Evidence map›Paper›PMID 31601639›Full record

ArticleDiabetes care2020

Diabetic Ketoacidosis at Diagnosis of Type 1 Diabetes in Colorado Children, 2010-2017.

G Todd Alonso, Alex Coakley, Laura Pyle, Katherine Manseau, Sarah Thomas, Arleta Rewers

Abstract read
In one paragraph

Article in Diabetes care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing 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

65 citing papers in PubMed, 1 synthesis or guideline pooled it.

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5 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

6 authors.

G Todd AlonsoBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO guy.alonso@ucdenver.edu.ORCID 0000-0002-5676-761X
Alex CoakleyBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.
Laura PyleBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.
Katherine ManseauBurrell College of Osteopathic Medicine, Las Cruces, NM.
Sarah ThomasBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO.
Arleta RewersDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0002-2992-9273

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe examined trends in diabetic ketoacidosis (DKA) at diagnosis of type 1 diabetes at a large pediatric diabetes center between 2010 and 2017, overlapping with the Affordable Care Act's overhaul of U.S. health care. RESEARCH DESIGN AND

methodsColorado residents <18 years old who were diagnosed with type 1 diabetes from 2010 to 2017 and subsequently followed at the Barbara Davis Center for Diabetes were included. Logistic regression models were used to test associations among age, sex, race/ethnicity, insurance, language, year of diagnosis, and rural/nonrural residence and DKA at diagnosis. Linear regression models were used to test the association of each predictor with HbA

resultsThere were 2,429 subjects who met the inclusion criteria. From 2010 to 2017, the rate of DKA increased from 41 to 58%. It increased from 35.3 to 59.6% among patients with private insurance (odds ratio 1.10 [95% CI 1.05-1.15];

conclusionsThe increase in the rate of DKA in patients with newly diagnosed type 1 diabetes was driven by patients with private insurance. This paradoxically occurred during a time of increasing health insurance coverage. More study is needed to understand the factors driving these changes.

Indexed as

AdolescentChildChild, PreschoolColoradoDiabetes Mellitus, Type 1Diabetic KetoacidosisEthnicityFemaleHumansInfantInfant, NewbornMaleUnited States

Identifiers

PMID31601639
PMCPMC6925579

What OpenQuestion holds

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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.