Evidence map›Paper›PMID 26994993›Full record

ArticleBMC nephrology2016

Anemia in type 2 diabetic patients and correlation with kidney function in a tertiary care sub-Saharan African hospital: a cross-sectional study.

Vitalis F Feteh, Simeon-Pierre Choukem, Andre-Pascal Kengne, Daniel N Nebongo, Marcelin Ngowe-Ngowe

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  12. Pathophysiology of Red Blood Cell Dysfunction in Diabetes and Its Complications.Pathophysiology : the official journal of the International Society for Pathophysiology · 2023
    Review
  13. Article
  14. Article
  15. Global Prevalence of Anemia Among Type 2 Diabetic Adult Patients: A Systematic Review and Meta-Analysis.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Review
  16. Relationship between activeJGH open : an open access journal of gastroenterology and hepatology · 2022
    Article
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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

5 authors at 3 institutions in 2 countries.

Vitalis F FetehDepartment of Internal medicine and Pediatrics, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Simeon-Pierre ChoukemDepartment of Internal medicine and Pediatrics, Faculty of Health Sciences, University of Buea, Buea, Cameroon. schoukem@gmail.com.
Andre-Pascal KengneSouth African Medical Research Council, and University of Cape Town, Cape Town, South Africa.
Daniel N NebongoHealth and Human Development (2HD) Research Group, P.O. Box 4856, Douala, Cameroon.
Marcelin Ngowe-NgoweDepartment of Surgery, Obstetric and Gynecology, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
University of Buea · CMSouth African Medical Research Council · ZAUniversity of Douala · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnemia is common in diabetic patients and increases morbidity and mortality, but its burden has been less well characterized in sub-Saharan Africans. We determined the prevalence of anemia and investigated the related factors, with a particular focus on the role of declining renal function, in type 2 diabetic patients attending a tertiary health care institution in Cameroon.

methodsHemoglobin (Hb) levels were measured in a consecutive sample of patients with type 2 diabetes, who reported for annual review at the outpatient section of the Douala General Hospital in 2013. Patients were classified as anemic according to the World Health Organisation criteria (Hb < 12 g/dl for females and Hb < 13 g/dl for males). Estimated glomerular filtration rate (eGFR) was calculated using the abbreviated Modification of Diet in Renal Disease Study Group formula. Determinants of Hb concentration and anemia were investigated using multivariable logistic regressions.

resultsA total of 636 patients were examined including 263 (prevalence rate 41.4 %) who had anemia. The prevalence of anemia increased significantly with deteriorating kidney function, although up to 31.9 % of patients with normal kidney function had anemia. Compared with their non-anemic counterparts, anemic diabetic patients were older, had longer duration of diabetes, lower eGFR, higher prevalence of proteinuria and diabetic retinopathy (all p < 0.05). In multivariable logistic regressions, eGFR (p = 0.001) and presence of retinopathy (p = 0.023) were the independent determinants of prevalent anemia.

conclusionsThe prevalence of anemia is high in type 2 diabetic patients attending referral institutions in Cameroon, including among those without chronic kidney disease. Routine screening for anemia in all diabetic patients may aid early identification and correction as appropriate.

Indexed as

AgedAnemiaCameroonCross-Sectional StudiesDiabetes Mellitus, Type 2Diabetic NephropathiesDiabetic RetinopathyFemaleGlomerular Filtration RateHemoglobinsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPrevalenceHemoglobinsAnemiaCameroonChronic kidney diseaseDiabetesEstimated glomerular filtration rateHemoglobin

Identifiers

PMID26994993
PMCPMC4799843
OpenAlexW2302226674

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LicenceCC BY
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Registered trials

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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.