Evidence map›Paper›PMID 28989086›Full record

ArticleJournal of diabetes and its complications2017

Reported gastroparesis in adults with type 1 diabetes (T1D) from the T1D Exchange clinic registry.

Grazia Aleppo, Peter Calhoun, Nicole C Foster, David M Maahs, Viral N Shah, Kellee M Miller, T1D Exchange Clinic Network

Open access · greenAbstract 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 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  19. A new look at brittle diabetes.Journal of diabetes and its complications · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Grazia AleppoNorthwestern University, Chicago, IL, United States.
Peter CalhounJaeb Center for Health Research, Tampa, FL, United States.
Nicole C FosterJaeb Center for Health Research, Tampa, FL, United States. Electronic address: T1DStats3@jaeb.org.
David M MaahsStanford University, Stanford, CA, United States.
Viral N ShahBarbara Davis Center for Childhood Diabetes, Aurora, CO, United States.
Kellee M MillerJaeb Center for Health Research, Tampa, FL, United States.
T1D Exchange Clinic Network
Jaeb Center for Health Research · USNorthwestern University · USStanford University · US

Funding

Stanford Islet Research CoreP30DK116074 · NIDDK · STANFORD UNIVERSITY · PI Seung K Kim · 2017 to 2026
$19.5M
NIDDK NIH HHS P30 DK116074
6 · The paper itself

Abstract

objectiveTo better understand the prevalence and impact of gastroparesis in the T1D Exchange clinic registry database.

methodsThe analysis included 7107 adult participants with T1D across 45 sites (median age 46years. and median duration 24years). Linear and logistic regression models were used to assess the association of gastroparesis vs. no gastroparesis (obtained from medical record) with demographic characteristics, glycemic control and diabetes complications.

resultsAmong 7107 registry participants, 340 (4.8%) had a clinical diagnosis of gastroparesis. Females were more likely to have gastroparesis compared with males (5.8% vs. 3.5%, P<0.001). Participants with gastroparesis compared with those without gastroparesis were older (median age 49.4 vs. 45.3years, P<0.001), had a longer duration of T1D (median duration 32 vs. 23years, P<0.001), higher mean HbA1c (8.1% vs. 7.7% [65 vs. 61mmol/mol], P<0.001), more frequent severe hypoglycemia (25% vs. 11% with ≥1 event in the past 12months, P<0.001), lower socio-economic status, less likely to be using CGM and insulin pump and greater prevalence of microvascular and neuropathic complications than participants without gastroparesis.

conclusionGastroparesis is associated with higher risk of severe hypoglycemia despite higher HbA1c levels than in T1D patients without gastroparesis. The increased presence of multiple long-term complications and overall poor glycemic control in these subjects emphasizes the need to establish diagnostic protocols for earlier diagnosis, achieve tighter glycemic control with more extensive use of insulin pumps and continuous glucose monitoring, and the need for wider availability of medical therapies for treatment of diabetic gastroparesis.

Indexed as

AdultAgedAge FactorsCohort StudiesCross-Sectional StudiesDiabetes Mellitus, Type 1Disease ProgressionElectronic Health RecordsFemaleGastroparesisGlycated HemoglobinHumansHyperglycemiaHypoglycemiaMaleMiddle AgedGlycated Hemoglobinhemoglobin A1c protein, humanAdultComplicationsDiabetes managementGastroparesisGlycemic controlType 1 diabetes

Identifiers

PMID28989086
PMCPMC7172031
OpenAlexW2752263758

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.