Evidence map›Paper›PMID 31376227›Full record

ArticlePediatric diabetes2019

Screening children for type 1 diabetes-associated antibodies at community health fairs.

Kimber M Simmons, Erin Youngkin, Aimon Alkanani, Dongmei Miao, Kristen McDaniel, Liping Yu, Aaron W Michels

Open access · hybridAbstract read
In one paragraph

Article in Pediatric diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.2field-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

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Impact of screening programmes for type 1 diabetes in youth: A systematic review and meta-analysis.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Are We Ready With Prevention for Type 1 Diabetes?Diabetes/metabolism research and reviews · 2025
    Review
  8. Article
  9. Article
  10. Understanding Providers' Readiness and Attitudes Toward Autoantibody Screening: A Mixed-Methods Study.Clinical diabetes : a publication of the American Diabetes Association · 2024
    Article
  11. Article
  12. Article
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 1 institution in 1 country.

Kimber M SimmonsBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado.ORCID 0000-0003-0560-5773
Erin YoungkinBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Aimon AlkananiBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Dongmei MiaoBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Kristen McDanielBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Liping YuBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Aaron W MichelsBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
University of Colorado Health · US

Funding

University of Colorado Anschutz Medical Campus DRCP30DK116073 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI LORI SUSSEL · 2020 to 2026
$10.8M
Multiple Autoantigens/Multiple Epitopes of Type 1DMR01DK032083 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MICHELS, AARON W · 1986 to 2025
$6.9M
K12 Career DevelopmentK12DK094712 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI STECK, ANDREA · 2011 to 2021
$4.5M
Insulin Specific T Cell Response Shaped by Diabetes Protective MHC Class II MoleculesR01DK108868 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI AARON W MICHELS · 2017 to 2026
$3.6M
Juvenile Diabetes Research Foundation 2-SRA-2016-202-5-BNIDDK NIH HHS K12 DK094712NIDDK NIH HHS L30 DK110925NIDDK NIH HHS P30 DK116073NIDDK NIH HHS R01 DK032083NIDDK NIH HHS R01 DK108868NIH HHS DK094712
6 · The paper itself

Abstract

objectiveThe incidence of type 1 diabetes (T1D) is increasing, most notably in young children and in racial and ethnic minorities. Historically, screening for risk with T1D-associated antibodies has been limited to those with a family history, while up to 90% of newly diagnosed patients lack such a family history. To address the needs to screen diverse ethnic groups in the general population, we screened children for T1D-associated antibodies in the Denver, Colorado metro area at community health fairs.

methodsChildren attending health fairs from 2015 to 2018 were offered free T1D screening by measuring the four prototypical T1D-associated antibodies. A finger stick capillary puncture was performed to collect blood spots on filter paper. Dried blood spots (DBSs) were eluted and antibodies were measured using fluid-phase radio-binding assays.

resultsAt 39 health fairs, children were educated on the signs and symptoms of diabetes, and screened for T1D-associated antibodies (n = 478), which represented 90% of those that attended. Median age was 9.0 years (range of 1-18) with diverse ethnic backgrounds: 37% Hispanic, 31% Caucasian, 20% African American, and 12% other. Nine children screened positive for antibodies, single n = 8 and multiple n = 1, and confirmation with serum samples showed excellent correlation to the measurements from DBSs for antibodies directed against GAD, IA-2, and ZnT8 (P < .01 for each).

conclusionsScreening for T1D risk at community health fairs using DBSs on filter paper is feasible and provides an avenue to screen children from ethnically diverse backgrounds.

Indexed as

AdolescentAutoantibodiesBlood Specimen CollectionChildChild, PreschoolColoradoCommunity Health ServicesDiabetes Mellitus, Type 1Diagnostic Techniques, EndocrineFemaleHealth FairsHumansInfantIslets of LangerhansMaleMass ScreeningAutoantibodieschildrenhealth fairsislet autoantibodiesscreeningtype 1 diabetes

Identifiers

PMID31376227
PMCPMC6786926
OpenAlexW2966243748

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.