pubmed.ncbi.nlm.nih.gov
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2600:1901:0:c831::
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URL:
https://pubmed.ncbi.nlm.nih.gov/20668659/
Submission: On May 07 via api from US — Scanned from DE
Submission: On May 07 via api from US — Scanned from DE
Form analysis
10 forms found in the DOMGET /
<form action="/" method="get" autocomplete="off" class="usa-search usa-search-big search-form content-page-layout" id="search-form" role="search">
<div class="inner-wrap">
<a class="pubmed-logo" aria-label="Pubmed Logo" href="/" data-ga-category="featured_link" data-ga-action="pubmed_logo">
<img src="https://cdn.ncbi.nlm.nih.gov/pubmed/1a615b6f-2998-460a-b410-19e16cc12be7/core/images/pubmed-logo-blue.svg" alt="pubmed logo">
</a>
<a href="#" class="search-input-trigger" data-alt-title="Hide search bar" title="Show search bar" aria-label="Show search bar" aria-hidden="true" tabindex="-1">
</a>
<div role="search" class="search-input">
<div class="form-field ">
<label class="usa-sr-only" for="id_term"> Search: </label>
<span class="twitter-typeahead ncbi-autocomplete"><input type="search" name="term" data-skip-ie-scroll-to-top="" data-replace-term-with-exact="" data-exact-query="" placeholder="" class="term-input tt-input" required="required" id="id_term"
spellcheck="false" dir="auto" style="position: relative; vertical-align: top;" aria-owns="id_term_listbox" role="combobox" aria-autocomplete="list" aria-expanded="false"><span role="status" aria-live="polite"
style="position: absolute; padding: 0px; border: 0px; height: 1px; width: 1px; margin-bottom: -1px; margin-right: -1px; overflow: hidden; clip: rect(0px, 0px, 0px, 0px); white-space: nowrap;"></span>
<pre aria-hidden="true"
style="position: absolute; visibility: hidden; white-space: pre; font-family: BlinkMacSystemFont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", sans-serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; word-spacing: 0px; letter-spacing: 0px; text-indent: 0px; text-rendering: auto; text-transform: none;"></pre>
<div role="listbox" class="tt-menu" id="id_term_listbox" aria-expanded="false" style="position: absolute; top: 100%; left: 0px; z-index: 100; display: none;">
<div role="presentation" class="tt-dataset tt-dataset-0"></div>
</div>
</span><a href="#" class="clear-btn" aria-label="Clear search input" title="Clear search input" role="button" data-pinger-ignore=""></a><button type="submit" class="search-btn" aria-label="Search" data-pinger-ignore=""><span
class="usa-search-submit-text">Search</span></button>
</div>
</div>
<!-- Create alert and Create RSS are buttons that look like links -->
<!-- Better for them to look like buttons but no space -->
<div class="search-links-wrapper content-page-layout">
<div class="search-links">
<a href="/advanced/" class="search-input-link adv-search-link" data-ga-category="featured_link" data-ga-action="adv_search">Advanced</a>
<a href="/clipboard/" class="search-input-link clipboard-link hidden" data-ga-category="featured_link" data-ga-action="clipboard">
Clipboard <span class="amount-in-clipboard"></span>
</a>
</div>
<span class="search-input-link user-guide-link" role="navigation" aria-label="User guide">
<a href="/help/" data-ga-category="featured_link" data-ga-action="user_guide">
User Guide
</a>
</span>
</div>
</div>
</form>
POST /results-export-ids/
<form id="save-action-panel-form" class="action-panel-content action-form" action="/results-export-ids/" data-by-search-action="/results-export-search-data/" data-by-ids-action="/results-export-ids/" method="post" data-by-search-method="post"
data-by-ids-method="post">
<input type="hidden" name="csrfmiddlewaretoken" value="8wSFYE3ohUDf3qoijcujuaUcPASIzzLxbOaHL2lwiEozAHHUDWztdmqVGpZX4ARh">
<div class="action-panel-control-wrap">
<label for="save-action-format" class="action-panel-label"> Format: </label>
<select id="save-action-format" name="results-format" class="action-panel-selector">
<option value="summary-text">Summary (text)</option>
<option value="pubmed-text">PubMed</option>
<option value="pmid">PMID</option>
<option value="abstract">Abstract (text)</option>
<option value="csv">CSV</option>
</select>
</div>
<div class="action-panel-actions">
<button class="action-panel-submit" type="submit" data-loading-label="Saving..." data-ga-category="save_share" data-ga-action="save" data-ga-label="save"> Create file </button>
<button class="action-panel-cancel" aria-label="Close 'Save citations to file' panel" ref="linksrc=close_save_panel" aria-controls="save-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="save"
data-ga-label="cancel"> Cancel </button>
</div>
</form>
POST /send-email/
<form id="email-action-panel-form" class="action-panel-content action-form" action="/send-email/" data-by-search-action="/results-export-email-by-search-data/" data-by-ids-action="/send-email/" data-by-search-method="post" data-by-ids-method="post"
method="post">
<input type="hidden" name="csrfmiddlewaretoken" value="8wSFYE3ohUDf3qoijcujuaUcPASIzzLxbOaHL2lwiEozAHHUDWztdmqVGpZX4ARh">
<div class="action-panel-control-wrap">
<span class="action-panel-label"> Subject: </span>
<span class="email-subject" id="email-subject" aria-label="Email subject">1 selected item: 20668659 - PubMed</span>
<input type="hidden" name="email-subject" value="1 selected item: 20668659">
<input type="hidden" name="email-subject-hash" value="94ea3b38a03db2a8579a51424c1597ad6760b5d8bcf3eff09f3dc7e5cb52c8e6">
</div>
<div class="action-panel-control-wrap">
<label for="email-to" class="action-panel-label required-field-asterisk"> To: </label>
<input type="email" aria-label="Recipient Email Address" placeholder="email@example.com" id="email-to" class="email-to" pattern="^[a-zA-Z0-9_.+-]+@[a-zA-Z0-9-]+\.[a-zA-Z0-9-.]+$" maxlength="100" required="">
</div>
<div class="action-panel-control-wrap">
<label for="email-from" class="action-panel-label"> From: </label>
<input type="email" aria-label="Sender Email Address" placeholder="email@example.com" id="email-from" class="email-from" pattern="^[a-zA-Z0-9_.+-]+@[a-zA-Z0-9-]+\.[a-zA-Z0-9-.]+$" maxlength="256">
</div>
<div class="action-panel-control-wrap">
<label for="email-citation-format" class="action-panel-label"> Format: </label>
<select id="email-citation-format" name="citation-format" class="action-panel-selector email-citation-format">
<option selected="selected" value="summary">Summary</option>
<option value="summary-text">Summary (text)</option>
<option value="abstract">Abstract</option>
<option value="abstract-text">Abstract (text)</option>
</select>
</div>
<div class="include-supplemental-container" style="display: none;">
<input type="checkbox" aria-label="Include MeSH and other data" name="include-supplemental" id="email-include-supplemental" class="email-include-supplemental">
<label for="email-include-supplemental" class="email-include-supplemental-label">MeSH and other data</label>
</div>
<div class="form-field recaptcha ">
<div class="g-recaptcha" id="id-recaptcha" data-sitekey="6LfsWHMdAAAAAClKbtOpjQ2pMjgsGxvv7NdZW9uI"></div>
</div>
<div id="captcha-error-message" class="usa-input-error-message captcha-validation-message" role="alert"></div>
<div class="action-panel-actions">
<button class="action-panel-submit" type="submit" data-loading-label="Sending..." data-ga-category="save_share" data-ga-action="email" data-ga-label="send"> Send email </button>
<button class="action-panel-cancel" aria-label="Close 'Email citations' panel" ref="linksrc=close_email_panel" aria-controls="email-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="email" data-ga-label="cancel">
Cancel </button>
</div>
<input type="hidden" name="email-search-details" value="">
<input type="hidden" name="email-search-details-hash" value="0e42663a6c3bd85498fcb88798998fed7bfdc45d457db35281e41afe13cc0524">
</form>
<form id="collections-action-panel-form" class="collections-action-panel-form action-panel-content action-form action-panel-smaller-selectors" data-existing-collections-url="/list-existing-collections/"
data-add-to-existing-collection-url="/add-to-existing-collection/" data-create-and-add-to-new-collection-url="/create-and-add-to-new-collection/" data-get-article-ids-by-search-url="/get-article-ids-by-search/"
data-myncbi-max-collection-name-length="100" data-add-to-collection-max-amount="1000" data-collections-root-url="https://www.ncbi.nlm.nih.gov/myncbi/collections/">
<input type="hidden" name="csrfmiddlewaretoken" value="8wSFYE3ohUDf3qoijcujuaUcPASIzzLxbOaHL2lwiEozAHHUDWztdmqVGpZX4ARh">
<div class="choice-group" role="radiogroup">
<ul class="radio-group-items">
<li>
<input type="radio" id="collections-action-panel-new" class="collections-new" name="collections" value="new" data-ga-category="save_share" data-ga-action="collections" data-ga-label="collections_radio_new">
<label for="collections-action-panel-new">Create a new collection</label>
</li>
<li>
<input type="radio" id="collections-action-panel-existing" class="collections-existing" name="collections" value="existing" checked="true" data-ga-category="save_share" data-ga-action="collections" data-ga-label="collections_radio_existing">
<label for="collections-action-panel-existing">Add to an existing collection</label>
</li>
</ul>
</div>
<div class="controls-wrapper">
<div class="action-panel-control-wrap new-collections-controls">
<label for="collections-action-panel-add-to-new" class="action-panel-label required-field-asterisk"> Name your collection: </label>
<input type="text" name="add-to-new-collection" id="collections-action-panel-add-to-new" class="collections-action-add-to-new" pattern="[^"&=<>\/]*" title="The following characters are not allowed in the Name field: "&=<>/"
maxlength="100" data-ga-category="save_share" data-ga-action="create_collection" data-ga-label="non_favorties_collection">
<div class="collections-new-name-too-long usa-input-error-message selection-validation-message"> Name must be less than 100 characters </div>
</div>
<div class="action-panel-control-wrap existing-collections-controls">
<label for="collections-action-panel-add-to-existing" class="action-panel-label"> Choose a collection: </label>
<select id="collections-action-panel-add-to-existing" class="action-panel-selector collections-action-add-to-existing" data-ga-category="save_share" data-ga-action="select_collection"
data-ga-label="($('#collections-action-add-to-existing').val() === 'Favorites') ? 'Favorites' : 'non_favorites_collection'">
</select>
<div class="collections-retry-load-on-error usa-input-error-message selection-validation-message"> Unable to load your collection due to an error<br>
<a href="#">Please try again</a>
</div>
</div>
</div>
<div class="action-panel-actions">
<button class="action-panel-submit" type="submit" data-loading-label="Adding..." data-pinger-ignore="" data-ga-category="save_share" data-ga-action="collections" data-ga-label="add" disabled=""> Add </button>
<button class="action-panel-cancel" aria-label="Close 'Add to Collections' panel" ref="linksrc=close_collections_panel" aria-controls="collections-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="collections"
data-ga-label="cancel"> Cancel </button>
</div>
</form>
<form id="bibliography-action-panel-form" class="bibliography-action-panel-form action-panel-content action-form action-panel-smaller-selectors" data-add-to-bibliography-max-amount="100" data-add-to-bibliography-batch-size="10"
data-bibliography-delegates-url="/list-bibliography-delegates/" data-add-to-bibliography-url="/add-to-bibliography/" data-get-article-ids-by-search-url="/get-article-ids-by-search/"
data-mybib-root-url="https://www.ncbi.nlm.nih.gov/myncbi/collections/mybibliography/">
<input type="hidden" name="csrfmiddlewaretoken" value="8wSFYE3ohUDf3qoijcujuaUcPASIzzLxbOaHL2lwiEozAHHUDWztdmqVGpZX4ARh">
<div class="action-panel-control-wrap bibliographies-controls">
<div class="choice-group">
<ul class="bibliographies-action-add radio-group-items">
<li>
<input name="bibliography" id="my-bibliography" class="my-bibliography" type="radio" checked="">
<label for="my-bibliography">My Bibliography</label>
</li>
</ul>
</div>
</div>
<div class="bibliographies-retry-load-on-error usa-input-error-message selection-validation-message"> Unable to load your delegates due to an error<br>
<a href="#">Please try again</a>
</div>
<div class="action-panel-actions">
<button class="action-panel-submit" type="submit" data-loading-label="Adding..." data-pinger-ignore=""> Add </button>
<button class="action-panel-cancel" aria-label="Close 'Add to bibliography' panel" ref="linksrc=close_bibliography_panel" aria-controls="bibliography-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="mybib"
data-ga-label="cancel"> Cancel </button>
</div>
</form>
<form id="saved-search-action-panel-form" class="saved-search-action-panel-form action-panel-content action-form" data-create-saved-search-url="/create-saved-search/" data-try-search-terms-url="/try-search-term/"
data-saved-search-root-url="https://www.ncbi.nlm.nih.gov/myncbi/searches/">
<input type="hidden" name="csrfmiddlewaretoken" value="8wSFYE3ohUDf3qoijcujuaUcPASIzzLxbOaHL2lwiEozAHHUDWztdmqVGpZX4ARh">
<div class="action-panel-control-wrap">
<label for="saved-search-name" class="action-panel-label saved-search-name-label required-field-asterisk"> Name of saved search: </label>
<input maxlength="200" type="text" name="saved-search-name" id="saved-search-name" class="saved-search-name" value="" required="" pattern="[^"&=<>\/]*" title="The following characters are not allowed in the Name field: "&=<>/">
</div>
<div class="action-panel-control-wrap">
<label for="saved-search-term" class="action-panel-label required-field-asterisk"> Search terms: </label>
<textarea name="saved-search-term" id="saved-search-term" class="saved-search-term" required=""></textarea>
</div>
<div class="test-search-term-wrap">
<a href="#" class="try-search-term">Test search terms</a>
</div>
<div class="choice-group action-panel-extra-margin-top">
<span class="action-panel-label" id="fieldset-label"> Would you like email updates of new search results? </span>
<fieldset id="saved-search-alert" aria-describedby="fieldset-label">
<legend class="usa-sr-only">Saved Search Alert Radio Buttons</legend>
<ul class="radio-group-items">
<li>
<input type="radio" id="saved-search-alert-yes" class="saved-search-alert-yes" name="saved-search-alert" value="yes" checked="">
<label for="saved-search-alert-yes" class="action-panel-label">Yes</label>
</li>
<li>
<input aria-label="No radio input" type="radio" id="saved-search-alert-no" class="saved-search-alert-no" name="saved-search-alert" value="no">
<label for="saved-search-alert-no" class="action-panel-label">No</label>
</li>
</ul>
</fieldset>
</div>
<div class="alert-schedule-wrap">
<div class="action-panel-control-wrap">
<label class="action-panel-label"> Email: </label>
<span aria-label="Email address" id="saved-search-email" class="action-panel-label"><span class="action-panel-label-bold"></span> (<a class="myncbi-account-settings" href="https://www.ncbi.nlm.nih.gov/account/settings/">change</a>)</span>
</div>
<div class="action-panel-control-wrap action-panel-extra-margin-top">
<label for="saved-search-frequency" class="action-panel-label"> Frequency: </label>
<select id="saved-search-frequency" class="no-border-panel-selector saved-search-frequency">
<option value="monthly">Monthly</option>
<option value="weekly">Weekly</option>
<option value="daily">Daily</option>
</select>
</div>
<div class="action-panel-control-wrap saved-search-monthly-additional">
<label for="saved-search-monthly-on-day" class="action-panel-label"> Which day? </label>
<select id="saved-search-monthly-on-day" class="no-border-panel-selector">
<option value="Sunday">The first Sunday</option>
<option value="Monday">The first Monday</option>
<option value="Tuesday">The first Tuesday</option>
<option value="Wednesday">The first Wednesday</option>
<option value="Thursday">The first Thursday</option>
<option value="Friday">The first Friday</option>
<option value="Saturday">The first Saturday</option>
<option value="day">The first day</option>
<option value="weekday">The first weekday</option>
</select>
</div>
<div class="action-panel-control-wrap saved-search-weekly-additional" style="display: none;">
<label for="saved-search-weekly-on-day" class="action-panel-label"> Which day? </label>
<select id="saved-search-weekly-on-day" class="no-border-panel-selector saved-search-weekly-on-day">
<option value="Sunday">Sunday</option>
<option value="Monday">Monday</option>
<option value="Tuesday">Tuesday</option>
<option value="Wednesday">Wednesday</option>
<option value="Thursday">Thursday</option>
<option value="Friday">Friday</option>
<option value="Saturday">Saturday</option>
</select>
</div>
<div class="action-panel-control-wrap">
<label for="saved-search-report" class="action-panel-label"> Report format: </label>
<select id="saved-search-report" class="no-border-panel-selector saved-search-report">
<option value="DocSum">Summary</option>
<option value="DocSumText">Summary (text)</option>
<option value="Abstract">Abstract</option>
<option value="AbstractText">Abstract (text)</option>
<option value="MEDLINE">PubMed</option>
</select>
</div>
<div class="action-panel-control-wrap">
<label for="saved-search-amount" class="action-panel-label"> Send at most: </label>
<select id="saved-search-amount" class="no-border-panel-selector saved-search-amount">
<option value="1">1 item</option>
<option value="5" selected="">5 items</option>
<option value="10">10 items</option>
<option value="20">20 items</option>
<option value="50">50 items</option>
<option value="100">100 items</option>
<option value="200">200 items</option>
</select>
</div>
<div>
<input type="checkbox" id="saved-search-send-if-no-result" class="saved-search-send-if-no-result" name="saved-search-send-if-no-result">
<label for="saved-search-send-if-no-result" class="action-panel-label smaller-checkbox"> Send even when there aren't any new results </label>
</div>
<div class="action-panel-control-wrap option-text-in-email-wrap">
<label for="saved-search-email-text" class="action-panel-label"> Optional text in email: </label>
<textarea name="saved-search-email-text" id="saved-search-email-text" class="saved-search-email-text"></textarea>
</div>
</div>
<div class="action-panel-actions">
<button class="action-panel-submit" type="submit" data-loading-label="Saving..." data-ga-category="save_share" data-ga-action="alert" data-ga-label="save"> Save </button>
<button class="action-panel-cancel" aria-label="Close 'Your saved search' panel" ref="linksrc=close_saved_search_panel" aria-controls="saved-search-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="alert"
data-ga-label="cancel"> Cancel </button>
</div>
</form>
POST /results-export-ids/
<form id="citation-manager-action-panel-form" class="action-panel-content action-form" action="/results-export-ids/" data-by-search-action="/results-export-search-data/" data-by-ids-action="/results-export-ids/" method="post"
data-by-search-method="post" data-by-ids-method="post">
<input type="hidden" name="csrfmiddlewaretoken" value="8wSFYE3ohUDf3qoijcujuaUcPASIzzLxbOaHL2lwiEozAHHUDWztdmqVGpZX4ARh">
<input name="results-format" type="hidden" value="pubmed">
<div class="action-panel-actions">
<button class="action-panel-submit" type="submit" data-loading-label="Sending..." data-ga-category="save_share" data-ga-action="citation_manager" data-ga-label="save"> Create file </button>
<button class="action-panel-cancel" aria-label="Close 'Send citations to citation manager' panel" ref="linksrc=close_citation_manager_panel" aria-controls="citation-manager-action-panel" aria-expanded="false" data-ga-category="save_share"
data-ga-action="citation_manager" data-ga-label="cancel"> Cancel </button>
</div>
</form>
<form id="rss-action-panel-form" class="rss-action-panel-form action-panel-content action-form" data-create-rss-feed-url="/create-rss-feed-url/" data-search-form-term-value="">
<input type="hidden" name="csrfmiddlewaretoken" value="8wSFYE3ohUDf3qoijcujuaUcPASIzzLxbOaHL2lwiEozAHHUDWztdmqVGpZX4ARh">
<div class="action-panel-control-wrap">
<label for="rss-name" class="action-panel-label required-field-asterisk"> Name of RSS Feed: </label>
<input maxlength="200" placeholder="Name" type="text" name="rss-name" id="rss-name" class="rss-name" value="" required="" pattern="[^"&=<>\/]*" title="The following characters are not allowed in the Name field: "&=<>/">
</div>
<div class="rss-limit-wrap">
<div class="action-panel-control-wrap action-panel-extra-margin-top">
<label for="rss-limit" class="action-panel-label"> Number of items displayed: </label>
<select id="rss-limit" class="no-border-panel-selector rss-limit">
<option value="5">5</option>
<option value="10">10</option>
<option value="15" selected="selected">15</option>
<option value="20">20</option>
<option value="50">50</option>
<option value="100">100</option>
</select>
</div>
</div>
<div class="action-panel-actions">
<button class="action-panel-submit" type="submit" data-loading-label="Creating..." data-ga-category="save_share" data-ga-action="alert" data-ga-label="save"> Create RSS </button>
<button class="action-panel-cancel" aria-label="Close 'Your RSS' panel" ref="linksrc=close_rss_panel" aria-controls="rss-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="alert" data-ga-label="cancel"> Cancel
</button>
</div>
<div class="action-panel-control-wrap rss-link-copy-wrap">
<label for="rss-link" class="usa-sr-only">RSS Link</label>
<input placeholder="Your RSS Feed Link" type="text" name="rss-link" id="rss-link" class="rss-link" title="RSS Link">
<button type="button" disabled="" class="rss-link-copy-button disabled" data-ga-category="save_share" data-ga-action="rss" data-ga-label="copy"> Copy </button>
</div>
</form>
<form id="collections-action-dialog-form" class="collections-action-panel-form action-panel-content action-form action-panel-smaller-selectors" data-existing-collections-url="/list-existing-collections/"
data-add-to-existing-collection-url="/add-to-existing-collection/" data-create-and-add-to-new-collection-url="/create-and-add-to-new-collection/" data-myncbi-max-collection-name-length="100"
data-collections-root-url="https://www.ncbi.nlm.nih.gov/myncbi/collections/"><input type="hidden" name="csrfmiddlewaretoken" value="8wSFYE3ohUDf3qoijcujuaUcPASIzzLxbOaHL2lwiEozAHHUDWztdmqVGpZX4ARh">
<div class="choice-group" role="radiogroup">
<ul class="radio-group-items">
<li><input type="radio" id="collections-action-dialog-new" class="collections-new" name="collections" value="new" data-ga-category="collections_button" data-ga-action="click" data-ga-label="collections_radio_new"><label
for="collections-action-dialog-new">Create a new collection</label></li>
<li><input type="radio" id="collections-action-dialog-existing" class="collections-existing" name="collections" value="existing" checked="true" data-ga-category="collections_button" data-ga-action="click"
data-ga-label="collections_radio_existing"><label for="collections-action-dialog-existing">Add to an existing collection</label></li>
</ul>
</div>
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This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Skip to main page content An official website of the United States government Here's how you know The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site. The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Log in Show account info Close ACCOUNT Logged in as: username * Dashboard * Publications * Account settings * Log out Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation Search: Search Advanced Clipboard User Guide Save Email Send to * Clipboard * My Bibliography * Collections * Citation manager Display options Display options Format Abstract PubMed PMID SAVE CITATION TO FILE Format: Summary (text) PubMed PMID Abstract (text) CSV Create file Cancel EMAIL CITATION Subject: 1 selected item: 20668659 - PubMed To: From: Format: Summary Summary (text) Abstract Abstract (text) MeSH and other data Send email Cancel ADD TO COLLECTIONS * Create a new collection * Add to an existing collection Name your collection: Name must be less than 100 characters Choose a collection: Unable to load your collection due to an error Please try again Add Cancel ADD TO MY BIBLIOGRAPHY * My Bibliography Unable to load your delegates due to an error Please try again Add Cancel YOUR SAVED SEARCH Name of saved search: Search terms: Test search terms Would you like email updates of new search results? 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SOCIAL RELATIONSHIPS AND MORTALITY RISK: A META-ANALYTIC REVIEW Julianne Holt-Lunstad 1 , Timothy B Smith, J Bradley Layton Affiliations Expand AFFILIATION * 1 Department of Psychology, Brigham Young University, Provo, Utah, United States of America. julianne_holt-lunstad@byu.edu * PMID: 20668659 * PMCID: PMC2910600 * DOI: 10.1371/journal.pmed.1000316 Item in Clipboard Review SOCIAL RELATIONSHIPS AND MORTALITY RISK: A META-ANALYTIC REVIEW Julianne Holt-Lunstad et al. PLoS Med. 2010. Show details Display options Display options Format Abstract PubMed PMID PLoS Med Actions * Search in PubMed * Search in NLM Catalog * Add to Search . 2010 Jul 27;7(7):e1000316. doi: 10.1371/journal.pmed.1000316. AUTHORS Julianne Holt-Lunstad 1 , Timothy B Smith, J Bradley Layton AFFILIATION * 1 Department of Psychology, Brigham Young University, Provo, Utah, United States of America. julianne_holt-lunstad@byu.edu * PMID: 20668659 * PMCID: PMC2910600 * DOI: 10.1371/journal.pmed.1000316 Item in Clipboard Full text links Cite Display options Display options Format AbstractPubMedPMID ABSTRACT Background: The quality and quantity of individuals' social relationships has been linked not only to mental health but also to both morbidity and mortality. Objectives: This meta-analytic review was conducted to determine the extent to which social relationships influence risk for mortality, which aspects of social relationships are most highly predictive, and which factors may moderate the risk. Data extraction: Data were extracted on several participant characteristics, including cause of mortality, initial health status, and pre-existing health conditions, as well as on study characteristics, including length of follow-up and type of assessment of social relationships. Results: Across 148 studies (308,849 participants), the random effects weighted average effect size was OR = 1.50 (95% CI 1.42 to 1.59), indicating a 50% increased likelihood of survival for participants with stronger social relationships. This finding remained consistent across age, sex, initial health status, cause of death, and follow-up period. Significant differences were found across the type of social measurement evaluated (p<0.001); the association was strongest for complex measures of social integration (OR = 1.91; 95% CI 1.63 to 2.23) and lowest for binary indicators of residential status (living alone versus with others) (OR = 1.19; 95% CI 0.99 to 1.44). Conclusions: The influence of social relationships on risk for mortality is comparable with well-established risk factors for mortality. Please see later in the article for the Editors' Summary. PubMed Disclaimer CONFLICT OF INTEREST STATEMENT The authors have declared that no competing interests exist. FIGURES Figure 1. Flow diagram. Figure 1. Flow diagram. Figure 1. Flow diagram. Figure 2. Contour enhanced funnel plot. Figure 2. Contour enhanced funnel plot. Figure 2. Contour enhanced funnel plot. Figure 3. Forest plot of structural measures. Figure 3. Forest plot of structural measures. Figure 3. Forest plot of structural measures. Figure 4. Forest plot of functional measures. Figure 4. Forest plot of functional measures. Figure 4. Forest plot of functional measures. Figure 5. Forest plot of combined measures. Figure 5. Forest plot of combined measures. Figure 5. Forest plot of combined measures. Figure 6. Comparison of odds (lnOR) of… Figure 6. Comparison of odds (lnOR) of decreased mortality across several conditions associated with mortality. Figure 6. Comparison of odds (lnOR) of decreased mortality across several conditions associated with mortality. Note: Effect size of zero indicates no effect. The effect sizes were estimated from meta analyses: ; A = Shavelle, Paculdo, Strauss, and Kush, 2008 ; B = Critchley and Capewell, 2003 ; C = Holman, English, Milne, and Winter, 1996 ; D = Fine, Smith, Carson, Meffe, Sankey, Weissfeld, Detsky, and Kapoor, 1994 ; E = Taylor, Brown, Ebrahim, Jollife, Noorani, Rees et al., 2004 ; F, G = Katzmarzyk, Janssen, and Ardern, 2003 ; H = Insua, Sacks, Lau, Lau, Reitman, Pagano, and Chalmers, 1994 ; I = Schwartz, 1994 . See this image and copyright information in PMC SIMILAR ARTICLES * A meta-analytic review on social relationships and suicidal ideation among older adults. Chang Q, Chan CH, Yip PSF. Chang Q, et al. Soc Sci Med. 2017 Oct;191:65-76. doi: 10.1016/j.socscimed.2017.09.003. Epub 2017 Sep 5. Soc Sci Med. 2017. PMID: 28910599 Review. * Association of social relationships with incident cardiovascular events and all-cause mortality. Gronewold J, Kropp R, Lehmann N, Schmidt B, Weyers S, Siegrist J, Dragano N, Jöckel KH, Erbel R, Hermann DM; Heinz Nixdorf Recall Study Investigative Group. Gronewold J, et al. Heart. 2020 Sep;106(17):1317-1323. doi: 10.1136/heartjnl-2019-316250. Epub 2020 Mar 12. Heart. 2020. PMID: 32165451 Free PMC article. * Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. Holt-Lunstad J, et al. Perspect Psychol Sci. 2015 Mar;10(2):227-37. doi: 10.1177/1745691614568352. Perspect Psychol Sci. 2015. PMID: 25910392 Review. * Social Integration, Social Support, and All-Cause, Cardiovascular Disease and Cause-Specific Mortality: A Prospective Cohort Study. Tan J, Wang Y. Tan J, et al. Int J Environ Res Public Health. 2019 Apr 27;16(9):1498. doi: 10.3390/ijerph16091498. Int J Environ Res Public Health. 2019. PMID: 31035622 Free PMC article. * Multicity study of air pollution and mortality in Latin America (the ESCALA study). Romieu I, Gouveia N, Cifuentes LA, de Leon AP, Junger W, Vera J, Strappa V, Hurtado-Díaz M, Miranda-Soberanis V, Rojas-Bracho L, Carbajal-Arroyo L, Tzintzun-Cervantes G; HEI Health Review Committee. Romieu I, et al. Res Rep Health Eff Inst. 2012 Oct;(171):5-86. Res Rep Health Eff Inst. 2012. PMID: 23311234 See all similar articles CITED BY * Evaluation of an online arts-based platform to support the health and well-being of older adults during the COVID-19 pandemic: a cross-sectional survey. Sutherland J, Herrington I, Makarski J, Tindall J, Hynes M, Kastner M. Sutherland J, et al. BMC Public Health. 2024 May 4;24(1):1232. doi: 10.1186/s12889-024-18720-6. BMC Public Health. 2024. PMID: 38702646 Free PMC article. * Predictors of social risk for post-ischemic stroke reintegration. Cisek KK, Nguyen TNQ, Garcia-Rudolph A, Saurí J, Becerra Martinez H, Hines A, Kelleher JD. Cisek KK, et al. Sci Rep. 2024 May 2;14(1):10110. doi: 10.1038/s41598-024-60507-7. Sci Rep. 2024. PMID: 38698076 Free PMC article. * Stay strong, stay healthy: exploring a predictive model of psychological adaptation among Macau students studying in Mainland China within the postcolonial context. Feng H, Zhang L. Feng H, et al. Front Psychol. 2024 Apr 17;15:1346309. doi: 10.3389/fpsyg.2024.1346309. eCollection 2024. Front Psychol. 2024. PMID: 38694435 Free PMC article. * The evaluation of goal-directed activities to promote well-being and health in heart failure: EUROIA scale. Nolan RP, Syed F, Stogios N, Maunder R, Sockalingam S, Tai ES, Cobain M, Peiris RG, Huszti E. Nolan RP, et al. J Patient Rep Outcomes. 2024 Apr 29;8(1):47. doi: 10.1186/s41687-024-00723-x. J Patient Rep Outcomes. 2024. PMID: 38683439 Free PMC article. * A controlled evaluation of social prescribing on loneliness for adults in Queensland: 8-week outcomes. Dingle GA, Sharman LS, Hayes S, Haslam C, Cruwys T, Jetten J, Haslam SA, McNamara N, Chua D, Baker JR, Johnson T. Dingle GA, et al. Front Psychol. 2024 Apr 12;15:1359855. doi: 10.3389/fpsyg.2024.1359855. eCollection 2024. Front Psychol. 2024. PMID: 38680281 Free PMC article. See all "Cited by" articles REFERENCES 1. 1. House JS, Landis KR, Umberson D. Social relationships and health. Science. 1988;241:540–545. - PubMed 2. 1. Berkman LF, Blumenthal J, Burg M, et al. Effects of treating depression and low perceived social support on clinical events after myocardial infarction: the Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) Randomized Trial. JAMA. 2003;289:3106–3116. - PubMed 3. 1. McPherson M, Smith-Lovin L. Social Isolation in America: Changes in core discussion networks over two decades. Am Sociol Rev. 2006;71:353–375. 4. 1. Putnam RD. Bowling Alone: The collapse and revival of American community. New York, NY, US: Simon & Schuster; 2000. 5. 1. Cohen S, Gottlieb BH, Underwood LG. Social Relationships and Health. In: Cohen S, Underwood LG, Gottlieb BH, editors. Measuring and intervening in social support. New York: Oxford University Press; 2000. pp. 3–25. 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