Evidence map›Paper›PMID 31651241›Full record

Observational studyBMC cardiovascular disorders2019

Diabetes and risk of peripheral artery disease in patients undergoing first-time coronary angiography between 2000 and 2012 - a nationwide study.

Sadaf Kamil, Thomas S G Sehested, Nicholas Carlson, Kim Houlind, Jens F Lassen, Casper N Bang, Helena Dominguez, Christian T Pedersen, Gunnar H Gislason

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  4. Clinical assessment of peripheral arterial occlusive disease and various classifications.Indian journal of thoracic and cardiovascular surgery · 2025
    Review
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  7. Atherosclerotic Cardiovascular Disease in Type 2 Diabetes: A Retrospective, Observational Study of Economic and Clinical Burden in Sweden.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Article
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  9. Review
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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 7 institutions in 1 country.

Sadaf KamilDepartment of Cardiology, Copenhagen University Hospital Herlev-Gentofte, Herlev and Gentofte Hospital, Kildegaardsvej 28, 2900, Hellerup, Denmark. sadafkamil88@gmail.com.ORCID 0000-0002-9370-8870
Thomas S G SehestedDepartment of Cardiology, Bispebjerg-Frederiksberg University Hospital, Copenhagen, Denmark.
Nicholas CarlsonDepartment of Nephrology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Kim HoulindDepartment of Vascular Surgery, Kolding Hospital, Kolding, Denmark.
Jens F LassenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Casper N BangDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Helena DominguezDepartment of Cardiology, Bispebjerg-Frederiksberg University Hospital, Copenhagen, Denmark.
Christian T PedersenDepartment of Cardiology, Nordsjaellands Hospital, Hilleroed, Denmark.
Gunnar H GislasonDepartment of Cardiology, Copenhagen University Hospital Herlev-Gentofte, Herlev and Gentofte Hospital, Kildegaardsvej 28, 2900, Hellerup, Denmark.
Copenhagen University Hospital · DKUniversity of Copenhagen · DKFrederiksberg Hospital · DKGentofte Hospital · DKNordsjællands Hospital · DKOdense University Hospital · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk of peripheral artery disease (PAD) in patients with diabetes mellitus (DM) and coronary artery disease (CAD) is an important and inadequately addressed issue. Our aim is to examine the impact of DM on risk of PAD in patients with different degrees of CAD characterized by coronary angiography (CAG).

methodsUsing nationwide registers we identified all patients aged ≥18 years, undergoing first time CAG between 2000 and 2012. Patients were categorized into DM/Non-DM group, and further classified into categories according to the degree of CAD i.e., no-vessel disease, single-vessel disease, double-vessel disease, triple-vessel disease, and diffuse disease. Risk of PAD was estimated by 5-year cumulative-incidence and adjusted multivariable Cox-regression models.

resultsWe identified 116,491 patients undergoing first-time CAG. Among these, a total of 23.969 (20.58%) had DM. Cumulative-incidence of PAD among DM patients vs. non-DM were 8.8% vs. 4.9% for no-vessel disease, 8.2% vs. 4.8% for single-vessel disease, 10.2% vs. 6.0% for double-vessel disease, 13.0% vs. 8.4% for triple-vessel disease, and 6.8% vs. 6.1% for diffuse disease, respectively. For all patients with DM, the cox-regression analysis yielded significantly higher hazards of PAD compared with non-DM patients with HR 1.70 (no-vessel disease), 1.96 (single-vessel disease), 2.35 (double-vessel disease), 2.87 (triple-vessel disease), and 1.46 (diffuse disease), respectively (interaction-p 0.042).

conclusionDM appears to be associated with increased risk of PAD in patients with and without established CAD, with increasing risk in more extensive CAD. This observation indicates awareness on PAD risk in patients with DM, especially among patients with advanced CAD.

Indexed as

Coronary AngiographyAgedCoronary Artery DiseaseDenmarkDiabetes MellitusFemaleHumansIncidenceMaleMiddle AgedPeripheral Arterial DiseasePredictive Value of TestsRegistriesRisk AssessmentRisk FactorsSeverity of Illness IndexAtherosclerosisCoronary artery diseasePeripheral artery diseaseType 2 diabetes mellitus

Identifiers

PMID31651241
PMCPMC6813965
OpenAlexW2981744874

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.