Evidence map›Paper›PMID 39980916›Full record

ArticleFrontiers in public health2025

The role of C-reactive protein in predicting all-cause mortality among Chinese arthritis patients: implications for public health education and promotion.

Shuchao Ye, Damei Ye, Changyi Lin, Dongming Lu, Xuelan You, Chaoyan Xu, Yongyang Wu

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. 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
–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

2 citing papers in PubMed.

  1. Observational
  2. Observational
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

7 authors.

Shuchao Ye *Department of Urology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, China.
Damei Ye *Department of Rheumatology Immunology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, China.
Changyi Lin *Department of Rheumatology Immunology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, China.
Dongming LuDepartment of Urology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, China.
Xuelan YouDepartment of Rheumatology Immunology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, China.
Chaoyan XuDepartment of Rheumatology Immunology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, China.
Yongyang WuDepartment of Urology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Arthritis poses a significant public health challenge, contributing to increased healthcare resource utilization and reduced quality of life. C-reactive protein (CRP), a key inflammatory biomarker, plays a critical role in monitoring disease progression and guiding health promotion strategies. This study aims to investigate the association between CRP levels and all-cause mortality in Chinese arthritis patients, highlighting its implications for public health education and intervention programs. Methods: A prospective cohort study was conducted using data from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2020. Individuals diagnosed with arthritis in 2011 were included, with CRP levels as the primary exposure variable and mortality as the outcome of interest. Kaplan-Meier survival curves and Cox proportional hazards regression models were employed to assess the relationship between CRP levels and mortality risk, emphasizing the potential for targeted health education and promotion interventions. Results: A total of 3,413 participants were analyzed, with 87 deaths recorded during the 10-year follow-up period. Deceased individuals were older and exhibited higher levels of CRP, creatinine, and uric acid, alongside lower BMI, MET, eGFR, and HGB. Across three Cox regression models, elevated CRP levels (≥3 mg/L) were significantly associated with increased mortality risk [hazard ratio (HR) = 3.73 (2.23-6.23), HR = 3.00 (1.79-5.01), HR = 4.94 (1.77-13.78), respectively]. Kaplan-Meier survival curves further confirmed that arthritis patients with CRP levels ≥3 mg/L faced a markedly higher mortality risk. Conclusion: Elevated CRP levels are strongly associated with increased all-cause mortality in arthritis patients, underscoring the importance of integrating CRP monitoring into public health education and promotion strategies. Efforts to control inflammation and promote health literacy regarding arthritis management may improve survival outcomes and reduce the public health burden associated with arthritis.

Indexed as

ArthritisC-Reactive ProteinHealth EducationHealth PromotionAgedBiomarkersCause of DeathChinaEast Asian PeopleFemaleHumansLongitudinal StudiesMaleMiddle AgedProportional Hazards ModelsProspective StudiesBiomarkersC-Reactive Proteinall-cause mortalityarthritisChina health and retirement longitudinal studyC-reactive proteinpublic health education

Identifiers

PMID39980916
PMCPMC11839721

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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.