Evidence map›Paper›PMID 31677333›Full record

ArticleJournal of diabetes investigation2020

Clinical characteristics of insulin resistance syndromes: A nationwide survey in Japan.

Takehito Takeuchi, Yasushi Ishigaki, Yushi Hirota, Yutaka Hasegawa, Tohru Yorifuji, Hiroko Kadowaki, Takashi Akamizu, Wataru Ogawa, Hideki Katagiri

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Guideline
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  7. Review
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  9. Article
  10. Severe Insulin Resistance Syndromes: Clinical Spectrum and Management.International journal of molecular sciences · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Diabetes mellitus with severe insulin resistance in a young male patient with a heterozygous pathogenicClinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Insulin signaling and its application.Frontiers in endocrinology · 2023
    Review
  20. Severe insulin resistance syndromes.The Journal of clinical investigation · 2021
    Review
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 6 institutions in 1 country.

Takehito TakeuchiDivision of Diabetes and Endocrinology, Kobe University Graduate School of Medicine, Kobe, Japan.
Yasushi IshigakiDivision of Diabetes, Metabolism and Endocrinology, Iwate Medical University, Morioka, Japan.
Yushi HirotaDivision of Diabetes and Endocrinology, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID https://orcid.org/0000-0002-3035-4155
Yutaka HasegawaDivision of Diabetes, Metabolism and Endocrinology, Iwate Medical University, Morioka, Japan.
Tohru YorifujiDivision of Pediatric Endocrinology and Metabolism, Children's Medical Center, Osaka City General Hospital, Osaka, Japan.ORCID https://orcid.org/0000-0002-8945-4775
Hiroko KadowakiDepartment of Pediatrics, Sanno Hospital, Tokyo, Japan.
Takashi AkamizuFirst Department of Medicine, Wakayama Medical University, Wakayama, Japan.
Wataru OgawaDivision of Diabetes and Endocrinology, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID https://orcid.org/0000-0002-0432-4366
Hideki KatagiriDepartment of Metabolism and Diabetes, Tohoku University Graduate School of Medicine, Sendai, Japan.
Kobe University · JPIwate Medical University · JPOsaka City General Hospital · JPSanno Medical Center · JPTohoku University · JPWakayama Medical University · JP

Funding

Ministry of Education, Culture, Sports, Science and Technology of JapanPractical Research Project for Rare/Intractable Diseases of the Japan Agency for Medical Research and DevelopmentResearch Program for Intractable Disease of the Ministry of Health, Labor and Welfare of Japan
6 · The paper itself

Abstract

AIMS/

introductionInsulin resistance syndrome (IRS) of type A or B is triggered by gene abnormalities of or autoantibodies to the insulin receptor, respectively. Rabson-Mendenhall/Donohue syndrome is also caused by defects of the insulin receptor gene (INSR), but is more serious than type A IRS. Here, we carried out a nationwide survey of these syndromes in Japan. MATERIALS AND

methodsWe sent questionnaires to a total of 1,957 academic councilors or responsible individuals at certified facilities of the Japan Diabetes Society, as well as at the department pediatrics or neonatology in medical centers with >300 beds.

resultsWe received 904 responses with information on 23, 30 and 10 cases of type A or B IRS and Rabson-Mendenhall/Donohue syndrome, respectively. Eight cases with type A IRS-like clinical features, but without an abnormality of INSR, were tentatively designated type X IRS, with five of these cases testing positive for PIK3R1 mutations. Fasting serum insulin levels at diagnosis (mean ± standard deviation) were 132.0 ± 112.4, 1122.1 ± 3292.5, 2895.5 ± 3181.5 and 145.0 ± 141.4 μU/mL for type A IRS, type B IRS, Rabson-Mendenhall/Donohue syndrome and type X IRS, respectively. Type A and type X IRS, as well as Rabson-Mendenhall/Donohue syndrome were associated with low birthweight. Type B IRS was diagnosed most frequently in older individuals, and was often associated with concurrent autoimmune conditions and hypoglycemia.

conclusionsInformation yielded by this first nationwide survey should provide epidemiological insight into these rare conditions and inform better healthcare for affected patients.

Indexed as

AdolescentAdultAgedAged, 80 and overAntigens, CDAsian PeopleChildChild, PreschoolDonohue SyndromeFemaleHealth SurveysHumansInfantInfant, NewbornJapanMaleAntigens, CDINSR protein, humanReceptor, InsulinInsulin resistance syndromeNationwide survey

Identifiers

PMID31677333
PMCPMC7232299
OpenAlexW2988142793

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.