Evidence map›Paper›PMID 28195387›Full record

Trial reportDiabetes, obesity & metabolism2017

Baseline adiponectin concentration and clinical outcomes among patients with diabetes and recent acute coronary syndrome in the EXAMINE trial.

Brian A Bergmark, Christopher P Cannon, William B White, Petr Jarolim, Yuyin Liu, Marc P Bonaca, Faiez Zannad, David A Morrow

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Genetic association ofJournal of cardiovascular and thoracic research · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Brian A BergmarkTIMI Study Group, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-4360-7606
Christopher P CannonCardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
William B WhitePat and Jim Calhoun Cardiology Center, University of Connecticut, Farmington, Connecticut.
Petr JarolimDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Yuyin LiuBaim Institute, Harvard Medical School, Boston, Massachusetts.
Marc P BonacaTIMI Study Group, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Faiez ZannadCentre d'Investigation Clinique Inserm 1433 and U 1116, Universite de Lorraine and CHRU, Nancy, France.
David A MorrowTIMI Study Group, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Brigham and Women's Hospital · USHarvard University · USInserm · FRUniversity of Connecticut · US

Funding

TRAINING PROGRAM IN CARDIOVASCULAR RESEARCHT32HL007604 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI MARK W FEINBERG · 1985 to 2026
$19.0M
Clinical Research Training Program for Academic VascularK12HL083786 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CREAGER, MARK A · 2006 to 2011
$4.0M
NHLBI NIH HHS K12 HL083786NHLBI NIH HHS T32 HL007604
6 · The paper itself

Abstract

aimTo investigate adiponectin levels and cardiovascular (CV) outcomes in patients with diabetes and recent acute coronary syndrome (ACS). MATERIALS AND

methodsWe analysed baseline adiponectin concentration and CV outcomes in 5213 patients with type 2 diabetes enrolled in the EXAMINE trial of alogliptin vs placebo 15 to 90 days (median 45 days) after ACS. Event rates at 18 months are reported.

resultsThe median (interquartile range) baseline adiponectin concentration was 5.2 (3.5-7.9) μg/mL. Patients with the highest baseline adiponectin concentration (quartile [Q]4) were at significantly higher risk of death from a CV event (8.4% vs 1.7%; P < .0001), hospitalization for heart failure (HF; 7.5% vs 1.7%; P < .0001), and all-cause mortality (10.8% vs 2.4%; P < .0001) compared with those in Q1. After adjusting for age, sex, index event, HF, estimated glomerular filtration rate and hypertension, adiponectin concentration in Q4 remained associated with an increased risk of death from CV causes (hazard ratio [HR] 2.43, 95% confidence interval [CI] 1.52, 3.88), all-cause mortality (HR 2.45, 95% CI 1.65, 3.64), and HF (HR 2.44, 95% CI 1.47, 4.05), without change after stratification by body mass index. There was no significant difference in the rate of myocardial infarction or stroke.

conclusionsIn this contemporary population of patients with diabetes and ACS, adiponectin concentration was independently associated with increased risk of death from CV causes, all-cause mortality, and hospitalization for HF. The relationship between adiponectin and CV outcomes is complex and deserves further study.

Indexed as

Acute Coronary SyndromeAdiponectinAgedBiomarkersCardiovascular DiseasesCohort StudiesDiabetes Mellitus, Type 2Diabetic CardiomyopathiesDipeptidyl-Peptidase IV InhibitorsDouble-Blind MethodEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedMortalityAdiponectinADIPOQ protein, humanalogliptinBiomarkersDipeptidyl-Peptidase IV InhibitorsPiperidinesUracilcardiovascular diseaseclinical trialDPP-4 inhibitortype 2 diabetes

Identifiers

PMID28195387
PMCPMC5765757
OpenAlexW2588791074

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.