Evidence map›Paper›PMID 35287516›Full record

ArticleVascular medicine (London, England)2022

Development of a polygenic risk score to improve detection of peripheral artery disease.

Fudi Wang, Ilies Ghanzouri, Nicholas J Leeper, Philip S Tsao, Elsie Gyang Ross

Open access · greenAbstract read
In one paragraph

Article in Vascular medicine (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

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

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Fudi WangDepartment of Surgery, Division of Vascular Surgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-0208-3343
Ilies GhanzouriDepartment of Surgery, Division of Vascular Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Nicholas J LeeperDepartment of Surgery, Division of Vascular Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Philip S TsaoDepartment of Medicine, Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Elsie Gyang RossDepartment of Surgery, Division of Vascular Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Stanford University · US

Funding

Training In Cardiovascular Physiology & PharmacologyT32HL007444 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Ju Chen, Robert Scott Ross · 1985 to 2026
$11.1M
UCSD PRIDE Faculty Development Program in Cardiovascular SciencesR25HL145817 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Robert Scott Ross, Joann Trejo · 2019 to 2026
$3.3M
The paradoxical role of CDKN2B in blood vessel sprouting and maturationR01HL125224 · NHLBI · STANFORD UNIVERSITY · PI LEEPER, NICHOLAS JAMES · 2015 to 2018
$1.9M
Using Artificial Intelligence to Enable Early Identification and Treatment of Peripheral Artery DiseaseK01HL148639 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROSS, ELSIE GYANG · 2019 to 2023
$807k
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NHLBI NIH HHS K01 HL148639NHLBI NIH HHS R01 HL125224NHLBI NIH HHS R25 HL145817NHLBI NIH HHS T32 HL007444
6 · The paper itself

Abstract

introductionPeripheral artery disease (PAD) is a major cause of cardiovascular morbidity and mortality, yet timely diagnosis is elusive. Larger genome-wide association studies (GWAS) have now provided the ability to evaluate whether genetic data, in the form of genome-wide polygenic risk scores (PRS), can help improve our ability to identify patients at high risk of having PAD.

methodsUsing summary statistic data from the largest PAD GWAS from the Million Veteran Program, we developed PRSs with genome data from UK Biobank. We then evaluated the clinical utility of adding the best-performing PRS to a PAD clinical risk score.

resultsA total of 487,320 participants (5759 PAD cases) were included in our final genetic analysis. Compared to participants in the lowest 10% of PRS, those in the highest decile had 3.1 higher odds of having PAD (95% CI, 3.06-3.21). Additionally, a PAD PRS was associated with increased risk of having coronary artery disease, congestive heart failure, and cerebrovascular disease. The PRS significantly improved a clinical risk model (Net Reclassification Index = 0.07,

conclusionWe demonstrate that a genome-wide PRS can discriminate risk of PAD and other cardiovascular diseases. Adding a PAD PRS to clinical risk models may help improve detection of prevalent, but undiagnosed disease.

Indexed as

Genome-Wide Association StudyPeripheral Arterial DiseaseGenetic Predisposition to DiseaseHumansMultifactorial InheritanceRisk AssessmentRisk Factorsdisease prediction modelperipheral artery disease (PAD)polygenic risk scorerisk factors

Identifiers

PMID35287516
PMCPMC9254893
OpenAlexW4220697091

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.