Evidence map›Paper›PMID 27437767›Full record

ArticleOncotarget2016

Leukocyte telomere length and mortality risk in patients with type 2 diabetes.

Anna Rita Bonfigli, Liana Spazzafumo, Francesco Prattichizzo, Massimiliano Bonafè, Emanuela Mensà, Luigina Micolucci, Angelica Giuliani, Paolo Fabbietti, Roberto Testa, Massimo Boemi and 2 more

Abstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Type 2 Diabetes: How Much of an Autoimmune Disease?Frontiers in endocrinology · 2019
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  6. Improving our understanding of the biology of aging: findings from the Age-It Research Program.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
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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

12 authors.

Anna Rita BonfigliScientific Direction, INRCA-IRCCS National Institute, Ancona, Italy.
Liana SpazzafumoCenter of Biostatistics, INRCA-IRCCS National Institute, Ancona, Italy.
Francesco PrattichizzoInstitut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Massimiliano BonafèDepartment of Experimental, Diagnostic and Specialty Medicine, DIMES, University of Bologna, Bologna, Italy.
Emanuela MensàCenter of Clinical Pathology and Innovative Therapy, National Institute INRCA-IRCCS, Ancona, Italy.
Luigina MicolucciDepartment of Clinical and Molecular Sciences, DISCLIMO, Università Politecnica delle Marche, Ancona, Italy.
Angelica GiulianiDepartment of Clinical and Molecular Sciences, DISCLIMO, Università Politecnica delle Marche, Ancona, Italy.
Paolo FabbiettiCenter of Biostatistics, INRCA-IRCCS National Institute, Ancona, Italy.
Roberto TestaExperimental Models in Clinical Pathology, INRCA-IRCCS National Institute, Ancona, Italy.
Massimo BoemiMetabolic Diseases and Diabetology Unit, INRCA-IRCCS National Institute, Ancona, Italy.
Fabrizia LattanzioScientific Direction, INRCA-IRCCS National Institute, Ancona, Italy.
Fabiola OlivieriCenter of Clinical Pathology and Innovative Therapy, National Institute INRCA-IRCCS, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Leukocyte telomere length (LTL) shortening is found in a number of age-related diseases, including type 2 diabetes (T2DM). In this study its possible association with mortality was analyzed in a sample of 568 T2DM patients (mean age 65.9 ± 9 years), who were followed for a median of 10.2 years (interquartile range 2.2). A number of demographic, laboratory and clinical parameters determined at baseline were evaluated as mortality risk factors. LTL was measured by quantitative real-time PCR and reported as T/S (telomere-to-single copy gene ratio). Age, gender, creatinine, diabetes duration at baseline, and LTL were significantly different between T2DM patients who were dead and alive at follow-up. In the Cox regression analysis adjusted for the confounding variables, shorter LTL, older age, and longer disease duration significantly increased the risk of all-cause mortality (HR = 3.45, 95%CI 1.02-12.5, p = 0.004). Kaplan-Maier analysis also found a different cumulative mortality risk for patients having an LTL shorter than the median (T/S ≤0.04) and disease duration longer than the median (>10 years) (log-rank = 11.02, p = 0.011). Time-dependent mortality risk stratification showed that T2DM duration and LTL combined was a fairly good predictor of mortality over the first 76 months of follow-up.In conclusion, LTL combined with clinical parameters can provide additive prognostic information on mortality risk in T2DM patients.

Indexed as

AdultAgedDiabetes Mellitus, Type 2FemaleGenetic MarkersHumansKaplan-Meier EstimateLeukocytesMaleMiddle AgedPrognosisTelomereGenetic MarkersagingGerotargetmortalitytelomere shorteningtype 2 diabetes

Identifiers

PMID27437767
PMCPMC5239440

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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.