Evidence map›Paper›PMID 29536408›Full record

ArticleObesity surgery2018

Contribution of Type 2 Diabetes Mellitus to Subclinical Atherosclerosis in Subjects with Morbid Obesity.

Stefanie R van Mil, L Ulas Biter, Gert-Jan M van de Geijn, Erwin Birnie, Martin Dunkelgrun, Jan N M IJzermans, Noelle van der Meulen, Guido H H Mannaerts, Manuel Castro Cabezas

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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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 4 institutions in 2 countries.

Stefanie R van MilDepartment of Surgery, Franciscus Gasthuis & Vlietland, PO Box 10900, 3004 BA, Rotterdam, the Netherlands. stefanievanmil@caiway.net.
L Ulas BiterDepartment of Surgery, Franciscus Gasthuis & Vlietland, PO Box 10900, 3004 BA, Rotterdam, the Netherlands.
Gert-Jan M van de GeijnDepartment of Clinical Chemistry, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Erwin BirnieDepartment of Statistics and Education, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Martin DunkelgrunDepartment of Surgery, Franciscus Gasthuis & Vlietland, PO Box 10900, 3004 BA, Rotterdam, the Netherlands.
Jan N M IJzermansDepartment of Surgery, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Noelle van der MeulenDepartment of Internal Medicine, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Guido H H MannaertsDepartment of Surgery, Tawam Hospital, Al Ain, United Arab Emirates.
Manuel Castro CabezasDepartment of Internal Medicine, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Sint Franciscus Gasthuis · NLErasmus MC · NLTawam Hospital · AEUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionType 2 diabetes mellitus (T2DM) and obesity are both related to increased risk of cardiovascular disease and mortality. Early atherosclerotic vascular changes can be detected by non-invasive tests like carotid artery intima-media thickness (cIMT) and pulse wave velocity (PWV). Both cIMT and PWV are significantly impaired in T2DM patients and in obese patients, but the additional effect of T2DM on these vascular measurements in obese subjects has not been evaluated.

methodsTwo hundred morbidly obese patients with or without T2DM were enrolled in a prospective cohort study and underwent extensive laboratory testing, including cIMT and PWV measurements. The cohort was divided into a group with and a group without T2DM.

resultsWithin this cohort, 43 patients (21.5%) were diagnosed with T2DM. These patients were older and had more often (a history of) hypertension as compared to patients without T2DM. HbA1c levels were significantly increased, while LDL cholesterol was significantly lower and the use of statins higher than in non-diabetic participants. cIMT and PWV were significantly increased in subjects suffering from T2DM. The variability in cIMT and PWV was related to differences in age and systolic blood pressure, but not to the presence of T2DM.

conclusionWhile T2DM negatively affects the vasculature in morbid obesity, hypertension and age seem to be the major risk factors, independent from the presence of T2DM. CLINICAL

trial registrationDutch Trial Register NTR5172 .

Indexed as

AdultAtherosclerosisBlood PressureCardiovascular DiseasesCarotid Intima-Media ThicknessCohort StudiesDiabetes Mellitus, Type 2FemaleHumansHypertensionMaleMiddle AgedObesity, MorbidProspective StudiesPulse Wave AnalysisRisk FactorsAtherosclerosisCardiovascular risk factorsMorbid obesityType 2 diabetes mellitus

Identifiers

PMID29536408
OpenAlexW2792012610

What OpenQuestion holds

Textmetadata
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.