Evidence mapPaperPMID 32240313Full record

ArticleRheumatology (Oxford, England)2020

Negative associations for fasting blood glucose, cholesterol and triglyceride levels with the development of giant cell arteritis.

Karin Wadström, Lennart Jacobsson, Aladdin J Mohammad, Kenneth J Warrington, Eric L Matteson, Carl Turesson

Abstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Immune responses in aging adults.The Journal of clinical investigation · 2026
    Review
  3. Article
  4. Article
  5. Immune checkpoints in autoimmune vasculitis.Best practice & research. Clinical rheumatology · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Immunology of Giant Cell Arteritis.Circulation research · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. An update on polymyalgia rheumatica.Journal of internal medicine · 2022
    Review
  17. Global epidemiology of vasculitis.Nature reviews. Rheumatology · 2022
    Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Karin WadströmRheumatology, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden.
Lennart JacobssonRheumatology, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden.
Aladdin J MohammadDepartment of Rheumatology, Skåne University Hospital, Malmö and Lund, Sweden.
Kenneth J WarringtonDivision of Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Eric L MattesonDivision of Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Carl TuressonRheumatology, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate metabolic features that may predispose to GCA in a nested case-control study.

methodsIndividuals who developed GCA after inclusion in a population-based health survey (the Malmö Preventive Medicine Project; N = 33 346) were identified and validated through a structured review of medical records. Four controls for every validated case were selected from the database.

resultsA total of 76 cases with a confirmed incident diagnosis of GCA (61% female, 65% biopsy positive, mean age at diagnosis 70 years) were identified. The median time from screening to diagnosis was 20.7 years (range 3.0-32.1). Cases had significantly lower fasting blood glucose (FBG) at baseline screening compared with controls [mean 4.7 vs 5.1 mmol/l (S.d. overall 1.5), odds ratio (OR) 0.35 per mmol/l (95% CI 0.17, 0.71)] and the association remained significant when adjusted for smoking [OR 0.33 per mmol/l (95% CI 0.16, 0.68)]. Current smokers had a reduced risk of GCA [OR 0.35 (95% CI 0.18, 0.70)]. Both cholesterol [mean 5.6 vs 6.0 mmol/l (S.d. overall 1.0)] and triglyceride levels [median 1.0 vs 1.2 mmol/l (S.d. overall 0.8)] were lower among the cases at baseline screening, with significant negative associations with subsequent GCA in crude and smoking-adjusted models [OR 0.62 per mmol/l (95% CI 0.43, 0.90) for cholesterol; 0.46 per mmol/l (95% CI 0.27, 0.81) for triglycerides].

conclusionDevelopment of GCA was associated with lower FBG and lower cholesterol and triglyceride levels at baseline, all adjusted for current smoking, suggesting that metabolic features predispose to GCA.

Indexed as

AgedAged, 80 and overBlood GlucoseBody Mass IndexCase-Control StudiesCholesterolConfidence IntervalsFastingFemaleGiant Cell ArteritisHumansMaleMiddle AgedOdds RatioSex FactorsSmokersBlood GlucoseCholesterolTriglyceridesepidemiologygiant cell arteritislipids

Identifiers

PMID32240313
PMCPMC7590417

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.