Evidence map›Paper›PMID 27527847›Full record

ArticleDiabetes care2016

Genetic Predictors of Cardiovascular Mortality During Intensive Glycemic Control in Type 2 Diabetes: Findings From the ACCORD Clinical Trial.

Hetal S Shah, He Gao, Mario Luca Morieri, Jan Skupien, Skylar Marvel, Guillaume Paré, Gaia C Mannino, Patinut Buranasupkajorn, Christine Mendonca, Timothy Hastings and 9 more

Abstract read
In one paragraph

Article in Diabetes care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Trial
  3. Diabetes · 2020
    Trial
  4. Trial
  5. Trial
  6. Article
  7. Common genetic variants nearmedRxiv : the preprint server for health sciences · 2025
    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

19 authors.

Hetal S ShahResearch Division, Joslin Diabetes Center, Boston, MA.
He GaoResearch Division, Joslin Diabetes Center, Boston, MA.
Mario Luca MorieriResearch Division, Joslin Diabetes Center, Boston, MA.
Jan SkupienResearch Division, Joslin Diabetes Center, Boston, MA.
Skylar MarvelBioinformatics Research Center and Department of Statistics, North Carolina State University, Raleigh, NC.
Guillaume ParéDepartment of Medicine and the Population Health Research Institute, McMaster University and Hamilton Health Sciences, Ontario, Canada.
Gaia C ManninoResearch Division, Joslin Diabetes Center, Boston, MA.
Patinut BuranasupkajornResearch Division, Joslin Diabetes Center, Boston, MA.
Christine MendoncaResearch Division, Joslin Diabetes Center, Boston, MA.
Timothy HastingsResearch Division, Joslin Diabetes Center, Boston, MA.
Santica M MarcovinaDepartment of Medicine, University of Washington, and Northwest Lipid Metabolism and Diabetes Research Laboratories, Seattle, WA.
Ronald J SigalDepartments of Medicine, Cardiac Sciences, and Community Health Sciences, Cumming School of Medicine, Faculties of Medicine and Kinesiology, University of Calgary, Alberta, Canada.
Hertzel C GersteinDepartment of Medicine and the Population Health Research Institute, McMaster University and Hamilton Health Sciences, Ontario, Canada.
Michael J WagnerCenter for Pharmacogenomics and Individualized Therapy, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Alison A Motsinger-ReifBioinformatics Research Center and Department of Statistics, North Carolina State University, Raleigh, NC.
John B BuseDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Peter KraftDepartments of Epidemiology and Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA.
Josyf C MychaleckyjCenter for Public Health Genomics, University of Virginia, Charlottesville, VA.
Alessandro DoriaResearch Division, Joslin Diabetes Center, Boston, MA alessandro.doria@joslin.harvard.edu.

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI AMY JO WAGERS · 1986 to 2026
$50.5M
Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
Genetic modifiers of the effect of intensive glycemic control on CVD riskR01HL110400 · NHLBI · JOSLIN DIABETES CENTER · PI DORIA, ALESSANDRO · 2011 to 2014
$3.8M
Orchestra: A high performance biomedical supercomputing collaborativeS10RR028832 · NCRR · HARVARD MEDICAL SCHOOL · PI DANUSER, GAUDENZ · 2010 to 2010
$3.7M
An Exome-Focused Approach to Pharmacogenetic Analysis of the ACCORD TrialR01HL110380 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, WAGNER, MICHAEL JAY · 2012 to 2015
$2.4M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095183 · HC · MINNEAPOLIS MEDICAL RESEARCH FDN, INC. · PI GRIMM, RICHARD H · 1999 to 2000
$1.9M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095181 · HC · CASE WESTERN RESERVE UNIVERSITY · PI THIBONNIER, MARC · 1999 to 2000
$1.8M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095184 · HC · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BIGGER, J T · 1999 to 2000
$1.7M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095182 · HC · WAKE FOREST UNIVERSITY · PI GOFF, DAVID C · 1999 to 2000
$1.6M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUS-N01HC95178N01HC095178 · HC · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BYINGTON, ROBERT · 1999 to 2006
$1.5M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETER MELLLITN01HC095180 · HC · UNIVERSITY OF WASHINGTON · PI PROBSTFIELD, JEFFREY · 1999 to 2000
$1.5M
NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR002489NCRR NIH HHS S10 RR028832NHLBI NIH HHS N01 HC095178NHLBI NIH HHS N01 HC095179NHLBI NIH HHS N01 HC095180NHLBI NIH HHS N01 HC095181NHLBI NIH HHS N01 HC095182NHLBI NIH HHS N01 HC095183NHLBI NIH HHS N01 HC095184NHLBI NIH HHS R01 HL110380NHLBI NIH HHS R01 HL110400NHLBI NIH HHS Y01 HC001010NHLBI NIH HHS Y01 HC009035NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

objectiveTo identify genetic determinants of increased cardiovascular mortality among subjects with type 2 diabetes who underwent intensive glycemic therapy in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial. RESEARCH DESIGN AND

methodsA total of 6.8 million common variants were analyzed for genome-wide association with cardiovascular mortality among 2,667 self-reported white subjects in the ACCORD intensive treatment arm. Significant loci were examined in the entire ACCORD white genetic dataset (n = 5,360) for their modulation of cardiovascular responses to glycemic treatment assignment and in a Joslin Clinic cohort (n = 422) for their interaction with long-term glycemic control on cardiovascular mortality.

resultsTwo loci, at 10q26 and 5q13, attained genome-wide significance as determinants of cardiovascular mortality in the ACCORD intensive arm (P = 9.8 × 10

conclusionsTwo genetic variants predict the cardiovascular effects of intensive glycemic control in ACCORD. Further studies are warranted to determine whether these findings can be translated into new strategies to prevent cardiovascular complications of diabetes.

Indexed as

AgedBlood GlucoseCardiovascular DiseasesCohort StudiesDiabetes Mellitus, Type 2FemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyGenotypeGlycated HemoglobinHumansHypoglycemic AgentsMaleMiddle AgedPolymorphism, Single NucleotideProportional Hazards ModelsBlood GlucoseGlycated HemoglobinHypoglycemic Agents

Identifiers

PMID27527847
PMCPMC5079609

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.