Evidence map›Paper›PMID 26059258›Full record

ArticlePediatric diabetes2016

Characteristics of maturity onset diabetes of the young in a large diabetes center.

Christina Chambers, Alexandra Fouts, Fran Dong, Kevin Colclough, Zhenyuan Wang, Sat Dev Batish, Malgorzata Jaremko, Sian Ellard, Andrew T Hattersley, Georgeanna Klingensmith and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Pediatric diabetes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
  2. Monogenic diabetes in overweight and obese youth diagnosed with type 2 diabetes: the TODAY clinical trial.Genetics in medicine : official journal of the American College of Medical Genetics · 2018 · on this map
    Trial
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  11. Article
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  13. Review
  14. New clinical screening strategy to distinguishBMJ open diabetes research & care · 2020
    Article
  15. Observational
  16. Review
  17. Frontiers in endocrinology · 2020
    Article
  18. Review
  19. Article
  20. 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

11 authors at 5 institutions in 2 countries.

Christina ChambersBarbara Davis Center for Childhood Diabetes, University of Colorado Denver, Aurora, CO, USA.
Alexandra FoutsBarbara Davis Center for Childhood Diabetes, University of Colorado Denver, Aurora, CO, USA.
Fran DongBarbara Davis Center for Childhood Diabetes, University of Colorado Denver, Aurora, CO, USA.
Kevin ColcloughDepartment of Genetics, Institute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Zhenyuan WangAthena Diagnostics, Worcester, MA, USA.
Sat Dev BatishAthena Diagnostics, Worcester, MA, USA.
Malgorzata JaremkoAthena Diagnostics, Worcester, MA, USA.
Sian EllardDepartment of Genetics, Institute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Andrew T HattersleyDepartment of Genetics, Institute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Georgeanna KlingensmithBarbara Davis Center for Childhood Diabetes, University of Colorado Denver, Aurora, CO, USA.
Andrea K SteckBarbara Davis Center for Childhood Diabetes, University of Colorado Denver, Aurora, CO, USA.
University of Colorado Denver · USathenahealth · USUniversity of Exeter · GBDiagnostics For All · USNIHR Exeter Clinical Research Facility · GB

Funding

Wellcome Trust 098395
6 · The paper itself

Abstract

Maturity onset diabetes of the young (MODY) is a monogenic form of diabetes caused by a mutation in a single gene, often not requiring insulin. The aim of this study was to estimate the frequency and clinical characteristics of MODY at the Barbara Davis Center. A total of 97 subjects with diabetes onset before age 25, a random C-peptide ≥0.1 ng/mL, and negative for all diabetes autoantibodies (GADA, IA-2, ZnT8, and IAA) were enrolled, after excluding 21 subjects with secondary diabetes or refusal to participate. Genetic testing for MODY 1-5 was performed through Athena Diagnostics, and all variants of unknown significance were further analyzed at Exeter, UK. A total of 22 subjects [20 (21%) when excluding two siblings] were found to have a mutation in hepatocyte nuclear factor 4A (n = 4), glucokinase (n = 8), or hepatocyte nuclear factor 1A (n = 10). Of these 22 subjects, 13 had mutations known to be pathogenic and 9 (41%) had novel mutations, predicted to be pathogenic. Only 1 of the 22 subjects had been given the appropriate MODY diagnosis prior to testing. Compared with MODY-negative subjects, the MODY-positive subjects had lower hemoglobin A1c level and no diabetic ketoacidosis at onset; however, these characteristics are not specific for MODY. In summary, this study found a high frequency of MODY mutations with the majority of subjects clinically misdiagnosed. Clinicians should have a high index of suspicion for MODY in youth with antibody-negative diabetes.

Indexed as

AdolescentChildColoradoC-PeptideDiabetes Mellitus, Type 2FemaleHumansMaleMutationC-PeptideGCKHNF1AHNF4AMODY

Identifiers

PMID26059258
PMCPMC4934136
OpenAlexW2133377236

What OpenQuestion holds

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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 OpenQuestion graph.