Evidence map›Paper›PMID 42851281›Full record

SynthesisFrontiers in endocrinology2026

Linking the triglyceride-glucose index to major adverse cardiocerebrovascular events in individuals with cardiovascular-kidney-metabolic syndrome: insights from an aggregate-data systematic review and dose-response meta-analysis.

Leilei Liu, Tingting Yang, Linyuan Zhang, Jianqin Zhong, Zixuan Xu, Xiao Zhang, Jiyu Chen, Jieyi He, Kaya Xu, Yan He and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in endocrinology, 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

11 authors.

Leilei LiuClinical Trials Center & Key Laboratory of Clinical Pharmacology and Translational Research, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Tingting YangSchool of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China.
Linyuan ZhangSchool of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China.
Jianqin ZhongSchool of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China.
Zixuan XuSchool of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China.
Xiao ZhangCenter for Diseases Control and Prevention of Yunyan District, Guiyang, China.
Jiyu ChenClinical Trials Center & Key Laboratory of Clinical Pharmacology and Translational Research, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Jieyi HeClinical Trials Center & Key Laboratory of Clinical Pharmacology and Translational Research, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Kaya XuDepartment of Neurosurgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Yan HeClinical Trials Center & Key Laboratory of Clinical Pharmacology and Translational Research, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Feng HongSchool of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Epidemiological research has indicated a potential association between the triglyceride-glucose (TyG) index and the risk of major adverse cardiocerebrovascular events (MACCE). Nevertheless, the precise nature and magnitude of this relationship remain to be fully elucidated. Objectives: This study aims to assess the dose-response relationship between the TyG index and MACCE among individuals with cardiovascular-kidney-metabolic (CKM) syndrome. Methods: A comprehensive literature search was conducted using the PubMed and Web of Science databases to identify relevant studies on the TyG-MACCE relationship up to 16 June 2026. Data were synthesized using both random- and fixed-effects models, and nonlinear dose-response meta-analyses were performed using restricted cubic spline models. Results: The analysis incorporated eight cohort studies, encompassing over two million participants and 179 thousand MACCE cases. The aggregated risk estimate for MACCE, comparing the highest to the lowest categories of TyG index exposure, was 1.20 (95% confidence interval [CI] Conclusions: This suggests that the TyG index may contribute to adverse MACCE in individuals with CKM syndrome. Further studies are needed to confirm causality and the predictive power of the TyG index. The research was prospectively registered in the Prospective Register for Systematic Reviews (registration number: CRD420261278535). Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420261278535, identifier CRD420261278535.

Indexed as

Blood GlucoseCardio-Renal SyndromeCardiovascular DiseasesCerebrovascular DisordersMetabolic SyndromeTriglyceridesHumansRisk FactorsBlood GlucoseTriglyceridescardiocerebrovascular diseasesCKM syndromemeta-analysisrisktriglyceride-glucose

Identifiers

PMID42851281
PMCPMC13645528

What OpenQuestion holds

Textmetadata
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.