Evidence map›Paper›PMID 37877684›Full record

SynthesisEuropean journal of neurology2024

Analysis of aneurysmal subarachnoid hemorrhage as a multistep process.

Ynte M Ruigrok, Gabriel J E Rinkel, Han-Sol Chang, Katharina A M Hackenberg, Nima Etminan, Jan H Veldink

Abstract readMeta-Analysis
In one paragraph

Synthesis in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

6 authors.

Ynte M RuigrokDepartment of Neurology, University Medical Center Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-5396-2989
Gabriel J E RinkelDepartment of Neurology, University Medical Center Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands.
Han-Sol ChangDepartment of Neurosurgery, Mannheim University Hospital, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Katharina A M HackenbergDepartment of Neurosurgery, Mannheim University Hospital, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Nima EtminanDepartment of Neurosurgery, Mannheim University Hospital, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Jan H VeldinkDepartment of Neurology, University Medical Center Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

European Research Council
6 · The paper itself

Abstract

background and purposeAneurysmal subarachnoid hemorrhage (ASAH) is a complex disease with higher incidence in women compared to men and in Japan compared to other countries. It was hypothesized that ASAH is consistent with a multistep model of disease. The following assessments were made: (1) the number of steps needed for the disease to occur and (2) whether this number may be different in female versus male and in Japanese versus non-Japanese patients.

methodsIncidence data were generated from a meta-analysis on ASAH incidence until 2017, which was supplemented with a literature search from 2017 to April 2023. Age- and sex-adjusted incidences per 10-year age groups were calculated and the logarithm of age-specific incidence against the logarithm of age was regressed with least-squares regression.

resultsIn 2317 ASAH patients a linear relationship between logarithm of incidence and logarithm of age was found with a slope estimate of 3.13 (95% confidence interval 2.60-3.65), consistent with a four-step process. Similar estimates were found for female, male, Japanese and non-Japanese patients.

conclusionsOur results suggest that ASAH is a four-step process, also in subgroups with higher ASAH incidence. Elucidation of the exact nature of these steps can provide important clues for identification of disease mechanisms underlying ASAH.

Indexed as

Intracranial AneurysmSubarachnoid HemorrhageFemaleHumansIncidenceJapanMaleaneurysmal subarachnoid hemorrhagegenesintracranial aneurysm aneurysmrisk factor

Identifiers

PMID37877684
PMCPMC11235647

What Socratic holds

Textmetadata
LicenceCC BY
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.