Evidence mapPaperPMID 29026969Full record

ArticleWorld journal of surgery2018

Extended Serum Lipid Profile Predicting Long-Term Survival in Patients Treated for Abdominal Aortic Aneurysms.

Niina Khan, Leo-Pekka Lyytikäinen, Jahangir Khan, Ilkka Seppälä, Antti Lehtomäki, Tommi Kuorilehto, Velipekka Suominen, Terho Lehtimäki, Niku Oksala

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Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
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 synthesis or guideline pooled it.

  1. Long-term Cardiovascular and All-Cause Mortality following Elective Infrarenal Repair of the Abdominal Aortic Aneurysm: A Systematic Review and Meta-analysis.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2026
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4 · The record

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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

9 authors.

Niina KhanDepartment of Vascular Surgery, Tampere University Hospital, PO Box 2000, 33521, Tampere, Finland. khan.niina@gmail.com.
Leo-Pekka LyytikäinenDepartment of Clinical Chemistry, Fimlab Laboratories, PO Box 66, 33101, Tampere, Finland.
Jahangir KhanHeart Hospital, Tampere University Hospital, PO Box 2000, 33521, Tampere, Finland.
Ilkka SeppäläDepartment of Clinical Chemistry, Fimlab Laboratories, PO Box 66, 33101, Tampere, Finland.
Antti LehtomäkiHeart Hospital, Tampere University Hospital, PO Box 2000, 33521, Tampere, Finland.
Tommi KuorilehtoHeart Hospital, Tampere University Hospital, PO Box 2000, 33521, Tampere, Finland.
Velipekka SuominenDepartment of Vascular Surgery, Tampere University Hospital, PO Box 2000, 33521, Tampere, Finland.
Terho LehtimäkiDepartment of Clinical Chemistry, Fimlab Laboratories, PO Box 66, 33101, Tampere, Finland.
Niku OksalaDepartment of Vascular Surgery, Tampere University Hospital, PO Box 2000, 33521, Tampere, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals treated for abdominal aortic aneurysms (AAAs) are high-risk patients in whom better risk prediction could improve survival. Contemporary serum lipid parameters, such as apolipoproteins and lipoprotein subfractions, may improve or complement the prognostic value of traditional serum lipids. The aim of this study was to ascertain the extended serum lipid profiles, long-term prognosis and their association in AAA patients.

methodsAltogether 498 patients treated for AAAs and with available serum lipid values were retrospectively analysed. Contemporary lipid parameters were estimated using a neural network model, the extended Friedewald formula.

resultsYounger age, smoking and urgent or emergency surgery were associated with an unfavourable, and coronary disease and previous stroke with a favourable lipid profile. In multivariable analysis-in addition to advanced age, aneurysm rupture, smoking, pulmonary disease and diabetes-high triglycerides and traditional LDL cholesterol were significant independent risk factors for mortality, HR 1.84 (95% CI 1.20-2.81) and 1.79 (95% CI 1.18-2.73), respectively, while higher EFW-IDL cholesterol was associated with better survival, HR 0.31 (95% CI 0.19-0.65). Including serum lipid parameters improved the prediction of 5-year survival (NRI = 17.7%, p = 0.016).

conclusionsExtended serum lipid parameters complement risk prediction of patients treated for AAAs. An unfavourable lipid profile is associated with treatment of AAA earlier in life and with inferior long-term survival.

Indexed as

AgedAortic Aneurysm, AbdominalCholesterolCholesterol, LDLCoronary Artery DiseaseFemaleHumansLipoproteinsMaleMiddle AgedPrognosisProportional Hazards ModelsRegression AnalysisRetrospective StudiesRisk FactorsTreatment OutcomeCholesterolCholesterol, LDLlipoprotein cholesterolLipoproteins

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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 Socratic graph.