Evidence map›Paper›PMID 30630489›Full record

SynthesisCardiovascular diabetology2019

Epicardial fat tissue in patients with diabetes mellitus: a systematic review and meta-analysis.

Yingrui Li, Bin Liu, Yu Li, Xiaodong Jing, Songbai Deng, Yulin Yan, Qiang She

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cardiovascular diabetology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
10.5field-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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
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  6. Article
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  8. Observational
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  14. Epicardial adipose tissue in type 1 diabetes mellitus: a systematic review and meta-analysis.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Review
  15. The Role of Diabetes and SGLT2 Inhibitors in Cerebrovascular Diseases.Current neurology and neuroscience reports · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Stress relaxation rates of myocardium from failing and non-failing hearts.Biomechanics and modeling in mechanobiology · 2025
    Article
  20. Review

1 more citing papers are in PubMed but not listed here.

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 3 institutions in 1 country.

Yingrui LiDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Bin LiuDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Yu LiDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Xiaodong JingDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Songbai DengDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Yulin YanDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Qiang SheDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. qshe98@hotmail.com.
Chongqing Medical University · CNSecond Affiliated Hospital of Chongqing Medical University · CNDalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpicardial fat tissue (EFT) is the visceral fat distributed along the coronary arteries between the pericardium and the myocardium. Increases in EFT are closely related to the occurrence of diabetes mellitus (DM) and cardiovascular disease. To further understand the link between EFT and DM, we conducted a meta-analysis of the relevant literature.

methodsWe systematically searched electronic databases for studies on EFT performed in DM patients and published up to 30 September 2018. We included data on EFT in a DM patient group and a non-DM control group. We then assessed the effect of DM on EFT by meta-analysis and trial sequential analysis (TSA). All statistical analyses were performed using Stata 12.0 and TSA software.

resultsA total of 13 studies (n = 1102 patients) were included in the final analysis. Compared with the control group, DM patients had significantly higher EFT (SMD: 1.23; 95% CI 0.98, 1.48; P = 0.000; TSA-adjusted 95% CI 0.91, 2.13; P < 0.0001). The TSA indicated that the available samples were sufficient and confirmed that firm evidence was reached. According to the regression analysis and subgroup analyses, DM typing, EFT ultrasound measurements, total cholesterol (TC) and triglyceride (TG) levels were confounding factors that significantly affected our results.

conclusionsOur meta-analysis suggests that the amount of EFT is significantly higher in DM patients than in non-DM patients.

Indexed as

AdiposityAdipose TissueAdultAgedDiabetes MellitusFemaleHumansMaleMiddle AgedPericardiumPrognosisRisk FactorsYoung AdultDiabetes mellitusEpicardial fat tissueMeta-analysis

Identifiers

PMID30630489
PMCPMC6327515
OpenAlexW2935943351

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.