Evidence map›Paper›PMID 28026025›Full record

SynthesisClinical cardiology2017

Impact of diabetes on mortality in peripheral artery disease: a meta-analysis.

Mislav Vrsalovic, Ksenija Vucur, Ana Vrsalovic Presecki, Damir Fabijanic, Milan Milosevic

Open access · bronzeAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Clinical cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
4.1field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  8. Paclitaxel-Coated Balloons for Femoropopliteal Artery Disease Treatment in French Patients: A Longitudinal Observational Study.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Observational
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  16. Diabetes mellitus and outcomes of lower extremity revascularization for peripheral artery disease.European heart journal. Quality of care & clinical outcomes · 2022
    Article
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  19. Chronic limb threatening ischemia and diabetes mellitus: the severity of tibial atherosclerosis and outcome after infrapopliteal revascularization.Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society · 2021
    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 5 institutions in 1 country.

Mislav VrsalovicUniversity of Zagreb, School of Medicine, Zagreb, Croatia.
Ksenija VucurDepartment of Nephrology, University Hospital Merkur, Zagreb, Croatia.
Ana Vrsalovic PreseckiFaculty of Chemical Engineering and Technology, University of Zagreb, Zagreb, Croatia.
Damir FabijanicDepartment of Cardiology, University Hospital Centre Split, School of Medicine, University of Split, Split, Croatia.
Milan MilosevicUniversity of Zagreb, School of Medicine, Zagreb, Croatia.
Andrija Stampar Teaching Institute of Public Health · HRKlinička bolnica Merkur · HRSisters of Charity Hospital · HRUniversity of Split · HRUniversity of Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are accumulating studies showing the association between diabetes and all-cause mortality in peripheral vascular disease. However, the results in these studies are conflicting regarding the impact of diabetes on outcome. HYPOTHESIS: Diabetes is associated with increased risk of mortality in peripheral artery disease.

methodsUsing MEDLINE and Scopus, we searched for studies published before January 2016. Additionally, studies were identified by manual search of references of original articles or review studies on this topic. Of the 1072 initially identified records, 21 studies with 15,857 patients were included in the final analysis.

resultsDiabetes was associated with a statistically significant increased risk of all-cause mortality (odds ratio: 1.89, 95% confidence interval: 1.51-2.35, P < 0.001), without detected publication bias (Egger bias = 0.75, P = 0.631). The stronger effect on outcome was obtained in patients with critical limb ischemia (odds ratio: 2.38, 95% confidence interval: 1.22-4.63, P < 0.001) as the most severe form of peripheral vascular disease.

conclusionsDiabetes is associated with an increased risk of mortality in peripheral vascular disease, and the effect is even more pronounced in patients with critical limb ischemia.

Indexed as

AgedAged, 80 and overCause of DeathCritical IllnessDiabetes MellitusFemaleHumansIschemiaMaleMiddle AgedOdds RatioPeripheral Arterial DiseasePrognosisRisk AssessmentRisk Factorscritical limb ischemiadiabetesmeta-analysismortalityperipheral artery disease

Identifiers

PMID28026025
PMCPMC6490626
OpenAlexW2563298483

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.