Evidence map›Paper›PMID 37260023›Full record

ArticleJournal of the American Heart Association2023

Plasma Pro-Enkephalin A and Incident Cognitive Impairment: The Reasons for Geographic and Racial Differences in Stroke Cohort.

Samuel A P Short, Katherine Wilkinson, Janin Schulte, Miguel Arce Renteria, Katharine L Cheung, Charles D Nicoli, Virginia J Howard, Mary Cushman

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 42% 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, 3 citations in OpenAlex.

  1. Article
  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

8 authors at 4 institutions in 1 country.

Samuel A P ShortLarner College of Medicine University of Vermont Burlington VT USA.ORCID 0000-0002-3847-4768
Katherine WilkinsonDepartment of Pathology and Laboratory Medicine, Larner College of Medicine University of Vermont Burlington VT USA.ORCID 0000-0001-6190-735X
Janin SchulteSphingoTec GmbH Hennigsdorf Germany.ORCID 0000-0002-6529-3882
Miguel Arce RenteriaTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of Neurology Columbia University College of Physicians and Surgeons New York NY USA.ORCID 0000-0002-4696-6279
Katharine L CheungDepartment of Pathology and Laboratory Medicine, Larner College of Medicine University of Vermont Burlington VT USA.ORCID 0000-0002-2282-4778
Charles D NicoliDepartment of Medicine Walter Reed National Military Medical Center Bethesda MD USA.
Virginia J HowardDepartment of Epidemiology, School of Public Health University of Alabama at Birmingham Birmingham AL USA.ORCID 0000-0003-4912-9975
Mary CushmanDepartment of Pathology and Laboratory Medicine, Larner College of Medicine University of Vermont Burlington VT USA.ORCID 0000-0002-7871-6143
University of Vermont · USColumbia University · USUniversity of Alabama at Birmingham · USWalter Reed National Military Medical Center · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
Vermont Center for Cardiovascular and Brain HealthP20GM135007 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Kathryn H Morelli · 2020 to 2026
$17.4M
NIGMS NIH HHS P20 GM135007NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

Background Cardiovascular disease is a risk factor for cognitive impairment. Evidence links both lower and higher concentration of the circulating opioid pro-enkephalin A (PENK-A) with stroke risk. We studied the association of plasma PENK-A with incident cognitive impairment. Methods and Results REGARDS (Reasons for Geographic and Racial Differences in Stroke) is a prospective cohort study of 30 239 adults enrolled from 2003 to 2007. Baseline PENK-A was measured in a nested case-control study of 462 participants who developed cognitive impairment over 4.7 years, and 556 controls. Logistic regression and spline plots adjusted for confounders estimated odds ratios (ORs) of cognitive impairment by baseline PENK-A. Interaction terms tested for differences in associations by age, sex, and race. Baseline PENK-A was comparable between cases and controls. There were significant differences in the association of PENK-A with cognitive impairment by sex and age (adjusted

Indexed as

Cognitive DysfunctionStrokeAnalgesics, OpioidCase-Control StudiesEnkephalinsFemaleHumansIncidenceProspective StudiesProtein PrecursorsRace FactorsRisk FactorsAnalgesics, OpioidEnkephalinsproenkephalinProtein Precursorscognitive impairmentcohort studyopioidpro‐enkephalinrisk factor

Identifiers

PMID37260023
PMCPMC10381999
OpenAlexW4378953901

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.