Evidence mapPaperPMID 38499699Full record

SynthesisScientific reports2024

Association between systemic sclerosis and risk of cerebrovascular and cardiovascular disease: a meta-analysis.

I-Wen Chen, Wei-Ting Wang, Yi-Chen Lai, Chien-Ming Lin, Ping-Hsin Liu, Su-Zhen Wu, Kuo-Chuan Hung

Open access · goldAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. The risk of venous thromboembolism in RA.Rheumatology (Oxford, England) · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Stroke in autoimmune rheumatic diseases.Rheumatology international · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Stroke accompanied by diffuse salt-and-pepper skin changes: anticoagulation or anti-inflammatory therapy?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  11. Review
  12. Article
  13. 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

7 authors at 3 institutions in 1 country.

I-Wen ChenDepartment of Anesthesiology, Chi Mei Medical Center, Liouying, Tainan, Taiwan.
Wei-Ting WangDepartment of Anesthesiology, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.
Yi-Chen LaiDepartment of Anesthesiology, Chi Mei Medical Center, No. 901, ChungHwa Road, YungKung Dist, Tainan, 71004, Taiwan.
Chien-Ming LinDepartment of Anesthesiology, Chi Mei Medical Center, No. 901, ChungHwa Road, YungKung Dist, Tainan, 71004, Taiwan.
Ping-Hsin LiuDepartment of Anesthesiology, E-Da Dachang Hospital, I-Shou University, Kaohsiung, Taiwan.
Su-Zhen Wu *Department of Anesthesiology, Chi Mei Medical Center, Liouying, Tainan, Taiwan.
Kuo-Chuan Hung *Department of Anesthesiology, Chi Mei Medical Center, No. 901, ChungHwa Road, YungKung Dist, Tainan, 71004, Taiwan. ed102605@gmail.com.
Chi Mei Medical Center · TWI-Shou University · TWChung Hwa University of Medical Technology · TW

Funding

Chi Mei Medical Center grant number CMOR11203
6 · The paper itself

Abstract

We aimed to evaluate the association between systemic sclerosis (SSc) and major cerebrovascular/cardiovascular risks through a systematic approach. Databases were systematically searched from their inception to October 10, 2023 for studies comparing cerebrovascular/cardiovascular event rates between patients with SSc and controls. The primary outcome was the stroke risk in patients with SSc. Secondary outcomes included risk of myocardial infarction (MI), cardiovascular disease (CVD), peripheral vascular disease (PVD), and venous thromboembolism (VTE). Seventeen studies with 6,642,297 participants were included. SSc was associated with a significantly increased risk of stroke (HR, 1.64; 95% confidence interval [CI], 1.35-2.01), CVD (HR, 2.12; 95% CI, 1.36-3.3), MI (HR, 2.15; 95% CI, 1.23-3.77), VTE (HR, 2.75; 95% CI, 1.77-4.28), and PVD (HR, 5.23; 95% CI, 4.25-6.45). Subgroup analysis revealed a significantly increased stroke risk in the non-Asian group (HR, 1.55; 95% CI, 1.26-1.9), while the Asian group displayed a higher but not statistically significant risk (HR, 1.86; 95% CI, 0.97-3.55). The study found that SSc is associated with a significantly increased risk of cerebrovascular/cardiovascular events. These findings highlight the importance of vasculopathy in SSc and suggest the need for enhanced clinical monitoring and preventive measures in this high-risk population.

Indexed as

Cardiovascular DiseasesMyocardial InfarctionPeripheral Vascular DiseasesScleroderma, SystemicStrokeVenous ThromboembolismHumansCardiovascular diseaseMyocardial infarctionStrokeSystemic sclerosisVasculopathy

Identifiers

PMID38499699
PMCPMC10948904
OpenAlexW4392916732

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.