Evidence map›Paper›PMID 28122835›Full record

ArticleBMJ open2017

Risk of disseminated intravascular coagulation in patients with type 2 diabetes mellitus: retrospective cohort study.

Kenichiro Nogami, Isao Muraki, Hironori Imano, Hiroyasu Iso

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Kenichiro NogamiPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Isao MurakiPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Hironori ImanoPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Hiroyasu IsoPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Osaka University · JPOsaka Medical Center for Cancer and Cardiovascular Diseases · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine quantitatively the association between type 2 diabetes mellitus (T2DM) and disseminated intravascular coagulation (DIC).

designRetrospective cohort study using a claims database.

settingMedical care institutions representing 9% of all secondary hospitals (acute care hospitals) in Japan.

participantsIn total, 797 324 admissions, comprising 435 354 patients aged 18-79 years at the time of admission, were enrolled between January 2010 and September 2014. All patients were diagnosed with diabetes or admitted to hospitals that provided laboratory data.

main outcome measuresIncidence of DIC reported by physicians in claims data.

resultsLogistic regression analysis found that the risk of DIC was significantly higher in T2DM patients than in non-DM patients (fully adjusted OR: 1.39 (95% CI 1.32 to 1.45)), independent of age, sex, admission year and potential underlying diseases. The higher risk of DIC in T2DM patients was apparent in those who were treated with insulin within the 30-day period prior to admission (1.53 (1.37 to 1.72)). When stratified by the potential underlying diseases, the risk of DIC was higher in T2DM patients with non-septic severe infection (1.67 (1.41 to 1.97)) and with solid tumour (1.59 (1.47 to 1.72)) than in non-DM patients with those underlying diseases. The risk was similar between T2DM and non-DM patients with sepsis (0.98 (0.90 to 1.08)) and lower in T2DM patients with acute leukaemia (0.70 (0.59 to 0.84)).

conclusionsT2DM was associated with a higher risk of DIC, particularly when recently treated with insulin, as well as among admissions with solid tumour or non-septic severe infection.

Indexed as

AdolescentAdultAgedCase-Control StudiesCohort StudiesDatabases, FactualDiabetes Mellitus, Type 2Disseminated Intravascular CoagulationFemaleHumansHypoglycemic AgentsInfectionsInsulinJapanLeukemiaMaleHypoglycemic AgentsInsulinanti-diabeticsdisseminated intravascular coagulationtype 2 diabetes mellitus

Identifiers

PMID28122835
PMCPMC5278301
OpenAlexW2580047384

What OpenQuestion holds

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LicenceCC BY-NC
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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.