Evidence map›Paper›PMID 26486355›Full record

Observational studyDiabetologia2016

Death, end-stage renal disease and renal function decline in patients with diabetic nephropathy in French cohorts of type 1 and type 2 diabetes.

Samy Hadjadj, Bertrand Cariou, Frederic Fumeron, Elise Gand, Guillaume Charpentier, Ronan Roussel, Ahmed-Amine Kasmi, Jean-François Gautier, Kammel Mohammedi, Pierre Gourdy and 4 more

Open access · bronzeAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Diabetologia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% 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, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Impact of Liver Cirrhosis on Incidence of Dialysis Among Patients with Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    Article
  16. Article
  17. Article
  18. Veterinary medicine international · 2020
    Article
  19. Article
  20. 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

14 authors at 8 institutions in 1 country.

Samy HadjadjUniversité de Poitiers, UFR Médecine Pharmacie, Centre d'Investigation clinique, Poitiers, France. samy.hadjadj@gmail.com.
Bertrand CariouDepartment of Endocrinology, University Hospital of Nantes, Nantes, France.
Frederic FumeronUniversité Paris Diderot, Sorbonne Paris Cité, Paris, France.
Elise GandCHU de Poitiers, Pôle Dune, Poitiers, France.
Guillaume CharpentierCentre Hospitalier Sud Francilien, Corbeil-Essonnes, France.
Ronan RousselUniversité Paris Diderot, Sorbonne Paris Cité, Paris, France.
Ahmed-Amine KasmiUniversité de Poitiers, UFR Médecine Pharmacie, Centre d'Investigation clinique, Poitiers, France.
Jean-François GautierUniversité Paris Diderot, Sorbonne Paris Cité, Paris, France.
Kammel MohammediUniversité Paris Diderot, Sorbonne Paris Cité, Paris, France.
Pierre GourdyCHU de Toulouse, Service de Diabétologie, Maladies Métaboliques et Nutrition, Toulouse, France.
Pierre-Jean SaulnierUniversité de Poitiers, UFR Médecine Pharmacie, Centre d'Investigation clinique, Poitiers, France.
Eva FeigerlovaUniversité de Poitiers, UFR Médecine Pharmacie, Centre d'Investigation clinique, Poitiers, France.
Michel MarreUniversité Paris Diderot, Sorbonne Paris Cité, Paris, France.
French JDRF Diabetic Nephropathy Collaborative Research Initiative (search for genes determining time to onset of ESRD in T1D patients with proteinuria) and the SURDIAGENE and DIABHYCAR study groups
Inserm · FRUniversité de Poitiers · FRSorbonne Paris Cité · FRCentre d'Etudes et de Recherches pour l'Intensification du Traitement du Diabète · FRCentre Hospitalier Universitaire de Poitiers · FRInstitut du Thorax · FRUnité de recherche sur les maladies cardiovasculaires et métaboliques · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisMicrovascular complications are a common feature of diabetes but additional research is needed regarding diabetic nephropathy endpoints in type 1 and type 2 diabetes.

methodsWe compared 277 type 1 diabetes patients with 942 type 2 diabetes patients, with clinical proteinuria and no endstage renal disease (ESRD) at baseline, prospectively followed for death, ESRD and decline in estimated glomerular filtration rate (eGFR, all available measures).

resultsThe incidence rate of death was 67.0 (95% CI 59.2, 74.8) vs. 24.6 (95% CI, 19.0, 30.2) per 1,000 patient-years, in type 2 diabetes and type 1 diabetes, respectively. Unadjusted risk for death was greater for type 2 diabetes patients (HR 3.423; 95% CI, 2.501, 4.683; p<0.0001), but the difference did not persist after adjustment for age (HRage-adj 0.859; 95% CI 0.581, 1.269; p=0.445). The incidence rate of ESRD was 18.4 (95% CI 14.2, 22.5) vs. 47.1 (95%CI 38.4, 55.9) per 1,000 patient-years, in type 2 diabetes and type 1 diabetes, respectively. Unadjusted risk for ESRD was lower in type 2 diabetes (HR 0.399; 95% CI 0.287, 0.554; p<0.0001), but the difference did not persist after adjustment for sex, age and baseline serum creatinine (HRadj 0.989; 95% CI 0.597, 1.639; p=0.965). In a mixed linear model, eGFR decline was not significantly different in type 2 vs. type 1 diabetes (difference in slope −0.19 [0.28] ml min(−1) 1.73 m(−2) year(−1); p=0.512). CONCLUSIONS/

interpretationIn diabetic nephropathy, once baseline risk factors were taken into account the risk for death, ESRD and renal function decline did not significantly differ between type 1 diabetes and type 2 diabetes.

Indexed as

AdultAgedCohort StudiesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic NephropathiesFemaleFranceGlomerular Filtration RateHumansIncidenceKaplan-Meier EstimateKidney Failure, ChronicKidney Function TestsLinear ModelsMale

Identifiers

PMID26486355
OpenAlexW2159905036

What OpenQuestion holds

Textmetadata
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.