Evidence map›Paper›PMID 31595025›Full record

ArticleJournal of human hypertension2020

Hypertension, antihypertensive medications use and risk of age-related macular degeneration in California Teachers Cohort.

Xiaoqing Xu, Beate Ritz, Anne Coleman, Zeyan Liew, Dennis Deapen, Eunjung Lee, Leslie Bernstein, Rich Pinder, Sarah Marshall, Julia E Heck

Open access · greenAbstract read
In one paragraph

Article in Journal of human hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
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

15 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Acute Physical Exercise Reduces Mental Stress-Induced Responses in Teachers.International journal of environmental research and public health · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
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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

10 authors at 4 institutions in 1 country.

Xiaoqing XuDepartment of Epidemiology, Fielding School of Public Health, UCLA, Los Angeles, CA, USA.
Beate RitzDepartment of Epidemiology, Fielding School of Public Health, UCLA, Los Angeles, CA, USA.
Anne ColemanDepartment of Epidemiology, Fielding School of Public Health, UCLA, Los Angeles, CA, USA.
Zeyan LiewDepartment of Epidemiology, Fielding School of Public Health, UCLA, Los Angeles, CA, USA.
Dennis DeapenDepartment of Preventative Medicine, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA, USA.
Eunjung LeeDepartment of Preventative Medicine, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA, USA.
Leslie BernsteinDivision of Cancer Etiology, Department of Population Sciences, City of Hope National Medical Center and Comprehensive Cancer Center, Duarte, CA, USA.ORCID http://orcid.org/0000-0002-7692-6518
Rich PinderDepartment of Preventative Medicine, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA, USA.
Sarah MarshallDepartment of Preventative Medicine, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA, USA.
Julia E HeckDepartment of Epidemiology, Fielding School of Public Health, UCLA, Los Angeles, CA, USA. jeheck@ucla.edu.ORCID http://orcid.org/0000-0001-8713-8413
University of Southern California · USCity Of Hope National Medical Center · USDoheny Eye Institute · USUCLA Health · US

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIANE M SIMEONE · 1985 to 2026
$124.9M
Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI John Charles Williams · 1985 to 2026
$86.3M
CALIFORNIA TEACHERS STUDYR01CA077398 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BERNSTEIN, LESLIE · 1998 to 2014
$29.7M
Oil and Gas as Drivers of Climate Change and Health: Developing unique resources to investigate multi-level and diverse effects of exposure to oil and gas wellsU01CA199277 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI LACEY, JAMES V, MARTINEZ, MARIA ELENA · 2015 to 2024
$20.7M
USC CANCER EPIDEMIOLOGY &BIOSTATISTICS UNITP01CA017054 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HAIMAN, CHRISTOPHER ALAN · 1985 to 2009
$18.2M
New Biospecimens to Enhance Research in the California Teachers Study CohortUM1CA164917 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI LACEY, JAMES V · 2012 to 2015
$10.1M
BRCA1, ORAL CONTRACEPTIVES, AND HORMONAL RISK FACTORSR01CA074847 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BERNSTEIN, LESLIE · 1999 to 2003
$1.3M
Research and Mentoring on Energetic Factors and Cancer: Established InvestigatorK05CA136967 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI BERNSTEIN, LESLIE · 2009 to 2013
$684k
Exogenous Hormones, IL-6 and NHL Risk in WomenR01CA108634 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BERNSTEIN, LESLIE · 2004 to 2005
$642k
Physical Activity, Ovarian and Endometrial Cancer RiskR03CA096400 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BERNSTEIN, LESLIE · 2002 to 2003
$163k
NCI NIH HHS K05 CA136967NCI NIH HHS P01 CA017054NCI NIH HHS P30 CA023100NCI NIH HHS P30 CA033572NCI NIH HHS R01 CA074847NCI NIH HHS R01 CA077398NCI NIH HHS R01 CA108634NCI NIH HHS R03 CA096400NCI NIH HHS U01 CA199277NCI NIH HHS UM1 CA164917
6 · The paper itself

Abstract

Sustained and inadequately controlled hypertension can promote the development of age-related macular degeneration (AMD) through multiple biologic pathways. Epidemiologic studies of high blood pressure, antihypertensive therapies, and the risk of AMD thus far have been inconclusive. However, few studies evaluated risks according to the use of different classes of antihypertensive drugs or took combinations of use into account. We performed a prospective cohort study by linking the California Teachers Study (CTS) cohort (N = 88 481) to statewide hospital discharge records up to December 31, 2012. History of high blood pressure, regular use of antihypertensive medications, and comprehensive risk factor information was collected via self-administered questionnaires at baseline in 1995-1996, and information on specific classes of antihypertensive drugs was provided by a subsample of CTS participants who completed a follow-up questionnaire in 2000. We identified 1762 female teachers with AMD during 14.8 years of follow-up on average. Applying Cox proportional hazard regression, we estimated increased risks of AMD among women treated for hypertension at baseline (HR = 1.15, 95% CI: 1.03, 1.30); the magnitude of the association increased with longer duration of antihypertensive treatment. In the subsample with more specific information on type of medication use, we estimated a 45% increased risk of AMD among women receiving diuretics as monotherapy compared to women with medications more potent than diuretics (HR = 1.45, 95% CI 1.10, 1.90). In women treated with a combination of antihypertensive drugs, we observed no increased risk of AMD for any individual class of drugs.

Indexed as

HypertensionMacular DegenerationAntihypertensive AgentsCohort StudiesFemaleHumansProspective StudiesRisk FactorsAntihypertensive Agents

Identifiers

PMID31595025
PMCPMC7847248
OpenAlexW2979409504

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.