Evidence map›Paper›PMID 30181850›Full record

ArticleTherapeutic advances in endocrinology and metabolism2018

Effectiveness and safety of insulin glargine

Thales B C Silva, Paulo H R F Almeida, Vania E Araújo, Francisco de Assis Acurcio, Augusto A Guerra Júnior, Brian Godman, Juliana Alvares

Abstract read
In one paragraph

Article in Therapeutic advances in endocrinology and metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
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

7 authors.

Thales B C SilvaSchool of Pharmacy, Federal University of Minas Gerais (UFMG), Minas Gerais, Brazil.
Paulo H R F AlmeidaSchool of Pharmacy, Federal University of Minas Gerais (UFMG), Minas Gerais, Brazil.
Vania E AraújoSchool of Pharmacy, Federal University of Minas Gerais (UFMG), Minas Gerais, Brazil.
Francisco de Assis AcurcioSchool of Pharmacy, Federal University of Minas Gerais (UFMG), Minas Gerais, Brazil.
Augusto A Guerra JúniorSchool of Pharmacy, Federal University of Minas Gerais (UFMG), Minas Gerais, Brazil.
Brian GodmanStrathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow G4 0RE, United Kingdom.ORCID https://orcid.org/0000-0001-6539-6972
Juliana AlvaresSchool of Pharmacy, Federal University of Minas Gerais (UFMG), Minas Gerais, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes mellitus type 1 (DM1) is an autoimmune disease characterized by metabolic destruction of pancreatic cells responsible for insulin production, with treatment based on replacing insulin. Long-acting insulin analogs are indicated for patients with DM1 who exhibit important oscillations of their daily glycemia, despite its higher cost. Our study objective was to evaluate the effectiveness and safety of two long-acting insulins, insulin glargine and detemir, in treating patients with DM1.

methodsWe undertook a systematic review with meta-analysis of observational studies (cohort and registry) available in the databases and the gray literature, and a complementary search in the

resultsOut of 705 publications, 8 cohort studies were included. The quality of these studies was classified as high. In the meta-analysis, results regarding episodes of severe hypoglycemia (

conclusionAlthough some outcomes were favorable to detemir insulin analog, it has not been possible to identify important differences of effectiveness and safety between the two analogs. These results can help in the current debate on the inclusion of long-acting analogs on the list of reimbursed medicines in Brazil, especially with the recent introduction of an insulin glargine biosimilar at a considerably lower price.

Indexed as

comparative effectivenessdetemirdiabetes mellitus type 1glarginesystematic review

Identifiers

PMID30181850
PMCPMC6116758

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.