Evidence map›Paper›PMID 29367416›Full record

Observational studyJournal of the American Heart Association2018

Reduced Long-Term Risk of Aortic Aneurysm and Aortic Dissection Among Individuals With Type 2 Diabetes Mellitus: A Nationwide Observational Study.

Tarik Avdic, Stefan Franzén, Moncef Zarrouk, Stefan Acosta, Peter Nilsson, Anders Gottsäter, Ann-Marie Svensson, Soffia Gudbjörnsdottir, Björn Eliasson

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
7.1field-weighted citation impact, top 2% 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

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
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  3. Management of Spontaneous Isolated Mesenteric Artery Dissection: A Systematic Review.Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society · 2021
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  10. Causal associations between 17 common autoimmune diseases and aortic diseases: a Mendelian randomization study.International journal of cardiology. Cardiovascular risk and prevention · 2025
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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

9 authors at 3 institutions in 1 country.

Tarik AvdicSwedish National Diabetes Register, Center of Registers in Region, Gothenburg, Sweden tarik.avdic@vgregion.se.
Stefan FranzénSwedish National Diabetes Register, Center of Registers in Region, Gothenburg, Sweden.
Moncef ZarroukDepartment of Clinical Sciences, Vascular Center, Skåne University Hospital, Lund University, Malmö, Sweden.
Stefan AcostaDepartment of Clinical Sciences, Vascular Center, Skåne University Hospital, Lund University, Malmö, Sweden.
Peter NilssonDepartment of Internal Medicine, Skåne University Hospital, Lund University, Malmö, Sweden.
Anders GottsäterDepartment of Clinical Sciences, Vascular Center, Skåne University Hospital, Lund University, Malmö, Sweden.
Ann-Marie SvenssonSwedish National Diabetes Register, Center of Registers in Region, Gothenburg, Sweden.
Soffia GudbjörnsdottirSwedish National Diabetes Register, Center of Registers in Region, Gothenburg, Sweden.
Björn EliassonSwedish National Diabetes Register, Center of Registers in Region, Gothenburg, Sweden.
Centre of Registers Vastra Gotaland · SESkåne University Hospital · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo studies have examined long-term risks for aortic aneurysm (AA) and aortic dissection (AD) or mortality after AA or AD hospitalization among patients with type 2 diabetes mellitus (T2DM). METHODS AND

resultsIn this observational cohort study, we linked data for patients with T2DM in the Swedish National Diabetes Register, and 5 individually matched population-based control subjects (CSs) without diabetes mellitus (on the basis of sex, age, and county), to other national databases to capture hospitalizations and death. We examined the risk of hospitalization for AA and AD, as well as mortality risk after AA and AD using Kaplan-Meier curves and Cox regression hazards models. Data on 448 319 patients with T2DM and 2 251 015 CSs were obtained between 1998 and 2015. Mean follow-up time was 7.0 years for the T2DM group and 7.2 years for the CS group. Patients with T2DM had a relative risk reduction of 28% (hazard ratio, 0.72; 95% confidence interval, 0.68-0.76;

conclusionsPatients with T2DM had significantly reduced risks of AA and AD as well as reduced risk of mortality after hospitalization for AA, compared to CS. Data suggest that glycated cross-links in aortic tissue may play a protective role in the progression of aortic diseases among patients with T2DM.

Indexed as

AgedAortic AneurysmAortic DissectionCase-Control StudiesDiabetes Mellitus, Type 2FemaleHospitalizationHumansIncidenceLongitudinal StudiesMaleMiddle AgedPrognosisProtective FactorsRegistriesRisk Assessmentaneurysmaortic diseasecardiovascular diseasediabetes mellitusmortality

Identifiers

PMID29367416
PMCPMC5850251
OpenAlexW2787354007

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.