is a predictor of mortality.

methodsEMBASE, MEDLINE, and PsycINFO were searched systematically on 12th February 2020, with updated searches conducted in July 2021, and December 2022 (PROSPERO CRD42019142971). Studies involving community-dwelling participants with a diagnosis of PTSD or PTSD symptoms, and a comparator group of individuals without PTSD, and which assessed mortality risk, were included. A random-effects meta-analysis was conducted on studies reporting Odds Ratio (OR), Hazard Ratio (HR), and Risk Ratio (RR), and subgroup analysis was also performed by age, sex, type of trauma experienced, PTSD diagnosis, and cause of death.

resultsA total of 30 eligible studies of mostly good methodological quality were identified, with a total of more than 2.1 million participants with PTSD. The majority of studies involved male-dominated, veteran populations. PTSD was associated with a 47% (95% CI: 1.06-2.04) greater risk of mortality across six studies that reported OR/RR, and a 32% increased risk across 18 studies which reported time to death (HR: 1.32, 95% CI: 1.10-1.59). There was very high study heterogeneity (I

conclusionPTSD is associated with increased mortality risk, however further research is required amongst civilians, involving women, and in individuals from underdeveloped countries.

Indexed as

Cognitive Behavioral TherapyStress Disorders, Post-TraumaticDeveloping CountriesFemaleHumansMaleWaiting ListsDeathMortalityPosttraumatic stress disorderPTSD

Identifiers

PMID37032341
PMCPMC10084620
OpenAlexW4362731276

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.