Evidence map›Paper›PMID 37137668›Full record

ArticleOpen heart2023

Identification of an increased lifetime risk of major adverse cardiovascular events in UK Biobank participants with scoliosis.

Valentina Quintero Santofimio, Adam Clement, Declan P O'Regan, James S Ware, Kathryn A McGurk

Open access · goldAbstract read
In one paragraph

Article in Open heart, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Detecting scoliosis at scale using automated Cobb angle analysis in the UK Biobank.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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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

5 authors at 3 institutions in 2 countries.

Valentina Quintero SantofimioNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0002-6351-2383
Adam ClementMRC London Institute of Medical Sciences, Imperial College London, London, UK.
Declan P O'ReganMRC London Institute of Medical Sciences, Imperial College London, London, UK.ORCID 0000-0002-0691-0270
James S WareNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0002-6110-5880
Kathryn A McGurkNational Heart and Lung Institute, Imperial College London, London, UK k.mcgurk@imperial.ac.uk.ORCID 0000-0002-5445-6906
Lung Institute · USMRC London Institute of Medical Sciences · GBGuy's and St Thomas' NHS Foundation Trust · GB

Funding

British Heart Foundation FS/IPBSRF/22/27059British Heart Foundation RE/18/4/34215British Heart Foundation RG/19/6/34387Medical Research Council MC_UP_1102/20Medical Research Council MC_UP_1605/13Wellcome TrustWellcome Trust 107469/Z/15/ZWellcome Trust 200990/A/A/16/Z
6 · The paper itself

Abstract

backgroundStructural changes caused by spinal curvature may impact the organs within the thoracic cage, including the heart. Cardiac abnormalities in patients with idiopathic scoliosis are often studied post-corrective surgery or secondary to diseases. To investigate cardiac structure, function and outcomes in participants with scoliosis, phenotype and imaging data of the UK Biobank (UKB) adult population cohort were analysed.

methodsHospital episode statistics of 502 324 adults were analysed to identify participants with scoliosis. Summary 2D cardiac phenotypes from 39 559 cardiac MRI (CMR) scans were analysed alongside a 3D surface-to-surface (S2S) analysis.

resultsA total of 4095 (0.8%, 1 in 120) UKB participants were identified to have all-cause scoliosis. These participants had an increased lifetime risk of major adverse cardiovascular events (MACEs) (HR=1.45, p<0.001), driven by heart failure (HR=1.58, p<0.001) and atrial fibrillation (HR=1.54, p<0.001). Increased radial and decreased longitudinal peak diastolic strain rates were identified in participants with scoliosis (+0.29, P

conclusionThe spinal curvature observed in participants with scoliosis alters the movement of the heart. The association with increased MACE may have clinical implications for whether to undertake surgical correction. This work identifies, in an adult population, evidence for altered cardiac function and an increased lifetime risk of MACE in participants with scoliosis.

Indexed as

Cardiovascular DiseasesHeartScoliosisAgedAged, 80 and overHeart Disease Risk FactorsHumansMagnetic Resonance ImagingMaleMiddle AgedPrevalenceUnited KingdomHeart FailureMagnetic Resonance ImagingRisk Factors

Identifiers

PMID37137668
PMCPMC10163590
OpenAlexW4368361849

What OpenQuestion holds

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LicenceCC BY
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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.