Evidence map›Paper›PMID 30611254›Full record

ArticleBMC endocrine disorders2019

All-cause mortality of insulin plus dipeptidyl peptidase-4 inhibitors in persons with type 2 diabetes.

Fu-Shun Yen, Jen-Huai Chiang, Chii-Min Hwu, Yu-Hsin Yen, Boniface J Lin, James Cheng-Chung Wei, Chih-Cheng Hsu

Open access · goldAbstract read
In one paragraph

Article in BMC endocrine disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 5 institutions in 2 countries.

Fu-Shun YenDr. Yen's Clinic, No.15, Shanying Road, Gueishan District, Taoyuan City, 33354, Taiwan.
Jen-Huai ChiangManagement Office for Health Data, China Medical University Hospital, No.91, Xueshi Road, North District, Taichung City, 40402, Taiwan.
Chii-Min HwuSection of Endocrinology and Metabolism, Department of Medicine, Taipei Veterans General Hospital, No. 201, Section 2 Shi-Pai Road, Chung-Cheng Building 11F, Room536, Taipei, 112, Taiwan.
Yu-Hsin YenDuke-NUS Medical School, 8 College Rd, Singapore, 169857, Singapore.
Boniface J LinDr. Lin Clinic, No.2, Section 2, Xinsheng South Road, Da'an District, Taipei City, 10650, Taiwan.
James Cheng-Chung WeiDivision of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital, No. 110, Section 1, Jianguo North Road, South District, Taichung City, 40201, Taiwan. wei3228@gmail.com.
Chih-Cheng HsuInstitute of Population Health Sciences, National Health Research Institutes, No.35, Keyan Road, Zhunan Township, Miaoli County, 35053, Taiwan. cch@nhri.org.tw.
China Medical University Hospital · TWChung Shan Medical University Hospital · TWDuke-NUS Medical School · SGNational Health Research Institutes · TWTaipei Veterans General Hospital · TW

Funding

China Medical University Hospital, Academia Sinica Stroke Biosignature Project BM10701010021MOST Clinical Trial Consortium for Stroke MOST 106-2321-B-039-005-Taiwan Ministry of Health and Welfare Clinical Trial Center MOHW107-TDU-B-212-123004
6 · The paper itself

Abstract

backgroundDipeptidyl peptidase-4 (DPP-4) inhibitors could effectively reduce HbA

methodsUsing the population-based National Health Insurance Research Database of Taiwan, we conducted an 11-year retrospective cohort study. A total of 3120 patients undergoing insulin therapy for type 2 diabetes mellitus (T2DM) during 2000-2010 were enrolled. The overall incidence rates for all-cause mortality of 1560 DPP-4 inhibitor users and 1560 matched DPP-4 inhibitor nonusers were compared.

resultsNo significant difference was found in the baseline demographic and clinical variables of the two groups of patients. Median follow-up period for the matched cohort was 1.67 years. All-cause mortality was observed in 93 (6.0%) of 1560 DPP-4 inhibitor nonusers and 36 (2.3%) of 1560 DPP-4 users. The incidence rate of mortality was 11.72 for DPP-4 inhibitor users and 38.16 per 1000 person-years for DPP-4 inhibitor nonusers. After multivariate adjustment, DPP-4 inhibitor users ran a reduced mortality risk (adjusted hazard ratio 0.32, 95% CI 0.22-0.47; p < 0.0001) than did the nonusers.

conclusionRisk of all-cause mortality may be reduced when using insulin plus DPP-4 inhibitors than when using insulin plus non-DPP-4 inhibitors.

Indexed as

AdultAgedCause of DeathDiabetes Mellitus, Type 2Diabetic AngiopathiesDipeptidyl Peptidase 4Dipeptidyl-Peptidase IV InhibitorsFemaleGlycated HemoglobinHumansHyperglycemiaHypoglycemic AgentsInsulinMaleMiddle AgedRetrospective StudiesDipeptidyl Peptidase 4Dipeptidyl-Peptidase IV InhibitorsDPP4 protein, humanGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulinAll-cause mortalityCohort studyMatch

Identifiers

PMID30611254
PMCPMC6321656
OpenAlexW2914623160

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Registered trials

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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.