Evidence map›Paper›PMID 41294118›Full record

Observational studyJournal of the American Heart Association2026

Association Between Monoclonal Gammopathy of Undetermined Significance and Cardiovascular Disease Risk: A Veterans Health Administration Study.

Tzeyu L Michaud, Mei Wang, Daphne R Friedman, Lawrence Liu, Theodore S Thomas, Kristen M Sanfilippo, Graham A Colditz, Martin W Schoen, Su-Hsin Chang

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Unmasking the Hidden Burden: Inflammation and Cardiovascular DiseaseJournal of the American Heart Association · 2026
    Article
  2. 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

9 authors.

Tzeyu L MichaudDepartment of Health Promotion, College of Public Health University of Nebraska Medical Center Omaha NE USA.ORCID 0000-0002-2053-3942
Mei WangResearch Service St. Louis Veterans Affairs Medical Center St. Louis MO USA.ORCID 0000-0002-3560-9460
Daphne R FriedmanDurham Veterans Affairs Health Care System Durham NC USA.
Lawrence LiuResearch Service St. Louis Veterans Affairs Medical Center St. Louis MO USA.ORCID 0000-0001-8559-7739
Theodore S ThomasResearch Service St. Louis Veterans Affairs Medical Center St. Louis MO USA.
Kristen M SanfilippoResearch Service St. Louis Veterans Affairs Medical Center St. Louis MO USA.ORCID 0000-0002-0433-7845
Graham A ColditzResearch Service St. Louis Veterans Affairs Medical Center St. Louis MO USA.ORCID 0000-0002-7307-0291
Martin W SchoenResearch Service St. Louis Veterans Affairs Medical Center St. Louis MO USA.ORCID 0000-0001-6388-5553
Su-Hsin ChangResearch Service St. Louis Veterans Affairs Medical Center St. Louis MO USA.ORCID 0000-0001-5872-9556

Funding

Comparative modeling of multiple myeloma across myeloma control continuuum: prevention, treatment, and disparity reductionU01CA265735 · NCI · WASHINGTON UNIVERSITY · PI CHANG, SU-HSIN, WANG, SHIYI · 2021 to 2025
$3.2M
Addressing racial disparities in monoclonal gammopathy of undetermined significance and progression to multiple myeloma from a prevention perspectiveR01CA253475 · NCI · WASHINGTON UNIVERSITY · PI CHANG, SU-HSIN · 2020 to 2022
$1.1M
NCI NIH HHS R01 CA253475NCI NIH HHS U01 CA265735
6 · The paper itself

Abstract

backgroundMonoclonal gammopathy of undetermined significance (MGUS) is associated with an increased risk of cardiovascular disease (CVD). However, its potential to provide additional prognostic information beyond traditional CVD risk assessments remains unknown. This study aimed to examine the association between MGUS and incident CVD and to determine whether MGUS status offers additional prognostic value beyond the established atherosclerotic cardiovascular disease risk calculation.

methodsWe conducted a retrospective, matched observational study using 2010 to 2021 Veterans Health Administration data. MGUS status, confirmed through a validated natural language processing algorithm, were 1:5 matched to individuals without MGUS. The outcome of interest was an incident CVD event. Cumulative incidence functions were compared using Gray's test. Multivariable Fine and Gray's subdistribution models were performed to estimate the adjusted hazard ratios (aHRs) for incident CVD. Analyses were also stratified by atherosclerotic CVD risk category (low/borderline, intermediate, high).

resultsThe analytic cohort included 70 320 individuals (11 720/58 600 with/without MGUS); MGUS was associated with a higher 10-year CVD incidence (29.5% versus 9.7%;

conclusionsMGUS is an independent risk factor of incident CVD across all atherosclerotic CVD risk categories in a heterogeneous cohort of US veterans. These findings underscore the connection between the immune system and CVD and suggest that determination of MGUS status is of clinical utility in adults at risk for CVD.

Indexed as

Cardiovascular DiseasesMonoclonal Gammopathy of Undetermined SignificanceVeterans HealthAgedFemaleHeart Disease Risk FactorsHumansIncidenceMaleMiddle AgedPrognosisRetrospective StudiesRisk AssessmentRisk FactorsUnited StatesUnited States Department of Veterans AffairsASCVD riskincidenceMGUSmonoclonal gammopathy of undetermined significancerisk stratification

Identifiers

PMID41294118
PMCPMC12909041

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.