Evidence map›Paper›PMID 29402218›Full record

ArticleBMC infectious diseases2018

Diabetes and the occurrence of infection in primary care: a matched cohort study.

Waseem Abu-Ashour, Laurie K Twells, James E Valcour, John-Michael Gamble

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
11.5field-weighted citation impact, top 1% 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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Type 2 Diabetes: How Much of an Autoimmune Disease?Frontiers in endocrinology · 2019
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Type-2 diabetes mellitus enhancesbioRxiv : the preprint server for biology · 2024
    Article
  16. Comorbidities of chronic rhinosinusitis in children and adults.Clinical and translational allergy · 2024
    Article
  17. Article
  18. Article
  19. Diabetes and infectious disease mortality in Mexico City.BMJ open diabetes research & care · 2023
    Article
  20. Article
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

4 authors at 1 institution in 1 country.

Waseem Abu-AshourSchool of Pharmacy, Health Sciences Centre, Memorial University of Newfoundland, St. John's, A1B 3V6, Newfoundland and Labrador, Canada.
Laurie K TwellsSchool of Pharmacy, Health Sciences Centre, Memorial University of Newfoundland, St. John's, A1B 3V6, Newfoundland and Labrador, Canada.
James E ValcourFaculty of Medicine, Health Sciences Centre, Memorial University of Newfoundland, St. John's, A1B 3V6, Newfoundland and Labrador, Canada.
John-Michael GambleSchool of Pharmacy, Health Sciences Centre, Memorial University of Newfoundland, St. John's, A1B 3V6, Newfoundland and Labrador, Canada. jm.gamble@uwaterloo.ca.ORCID 0000-0001-6891-8721
Memorial University of Newfoundland · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with diabetes may be at higher risk for acquiring infections through both glucose-dependent and biologic pathways independent of glycemic control. Our aim was to estimate the association between diabetes and infections occurring in primary care.

methodsUsing the Newfoundland and Labrador Sentinel of the Canadian Primary Care Sentinel Surveillance Network, patients with diabetes ≥18 years between 1 January 2008 and 31 March 2013 were included with at least 1-year of follow-up. We randomly matched each patient with diabetes on the date of study entry with up to 8 controls without diabetes. Primary outcome was the occurrence of ≥1 primary care physician visits for any infectious disease. Secondary outcomes included primary visits for head & neck, respiratory, gastrointestinal, genitourinary, skin and soft tissue, musculoskeletal, and viral infections. Using multivariable conditional logistic regression analysis, we measured the independent association between diabetes and the occurrence of infections.

resultsWe identified 1779 patients with diabetes who were matched to 11,066 patients without diabetes. Patients with diabetes were older, had a higher prevalence of comorbidities, and were more often referred to specialists. After adjusting for potential confounders, patients with diabetes had an increased risk of any infection compared to patients without diabetes (adjusted odds ratio = 1.21, 95% confidence interval 1.07-1.37). Skin and soft tissue infections had the strongest association, followed by genitourinary, gastrointestinal, and respiratory infections. Diabetes was not associated with head and neck, musculoskeletal, or viral infections.

conclusionPatients with diabetes appear to have an increased risk of certain infections compared to patients without diabetes.

Indexed as

AdultAgedCanadaCase-Control StudiesCohort StudiesDiabetes MellitusFemaleFollow-Up StudiesHumansInfectionsLogistic ModelsMaleMiddle AgedOdds RatioPrevalencePrimary Health CareCPCSSNDiabetesInfectionMatched cohortPrimary care

Identifiers

PMID29402218
PMCPMC5800043
OpenAlexW2796097550

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.