Evidence map›Paper›PMID 29171906›Full record

ArticleDiabetes, obesity & metabolism2018

Risk of a first-ever acute myocardial infarction and all-cause mortality with sulphonylurea treatment: A population-based cohort study.

Judith van Dalem, Martijn C G J Brouwers, Coen D A Stehouwer, André Krings, Olaf H Klungel, Johanna H M Driessen, Frank de Vries, Andrea M Burden

Open access · hybridAbstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Comparative safety of sulfonylureas among U.S. nursing home residents.Journal of the American Geriatrics Society · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Judith van DalemDepartment of Clinical Pharmacy, Maastricht University Medical Centre+, Maastricht, The Netherlands.ORCID 0000-0002-1904-2505
Martijn C G J BrouwersDepartment of Internal Medicine, Division of Endocrinology, Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Coen D A StehouwerDepartment of Internal Medicine, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre+, Maastricht, The Netherlands.ORCID 0000-0001-8752-3223
André KringsDepartment of Clinical Pharmacy, Zuyderland MC, Heerlen, The Netherlands.
Olaf H KlungelDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Johanna H M DriessenDepartment of Clinical Pharmacy, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Frank de VriesDepartment of Clinical Pharmacy, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Andrea M BurdenDepartment of Clinical Pharmacy, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Utrecht University · NLMaastricht University Medical Centre · NLZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the association between the current use of individual sulphonylureas and the risk of a first-ever acute myocardial infarction (AMI) and all-cause mortality, in a population-based cohort study, using primary care data from the Clinical Practice Research Datalink database (2004-2012). New users (N = 121 869), aged ≥18 years, with at least one prescription for a non-insulin antidiabetic agent were included. The first prescription defined start of follow-up. Time-dependent Cox proportional hazard models were used to estimate the risk of a first-ever AMI and all-cause mortality associated with the use of individual sulphonylureas, and other non-insulin glucose-lowering drugs. No differences in risk of a first-ever AMI (adjusted hazard ratio [HR] 1.02, 95% confidence interval [CI] 0.70-1.50) or all-cause mortality (adjusted HR 0.97, 95% CI 0.80-1.17) were observed when comparing gliclazide use with non-gliclazide sulphonylurea use. Similar results were found for each individual sulphonylurea. As evidence is accumulating that gliclazide is no safer than other sulphonylureas, current guidelines suggesting superiority should be carefully evaluated.

Indexed as

AdolescentAdultAgedAged, 80 and overCause of DeathCohort StudiesDiabetes Mellitus, Type 2FemaleHumansHypoglycemic AgentsMaleMiddle AgedMyocardial InfarctionRisk FactorsSulfonylurea CompoundsSurvival AnalysisHypoglycemic AgentsSulfonylurea Compoundsacute myocardial infarctionall-cause mortalitysulphonylureastype 2 diabetes mellitus

Identifiers

PMID29171906
PMCPMC5873381
OpenAlexW2770181295

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.