Evidence map›Paper›PMID 31308017›Full record

ArticleDiabetes care2019

Educational and Health Outcomes of Children Treated for Type 1 Diabetes: Scotland-Wide Record Linkage Study of 766,047 Children.

Michael Fleming, Catherine A Fitton, Markus F C Steiner, James S McLay, David Clark, Albert King, Robert S Lindsay, Daniel F Mackay, Jill P Pell

Abstract read
In one paragraph

Article in Diabetes care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 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

21 citing papers in PubMed, 1 synthesis or guideline 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.

Michael FlemingInstitute of Health and Wellbeing, University of Glasgow, Glasgow, U.K. michael.fleming@glasgow.ac.uk.ORCID 0000-0002-2185-4502
Catherine A FittonDepartment of Child Health, University of Aberdeen, Aberdeen, U.K.
Markus F C SteinerDepartment of Child Health, University of Aberdeen, Aberdeen, U.K.
James S McLayDepartment of Child Health, University of Aberdeen, Aberdeen, U.K.
David ClarkInformation Services Division, Edinburgh, U.K.
Albert KingScotXed, Scottish Government, Edinburgh, U.K.
Robert S LindsayInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, U.K.ORCID 0000-0002-9868-5217
Daniel F MackayInstitute of Health and Wellbeing, University of Glasgow, Glasgow, U.K.
Jill P PellInstitute of Health and Wellbeing, University of Glasgow, Glasgow, U.K.

Funding

British Heart FoundationChief Scientist OfficeMedical Research Council MR/S003800/1
6 · The paper itself

Abstract

objectiveThis study was conducted to determine the association between childhood type 1 diabetes and educational and health outcomes. RESEARCH DESIGN AND

methodsRecord linkage of nine Scotland-wide databases (diabetes register, dispensed prescriptions, maternity records, hospital admissions, death certificates, annual pupil census, school absences/exclusions, school examinations, and unemployment) produced a cohort of 766,047 singleton children born in Scotland who attended Scottish schools between 2009 and 2013. We compared the health and education outcomes of schoolchildren receiving insulin with their peers, adjusting for potential confounders.

resultsThe 3,330 children (0.47%) treated for type 1 diabetes were more likely to be admitted to the hospital (adjusted hazard ratio [HR] 3.97, 95% CI 3.79-4.16), die (adjusted HR 3.84, 95% CI 1.98-7.43), be absent from school (adjusted incidence rate ratio [IRR] 1.34, 95% CI 1.30-1.39), and have learning difficulties (adjusted odds ratio [OR] 1.19, 95% CI 1.03-1.38). Among children with type 1 diabetes, higher mean HbA

conclusionsChildren with type 1 diabetes fare worse than their peers in respect of education and health outcomes, especially if they have higher mean HbA

Indexed as

AbsenteeismAdolescentChildCohort StudiesDatabases, FactualDiabetes Mellitus, Type 1FemaleHospitalizationHumansHypoglycemic AgentsIncidenceInsulinMaleMedical Record LinkageOdds RatioPregnancyHypoglycemic AgentsInsulin

Identifiers

PMID31308017
PMCPMC6706279

What OpenQuestion holds

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LicenceTDM
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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.