Evidence map›Paper›PMID 41695625›Full record

ReviewFrontiers in neurology

Dose-response meta-analysis of plasma TMAO and stroke: validated linear risk threshold at 3.0 μmol/L.

Jiakai Zhang, Tao Yu, Lefang Liu, Ruizhi Luan

Abstract readReview
In one paragraph

Review in Frontiers in neurology. 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. 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

4 authors.

Jiakai ZhangMulti-Specialty Ward, Maternal and Child Health Care Hospital of Dong'e, Liaocheng, Shandong, China.
Tao YuMulti-Specialty Ward, Maternal and Child Health Care Hospital of Dong'e, Liaocheng, Shandong, China.
Lefang LiuMulti-Specialty Ward, Maternal and Child Health Care Hospital of Dong'e, Liaocheng, Shandong, China.
Ruizhi LuanMulti-Specialty Ward, Maternal and Child Health Care Hospital of Dong'e, Liaocheng, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stroke, especially the ischemic type, remains a leading global cause of death and disability, with modifiable risk factors offering prevention opportunities. Trimethylamine N-oxide (TMAO), a gut-derived metabolite, promotes vascular damage and is linked to stroke risk. Although prior studies have explored dose-response relationships, clinically actionable thresholds remain undefined, limiting translational applications. This study aims to advance the field by quantifying a continuous dose-response relationship and determining a specific risk threshold, which is currently lacking, to inform preventive strategies. Methods: This PRISMA-compliant meta-analysis included 11 observational studies ( Results: Stroke patients showed significantly higher TMAO vs. controls (SMD = 0.55, 95% CI: 0.35, 0.74; Conclusion: TMAO exhibits a linear, dose-dependent association with stroke risk, with ≥ 3.0 μmol/L serving as a critical threshold for clinical intervention.

Indexed as

cerebrovascular accidentdose response meta-analysisobservational studystroketrimethylamine N-oxide

Identifiers

PMID41695625
PMCPMC12900722

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.