Evidence map›Paper›PMID 38093188›Full record

SynthesisBMC cardiovascular disorders2023

Cannabis use and atherosclerotic cardiovascular disease: a Mendelian randomization study.

Roxane de La Harpe, Tabea Schoeler, Christian W Thorball, Aurélien Thomas, Zoltán Kutalik, Julien Vaucher

Open access · goldAbstract readReviewMeta-Analysis
In one paragraph

Synthesis in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

6 authors at 3 institutions in 1 country.

Roxane de La HarpeDepartment of Medicine, Division of Internal Medicine, University Hospital of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland. Roxane.De-La-Harpe@chuv.ch.
Tabea SchoelerSwiss Institute of Bioinformatics, 1015, Lausanne, Switzerland.
Christian W ThorballPrecision Medicine Unit, Biomedical Data Science Center, Lausanne University Hospital of Lausanne, Chemin des Roches 1a/1b, 1010, Lausanne, Switzerland.
Aurélien ThomasFaculty Unit of Toxicology, CURML, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
Zoltán KutalikSwiss Institute of Bioinformatics, 1015, Lausanne, Switzerland.
Julien VaucherDepartment of Medicine, Division of Internal Medicine, University Hospital of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland.
University Hospital of Lausanne · CHSIB Swiss Institute of Bioinformatics · CHUniversity of Lausanne · CH

Funding

7/7 Psychiatric Genomics Consortium: Finding actionable variationU01MH109532 · NIMH · WASHINGTON UNIVERSITY · PI AGRAWAL, ARPANA, EDENBERG, HOWARD J · 2016 to 2020
$3.1M
NIMH NIH HHS U01 MH109532
6 · The paper itself

Abstract

backgroundAssociation between cannabis use and development of atherosclerotic cardiovascular disease (ASCVD) is inconsistent and challenging to interpret, given existing study limitations.

methodsSixty five independent single-nucleotide polymorphisms (SNPs), obtained from a genome-wide association study on lifetime cannabis use, were employed as genetic instruments to estimate the effects of genetically indexed cannabis use on risk of coronary artery disease (CAD) and acute ischemic stroke (IS) using a two-sample Mendelian randomization (MR) approach. Summary statistics on CAD (CARDIoGRAMplusC4D; 60,801 cases and 123,504 controls) and IS (MEGASTROKE; 34,217 cases and 406,111 controls) were obtained separately. A comprehensive review of the observational literature on cannabis use and CAD or IS was also performed and contrasted with MR results.

resultsThere was no causal effect of cannabis use on the risk of CAD (odds ratio (OR) per ever-users vs. never-users 0.93; 95% confidence interval (CI), 0.83 to 1.03) or IS (OR 1.05; 95%CI, 0.93 to 1.19). Sensitivity analyses yielded similar results, and no heterogeneity and directional pleiotropy was observed. Our meta-analysis of observational studies showed no significant association between ever use of cannabis with risk of CAD (k = 6 studies; OR

conclusionUsing a genetic approach approximating a clinical trial does not provide evidence consistent with a causal effect of genetic predisposition to cannabis use on CAD or IS development. Further studies are needed to replicate our findinds, an to investigate more precisely the risk of ASCVD in relation to the quantity, type, route of administration, or the age at exposure to cannabis.

Indexed as

AtherosclerosisCannabisCardiovascular DiseasesCoronary Artery DiseaseIschemic StrokeGenome-Wide Association StudyHumansMendelian Randomization AnalysisObservational Studies as TopicPolymorphism, Single NucleotideRisk FactorsCannabis, Atherosclerotic cardiovascular diseaseCausal inferenceGenetically predicted cannabis useMendelian randomization (MR)Modifiable risk factor

Identifiers

PMID38093188
PMCPMC10717446
OpenAlexW4389681720

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.