Evidence map›Paper›PMID 28190681›Full record

ArticleJournal of diabetes and its complications2017

Differential effects of metformin on age related comorbidities in older men with type 2 diabetes.

Chen-Pin Wang, Carlos Lorenzo, Samy L Habib, Booil Jo, Sara E Espinoza

Open access · greenAbstract read
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 61 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 6 pooled it
5.3field-weighted citation impact, top 3% 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

61 citing papers in PubMed, 6 syntheses or guidelines pooled it, 132 citations in OpenAlex.

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  16. Brain-Derived Neurotrophic Factor is Associated with Self-Reported Quality of Sleep in Type 2 Diabetes Patients in Ghana.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2024
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1 more citing papers are in PubMed but not listed here.

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 4 institutions in 1 country.

Chen-Pin WangDepartment of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio; Geriatrics Research, Education & Clinical Center (GRECC), South Texas Veterans Health Care System. Electronic address: wangc3@uthscsa.edu.
Carlos LorenzoDepartment of Medicine, University of Texas Health Science Center at San Antonio.
Samy L HabibGeriatrics Research, Education & Clinical Center (GRECC), South Texas Veterans Health Care System; Department of Cellular and Structural Biology, University of Texas Health Science Center at San Antonio.
Booil JoDepartment of Psychiatry and Behavioral Sciences, Stanford University.
Sara E EspinozaGeriatrics Research, Education & Clinical Center (GRECC), South Texas Veterans Health Care System; Department of Medicine, University of Texas Health Science Center at San Antonio; Barshop Institute for Longevity and Aging Studies, University of Texas Health Science Center at San Antonio.
South Texas Veterans Health Care System · USGeriatric Research Education and Clinical Center · USStanford University · USThe University of Texas Health Science Center at San Antonio · US

Funding

San Antonio OAIC - Research Education Component (REC)P30AG044271 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Adam Salmon, Elena Volpi · 2015 to 2026
$14.1M
Heterogeneity in Prevention Intervention Effects On Substance Use: A Latent VariaR01DA031698 · NIDA · STANFORD UNIVERSITY · PI JO, BOOIL · 2012 to 2014
$652k
Metformin, Statins, and Prostate Cancer Prevention in Type 2 DiabetesR21CA161180 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI LEHMAN, DONNA M, WANG, CHEN-PIN · 2012 to 2013
$315k
NCI NIH HHS R21 CA161180NIA NIH HHS P30 AG044271NIDA NIH HHS R01 DA031698
6 · The paper itself

Abstract

aimsTo identify distinct temporal likelihoods of age-related comorbidity (ARC) diagnoses: cardiovascular diseases (CVD), cancer, depression, dementia, and frailty-related diseases (FRD) in older men with type 2 diabetes (T2D) but ARC naïve initially, and assess the heterogeneous effects of metformin on ARCs and mortality.

methodsWe identified a clinical cohort of male veterans in the United States who were ≥65years old with T2D and free from ARCs during 2002-2003. ARC diagnoses during 2004-2012 were analyzed using latent class modeling adjusted for confounders.

resultsThe cohort consisted of 41,204 T2D men with age 74.6±5.8years, HbA1c 6.5±0.97%, and 8393 (20.4%) metformin users. Four ARC classes were identified. 'Healthy Class' (53.6%): metformin reduced likelihoods of all ARCs (from 0.14% in dementia to 6.1% in CVD). 'High Cancer Risk Class' (11.6%): metformin reduced likelihoods of CVD (13.3%), cancer (45.5%), depression (5.0%), and FRD (13.7%). 'High CVD Risk Class' (17.4%): metformin reduced likelihoods of CVD (48.6%), cancer (3.2%), depression (2.8%), and FRD (6.3%). 'High Frailty Risk Class' (17.2%): metformin reduced likelihoods of CVD (18.8%), cancer (3.9%), dementia (3.8%), depression (15.6%), and FRD (23.8%).

conclusionsMetformin slowed ARC development in old men with T2D, and these effects varied by ARC phenotype.

Indexed as

AgingVeterans HealthAgedAged, 80 and overCardiovascular DiseasesCohort StudiesComorbidityDementiaDepressionDiabetes Mellitus, Type 2Drug ResistanceElectronic Health RecordsFrail ElderlyHumansHypoglycemic AgentsLongitudinal StudiesHypoglycemic AgentsMetforminComorbidityFrailtyMetforminMortalityType 2 diabetes

Identifiers

PMID28190681
PMCPMC5654524
OpenAlexW2582066920

What OpenQuestion holds

Texttitle and abstract
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.