Evidence map›Paper›PMID 28003103›Full record

ArticleJournal of diabetes and its complications2017

Retinopathy predicts progression of fasting plasma glucose: An Early Diabetes Intervention Program (EDIP) analysis.

Yash R Patel, M Sue Kirkman, Robert V Considine, Tamara S Hannon, Kieren J Mather

Abstract readMulticenter Study
In one paragraph

Article in Journal of diabetes and its complications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 3 institutions in 1 country.

Yash R PatelDepartment of medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA; Indiana University School of Medicine, Indianapolis, IN, USA.
M Sue KirkmanIndiana University School of Medicine, Indianapolis, IN, USA; University of North Carolina, Chapel Hill, NC.
Robert V ConsidineIndiana University School of Medicine, Indianapolis, IN, USA.
Tamara S HannonIndiana University School of Medicine, Indianapolis, IN, USA.
Kieren J MatherIndiana University School of Medicine, Indianapolis, IN, USA. Electronic address: kmather@iu.edu.
Indiana University School of MedicineBrigham and Women's Hospital · USIndiana University – Purdue University Indianapolis · US

Funding

WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Jennifer Lynn Powers Carson · 2013 to 2026
$27.1M
ZOSUQUIDAR TRIHYDROCHLORIDE DURING CONVENTIONAL INDUCTION AND POST-REMISSIONM01RR000750 · NCRR · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI RODRIGUEZ, HENRY · 1985 to 2008
$25.5M
TRANSGENICS COREP60DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI SCHAFFER, JEAN E. · 1986 to 2012
$25.2M
Translation CoreP30DK097512 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Carmella Evans-Molina · 2015 to 2026
$17.4M
NCRR NIH HHS M01 RR000750NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK097512NIDDK NIH HHS P60 DK020579
6 · The paper itself

Abstract

backgroundRetinopathy is increasingly recognized in prediabetic populations, and may herald increased risk of metabolic worsening. The Early Diabetes Intervention Program (EDIP) evaluated worsening of glycemia in screen-detected Type 2 diabetes, following participants for up to 5years. Here we have evaluated whether the presence of retinopathy at the time of detection of diabetes was associated with accelerated progression of glycemia.

methodsWe prospectively studied 194 participants from EDIP with available baseline retinal photographs. Retinopathy was determined at baseline using 7-field fundus photography and defined as an Early Treatment of Diabetic Retinopathy Study Scale grading score of ≥20.

resultsAt baseline, 12% of participants had classical retinal lesions indicating retinopathy. In univariate Cox proportional hazard analysis, the presence of retinopathy at baseline was associated with a doubled risk of progression of fasting plasma glucose (HR 2.02; 95% CI 1.05-3.89). The retinopathy effect was robust to individual adjustment for age and glucose, the most potent determinants of progression in EDIP.

conclusionRetinopathy was associated with increased risk of progression of fasting plasma glucose among adults with screen-detected, early diabetes. Early detection of retinopathy may help individualize more aggressive therapy to prevent progressive metabolic worsening in early diabetes.

Indexed as

AdultAgedBlood GlucoseCohort StudiesCombined Modality TherapyDiabetes Mellitus, Type 2Diabetic RetinopathyDisease-Free SurvivalDisease ProgressionEarly DiagnosisFemaleFollow-Up StudiesHumansHyperglycemiaMaleMass ScreeningBlood GlucoseDiabetesEarly diabetesMicrovascular diseasePredictionRetinopathy

Identifiers

PMID28003103
PMCPMC5598349
OpenAlexW2552359254

What OpenQuestion holds

Textmetadata
LicenceTDM
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.