Evidence map›Paper›PMID 19131462›Full record

ArticleDiabetes care2009

Antidiabetic action of bezafibrate in a large observational database.

James H Flory, Susan Ellenberg, Philippe O Szapary, Brian L Strom, Sean Hennessy

Open access · hybridAbstract read
In one paragraph

Article in Diabetes care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
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  6. PPAR Agonists and Metabolic Syndrome: An Established Role?International journal of molecular sciences · 2018
    Review
  7. β-Cell Failure or β-Cell Abuse?Frontiers in endocrinology · 2018
    Review
  8. Article
  9. Review
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  15. Review
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  17. Article
  18. Prediabetes as a therapeutic target.Clinical chemistry · 2011
    Review
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

5 authors at 1 institution in 1 country.

James H Flory1Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA. jflory@mail.med.upenn.edu
Susan Ellenberg
Philippe O Szapary
Brian L Strom
Sean Hennessy
University of Pennsylvania · US

Funding

Intramural NIH HHS
6 · The paper itself

Abstract

objectiveThe purpose of this study was to test the hypothesis that bezafibrate, an approved fibrate, can prevent or delay type 2 diabetes. RESEARCH DESIGN AND

methodsThis was a retrospective cohort study using data from routine medical practice in the U.K., as captured by the General Practice Research Database (GPRD). Individuals chronically exposed to bezafibrate were compared with individuals chronically exposed to other fibrates. Hazard ratios (HRs) for incident type 2 diabetes were calculated using a Cox proportional hazards model. A post hoc analysis was used to examine the effect of bezafibrate on progression to use of oral antidiabetic medications or insulin in individuals with diabetes at baseline.

resultsBezafibrate users had a lower hazard for incident diabetes than users of other fibrates (HR 0.66 [95% CI 0.53-0.81]). This effect became stronger with increasing duration of therapy. Post hoc analysis of the effect of bezafibrate on progression of preexisting diabetes also showed a lower hazard for progression to use of antidiabetic medication (0.54 [0.38-0.76]) or progression to use of insulin (0.78 [0.55-1.10]).

conclusionsBezafibrate appears to have clinically important antidiabetic properties. Randomized controlled trials should be considered to assess the utility of bezafibrate in treating patients with diabetes or in preventing diabetes in high-risk patients.

Indexed as

AgedBezafibrateCohort StudiesDatabases, FactualDiabetes Mellitus, Type 2FemaleHumansHypoglycemic AgentsHypolipidemic AgentsMaleMiddle AgedRetrospective StudiesBezafibrateHypoglycemic AgentsHypolipidemic Agents

Identifiers

PMID19131462
PMCPMC2660490
OpenAlexW2140241764

What OpenQuestion 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 OpenQuestion graph.