Evidence map›Paper›PMID 39404362›Full record

ArticleEpilepsia2024

Racial/ethnic differences in the association of incident stroke with late onset epilepsy: The Northern Manhattan Study.

Hyunmi Choi, Evan L Thacker, Minghua Liu, Kevin Strobino, Sylwia Misiewicz, Tatjana Rundek, Mitchell S V Elkind, Jose D Gutierrez

Abstract read
In one paragraph

Article in Epilepsia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Association of Acute Ischemic Stroke Volume With Post-Stroke Epilepsy Development.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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.

Hyunmi ChoiDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.ORCID https://orcid.org/0000-0002-0826-2350
Evan L ThackerDepartment of Public Health, Brigham Young University, Provo, Utah, USA.
Minghua LiuDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Kevin StrobinoDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Sylwia MisiewiczDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Tatjana RundekDepartment of Neurology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Mitchell S V ElkindDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Jose D GutierrezDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.

Funding

Stroke Incidence and Risk Factors in a Tri-Ethnic RegionR37NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 2008 to 2014
$12.1M
Genetic Contribution to Brain Arterial Dilatation and its Role in Cognition and dementiaR01AG057709 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GUTIERREZ, JOSE · 2018 to 2022
$4.6M
Effects of vascular risk factors on risk for dementia and stroke after late-onset epilepsy (EpilepsyCOG)R01AG074355 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Hyunmi Choi, Evan Lloyd Thacker · 2022 to 2026
$3.9M
Accelerated non-atherosclerotic brain arterial aging relationship to Alzheimer's diseaseR01AG066162 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GUTIERREZ, JOSE · 2019 to 2023
$3.1M
Vascular Determinants of Dementia and Cognitive Decline in a Tri-Ethnic RegionR56NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, RUNDEK, TATJANA · 2021 to 2021
$537k
NIA NIH HHS R01 AG057709NIA NIH HHS R01 AG066162NIA NIH HHS R01 AG074355NIA NIH HHS R01AG074355NINDS NIH HHS R01AG057709NINDS NIH HHS R01AG066162NINDS NIH HHS R37 NS029993NINDS NIH HHS R56 NS029993NINDS NIH HHS R56NS029993
6 · The paper itself

Abstract

objectiveLittle is known about the incidence of late onset epilepsy (LOE) across different racial/ethnic groups in the USA, particularly in the Hispanic population. Stroke, a strong predictor of LOE, is more common in non-Hispanic Blacks (NHBs) and Hispanics than in non-Hispanic Whites (NHWs). We assessed the incidence of LOE across racial/ethnic groups and examined whether the associations of stroke with LOE risk differ by race/ethnicity.

methodsThe Northern Manhattan Study is a population-based longitudinal study of older adults enrolled between 1993 and 2001. Participants free of history of stroke or epilepsy at baseline (n = 3419) were followed prospectively for incidence of LOE. We estimated LOE incidence per 1000 person-years in each racial/ethnic group. We used Cox proportional hazards regression to assess the association of race/ethnicity with LOE and multiplicative interactions of race/ethnicity with incident stroke in relation to LOE, adjusting for demographics and comorbid diagnoses.

resultsDuring 51 176 person-years of follow-up, 183 individuals developed LOE. Incidence of LOE was significantly higher in NHBs (6.2 per 1000 person-years) than in NHWs (3.3 per 1000 person-years, p = .004). There was no significant difference in LOE incidence between NHWs (3.3 per 1000 person-years) and Hispanics (2.6 per 1000 person-years, p = .875). However, following incident stroke, the risk of LOE differed across racial/ethnic groups. Incident stroke was associated with 2.55 times the risk of LOE among NHWs (95% confidence interval [CI] = .88-7.35), 8.53 times the risk of LOE among Hispanics (95% CI = 5.36-13.57, p = .04 for stronger association than that in NHWs), and 6.46 times the risk of LOE among NHBs (95% CI = 3.79-11.01, p = .12 for stronger association than that in NHWs). SIGNIFICANCE: We found a stronger association of incident stroke with LOE risk in Hispanics and NHBs than in NHWs, offering some insight into the racial/ethnic disparities of LOE incidence.

Indexed as

EpilepsyStrokeAgedAged, 80 and overAge of OnsetBlack or African AmericanFemaleHispanic or LatinoHumansIncidenceLongitudinal StudiesMaleMiddle AgedNew York CityProspective StudiesRisk Factorsincident strokelate onset epilepsyracial/ethnic differences

Identifiers

PMID39404362
PMCPMC11952075

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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.