Evidence map›Paper›PMID 26861703›Full record

SynthesisBMC public health2016

Epidemiology of diabetes and complications among adults in the Republic of Ireland 1998-2015: a systematic review and meta-analysis.

Marsha L Tracey, Michael Gilmartin, Kate O'Neill, Anthony P Fitzgerald, Sheena M McHugh, Claire M Buckley, Ronan J Canavan, Patricia M Kearney

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
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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

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Marsha L TraceyDepartment of Epidemiology and Public Health, University College Cork, Western Gateway Building, Cork, Republic of Ireland. m.treacy@ucc.ie.
Michael GilmartinDepartment of Medicine, Royal College of Surgeons, Dublin, Republic of Ireland.
Kate O'NeillDepartment of Epidemiology and Public Health, University College Cork, Western Gateway Building, Cork, Republic of Ireland.
Anthony P FitzgeraldDepartment of Epidemiology and Public Health, University College Cork, Western Gateway Building, Cork, Republic of Ireland.
Sheena M McHughDepartment of Epidemiology and Public Health, University College Cork, Western Gateway Building, Cork, Republic of Ireland.
Claire M BuckleyDepartment of Epidemiology and Public Health, University College Cork, Western Gateway Building, Cork, Republic of Ireland.
Ronan J CanavanDepartment of Endocrinology, St. Vincent's University Hospital, Dublin, Republic of Ireland.
Patricia M KearneyDepartment of Epidemiology and Public Health, University College Cork, Western Gateway Building, Cork, Republic of Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate estimates of the burden of diabetes are essential for future planning and evaluation of services. In Ireland, there is no diabetes register and prevalence estimates vary. The aim of this review was to systematically identify and review studies reporting the prevalence of diabetes and complications among adults in Ireland between 1998 and 2015 and to examine trends in prevalence over time.

methodsA systematic literature search was carried out using PubMed and Embase. Diabetes prevalence estimates were pooled by random-effects meta-analysis. Poisson regression was carried out using data from four nationally representative studies to calculate prevalence rates of doctor diagnosed diabetes between 1998 and 2015 and was also used to assess whether the rate of doctor diagnosed diabetes changed over time.

resultsFifteen studies (eight diabetes prevalence and seven complication prevalence) were eligible for inclusion. In adults aged 18 years and over, the national prevalence of doctor diagnosed diabetes significantly increased from 2.2 % in 1998 to 5.2 % in 2015 (p trend ≤ 0.001). The prevalence of diabetes complications ranged widely depending on study population and methodology used (6.5-25.2 % retinopathy; 3.2-32.0 % neuropathy; 2.5-5.2 % nephropathy).

conclusionsBetween 1998 and 2015, there was a significant increase in the prevalence of doctor diagnosed diabetes among adults in Ireland. Trends in microvascular and macrovascular complications prevalence could not be examined due to heterogeneity between studies and the limited availability of data. Reliable baseline data are needed to monitor improvements in care over time at a national level. A comprehensive national diabetes register is urgently needed in Ireland.

Indexed as

AdultDiabetes ComplicationsDiabetes MellitusFemaleHumansIrelandMaleMiddle AgedPrevalence

Identifiers

PMID26861703
PMCPMC4748605

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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.