Evidence map›Paper›PMID 42273529›Full record

ReviewInternational journal of general medicine2026

Clinical Significance of the C-Reactive Protein-Triglyceride-Glucose Index in Cardiovascular Disease, Stroke, Cardiovascular-Kidney-Metabolic Syndrome, Cancer, Diabetes, and Osteoporosis: A Narrative Review.

Sheng Yang, Xuxin Yao, Jiali Chai, Haoxuan Lu, Wenbin Tang, Ziyi Wu, Wenming He, Yanqing Xie

Abstract readReview
In one paragraph

Review in International journal of general medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sheng Yang *Department of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang Province, 315000, People's Republic of China.
Xuxin Yao *Department of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang Province, 315000, People's Republic of China.
Jiali ChaiDepartment of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang Province, 315000, People's Republic of China.
Haoxuan LuDepartment of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang Province, 315000, People's Republic of China.
Wenbin TangDepartment of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang Province, 315000, People's Republic of China.
Ziyi WuDepartment of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang Province, 315000, People's Republic of China.ORCID 0000-0003-4293-6467
Wenming HeDepartment of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang Province, 315000, People's Republic of China.
Yanqing XieDepartment of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang Province, 315000, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This narrative review aimed to summarize and critically appraise current evidence on the clinical significance of CTI in cardiovascular disease, stroke, cardiovascular-kidney-metabolic syndrome, cancer, diabetes, and osteoporosis. Methods: PubMed and Web of Science databases were searched from January 2022, when CTI was first proposed, to January 2026. Search terms combined "C-reactive protein-triglyceride glucose index", "CTI", "CRP-TyG", "insulin resistance", "inflammation", and disease-specific terms including cardiovascular disease, coronary heart disease, heart failure, stroke, cardiovascular-kidney-metabolic syndrome, cancer, diabetes, osteoporosis. Eligible studies reported CTI-specific clinical associations, prognostic performance, or relevant mechanistic evidence. Because this was a narrative review, no meta-analysis was performed. Results: Current evidence is dominated by observational studies. Elevated CTI is consistently associated with higher cardiometabolic risk and poorer outcomes in cardiovascular disease, coronary heart disease, heart failure, stroke, cardiovascular-kidney-metabolic syndrome, cancer, and diabetes. Emerging data also suggest a potential relationship between higher CTI and reduced bone mineral density or osteoporosis, particularly among patients with type 2 diabetes mellitus. However, reported associations differ by glycometabolic status, disease stage, sex, age, and study design, and standardized CTI thresholds remain unavailable. Conclusion: CTI is a simple, accessible index that may help characterize the inflammatory-metabolic burden underlying several chronic diseases. Its clinical value is most plausible as a complementary risk-stratification tool rather than a stand-alone diagnostic marker. Future studies should validate disease-specific thresholds, test whether CTI improves established prediction models, and determine whether interventions that reduce CTI translate into better clinical outcomes.

Indexed as

chronic diseaseC-reactive protein-triglyceride glucose indexinsulin resistanceresearch progress

Identifiers

PMID42273529
PMCPMC13248966

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Registered trials

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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.