Evidence map›Paper›PMID 30658647›Full record

ArticleLipids in health and disease2019

Are blood lipids associated with microvascular complications among type 2 diabetes mellitus patients? A cross-sectional study in Shanghai, China.

Hua Yang, Doris Young, Jian Gao, Yuanzhi Yuan, Minqian Shen, Yuan Zhang, Xueyan Duan, Shanzhu Zhu, Xiaoming Sun

Open access · goldAbstract read
In one paragraph

Article in Lipids in health and disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

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3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 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

9 authors at 5 institutions in 2 countries.

Hua YangDepartment of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
Doris YoungDepartment of General Practice, University of Melbourne, Carlton, Melbourne, VIC, Australia.
Jian GaoDepartment of Nutrition, Zhongshan Hospital of Fudan University, Center of Clinical Epidemiology and Evidence-based Medicine, Fudan University, Shanghai, China.
Yuanzhi YuanDepartment of Ophthalmology, Zhongshan Hospital of Fudan University, Shanghai, China.
Minqian ShenDepartment of Ophthalmology, Zhongshan Hospital of Fudan University, Shanghai, China.
Yuan ZhangDepartment of Ophthalmology, Zhongshan Hospital of Fudan University, Shanghai, China.
Xueyan DuanDepartment of General Practice, Shenzhen Longhua District Central Hospital, Shenzhen, Guangdong, China.
Shanzhu ZhuDepartment of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China. shanzhu_zhu@163.com.ORCID http://orcid.org/0000-0001-6258-1865
Xiaoming SunPudong Institute for Health Development, Shanghai, China. xm_sun2003@aliyun.com.
Sun Yat-sen University · CNFudan University · CNLonggang Central Hospital · CNShanghai Pudong Institute of Education Development · CNThe University of Melbourne · AU

Funding

Construction Project of Key Discipline of Public Health in Shanghai 12GWZX1001Project of Shanghai Foundation for Senior Citizens S15027Science and Technology Project of Pudong New Area Commission of Health and Family Planning PW2015C-25Shanghai Municipal Commission of Health and Family Planning, Key Developing Disciplines 2015ZB0601
6 · The paper itself

Abstract

backgroundAlthough there are several studies to investigate the association between blood lipids and microvascular complications, these studies reported conflicting results. The aim of the current study was to explore the association between blood lipid parameters and the risk of microvascular complications, especially the dose-response association between them, among community patients with type 2 diabetes mellitus (T2DM) in Shanghai, China.

methodsThe cross-sectional study was conducted in 6 community health service centers in Shanghai between December 2014 and December 2016.The associations between blood lipids and diabetic kidney disease (DKD) or diabetic retinopathy (DR) were assessed using multiple logistic regression. Restricted cubic spline (RCS) was employed to estimate the dose-response relation of blood lipids and the risk of microvascular complications.

resultsA total of 3698 participants were included in the final analysis to study the association between blood lipids and DKD, wherein 33.2% of participants had DKD and 1374 were included for the analysis of the association between blood lipids and DR, wherein 23.2% of participants had DR. DKD odds ratio was increased by 1.16(95%CI,1.08-1.25), 1.21(95%CI,1.13-1.30), 1.18(95%CI,1.10-1.26) for comparing fourth to first quartiles of triglycerides (TG), TG/high-density lipoprotein cholesterol (HDL-C), non-HDL-C/HDL-C, respectively, and decreased by 0.83(95%CI,0.78-0.89) for comparing fourth to first quartiles of HDL-C. Furthermore, the dose-response association between TG, HDL-C, TG/HDL-C, non-HDL-C/HDL-C and the risk of DKD demonstrated turning points in TG of 1.90 mmol/L, HDL-C of 1.62 mmol/L, TG/HDL-C of 2.00, non-HDL-C/HDL-C of 3.09, respectively. However, no significant association was found between blood lipid parameters and DR.

conclusionsThis community-based study indicated that TG, HDL-C, TG/HDL-C, non-HDL-C/HDL-C were independently associated with DKD but not DR.

Indexed as

AgedChinaCross-Sectional StudiesDiabetes Mellitus, Type 2Diabetic AngiopathiesDiabetic RetinopathyFemaleHumansLipidsMaleMicrovesselsMiddle AgedOdds RatioRisk FactorsLipidsBlood lipidsDiabetic kidney diseaseDiabetic retinopathyType 2 diabetes mellitus

Identifiers

PMID30658647
PMCPMC6339385
OpenAlexW2922116865

What OpenQuestion holds

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LicenceCC BY
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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.