Evidence map›Paper›PMID 40579062›Full record

ArticleJACC. Advances2025

Historical Redlining and Cardio-Kidney-Metabolic Disease Risk Factors, Prevalence, and Outcomes: A Scoping Review.

Ramzi Ibrahim, Dwani Patel, Hoang Nhat Pham, Mahmoud Abdelnabi, Girish Pathangey, Issam Motairek, Khurram Nasir, Sadeer Al-Kindi

Abstract read
In one paragraph

Article in JACC. Advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

8 authors.

Ramzi IbrahimDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona, USA. Electronic address: ibrahim.ramzi@mayo.edu.
Dwani PatelDepartment of Medicine, University of Arizona Tucson, Tucson, Arizona, USA.
Hoang Nhat PhamDepartment of Medicine, University of Arizona Tucson, Tucson, Arizona, USA.
Mahmoud AbdelnabiDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona, USA.
Girish PathangeyDepartment of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona, USA.
Issam MotairekDepartment of Medicine, Cleveland Clinic Foundation, Cleveland, Arizona, USA.
Khurram NasirDeBakey Heart and Vascular Center, Houston Methodist, Houston, Texas, USA.
Sadeer Al-KindiDeBakey Heart and Vascular Center, Houston Methodist, Houston, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardio-kidney-metabolic (CKM) diseases impact a large portion of the U.S. population each year, particularly among racial minorities and socially disadvantaged groups. Social factors contribute to this disparity, including barriers to healthcare access, structural racism, and sociocultural influences.

objectivesThis scoping review aimed to assess the understanding of how historical redlining has affected the prevalence and outcomes of CKM diseases.

methodsWe conducted a scoping review of multiple databases to identify studies examining the relationship between historical redlining and the risk factors, prevalence, and outcomes associated with CKM diseases. Data extraction focused on the type of study, linked databases, research questions, primary outcomes, and study quality.

resultsFrom an initial pool of 176 studies identified, 13 were included. Among these, 6 studies explored the impact of historical redlining on cardiovascular disease risk factors, prevalence, and metabolic disorders; 2 studies examined historical redlining in relation to heart failure; 2 studies focused on kidney disease; and 3 studies investigated atherosclerotic disease. Our findings indicate an association between historically redlined regions and increased prevalence of cardiovascular disease risk factors, heart failure events, metabolic disease burden, and kidney failure incidence. The appraisal of these studies showed that the majority met 20 to 22 of the criteria outlined in the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) checklist.

conclusionsThis scoping review highlighted significant associations between historically redlined neighborhoods in the United States and the prevalence and outcomes of CKM diseases. These findings have revealed the potential impact of structural racism and discriminatory practices on healthcare inequities.

Indexed as

cardio-kidney-metabolic diseasehealthcare inequitieshistorical redliningsocial determinants of health (SDoH)

Identifiers

PMID40579062
PMCPMC12277627

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.