Evidence map›Paper›PMID 31818369›Full record

ArticleeLife2019

Linking glycemic dysregulation in diabetes to symptoms, comorbidities, and genetics through EHR data mining.

Isa Kristina Kirk, Christian Simon, Karina Banasik, Peter Christoffer Holm, Amalie Dahl Haue, Peter Bjødstrup Jensen, Lars Juhl Jensen, Cristina Leal Rodríguez, Mette Krogh Pedersen, Robert Eriksson and 11 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Extracting Significant Comorbid Diseases from MeSH Index of PubMed.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  8. Article
  9. Article
  10. 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

21 authors at 3 institutions in 1 country.

Isa Kristina Kirk *Novo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Christian Simon *Novo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Karina BanasikNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Peter Christoffer HolmNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Amalie Dahl HaueNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Peter Bjødstrup JensenNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Lars Juhl JensenNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Cristina Leal RodríguezNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Mette Krogh PedersenNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Robert ErikssonNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.
Henrik Ullits AndersenSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Thomas AlmdalSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Jette Bork-JensenNovo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
Niels GrarupNovo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark.
Knut Borch-JohnsenHolbæk Hospital, Holbæk, Denmark.
Oluf PedersenSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Flemming PociotSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Torben HansenSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Regine BergholdtSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Peter RossingSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Søren BrunakNovo Nordisk Foundation Center for Protein Research, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-0316-5866
University of Copenhagen · DKSteno Diabetes Centers · DKHolbæk Sygehus · DK

Funding

Danish Council for Strategic Research 0603-00321BInnovation Fund Denmark 5153-00002BNovo Nordisk Foundation NNF14CC0001Novo Nordisk Foundation NNF17OC0027594
6 · The paper itself

Abstract

Diabetes is a diverse and complex disease, with considerable variation in phenotypic manifestation and severity. This variation hampers the study of etiological differences and reduces the statistical power of analyses of associations to genetics, treatment outcomes, and complications. We address these issues through deep, fine-grained phenotypic stratification of a diabetes cohort. Text mining the electronic health records of 14,017 patients, we matched two controlled vocabularies (ICD-10 and a custom vocabulary developed at the clinical center Steno Diabetes Center Copenhagen) to clinical narratives spanning a 19 year period. The two matched vocabularies comprise over 20,000 medical terms describing symptoms, other diagnoses, and lifestyle factors. The cohort is genetically homogeneous (Caucasian diabetes patients from Denmark) so the resulting stratification is not driven by ethnic differences, but rather by inherently dissimilar progression patterns and lifestyle related risk factors. Using unsupervised Markov clustering, we defined 71 clusters of at least 50 individuals within the diabetes spectrum. The clusters display both distinct and shared longitudinal glycemic dysregulation patterns, temporal co-occurrences of comorbidities, and associations to single nucleotide polymorphisms in or near genes relevant for diabetes comorbidities.

Indexed as

Data MiningTerminology as TopicAdolescentAdultAgedAged, 80 and overAlgorithmsChildCohort StudiesDenmarkDiabetes ComplicationsDiabetes MellitusElectronic Health RecordsFemaleHumansMalecomorbiditiescomputational biologydiabetesdiabetes subtypesEHRepidemiologygenotypingglobal healthhumansystems biologytext mining

Identifiers

PMID31818369
PMCPMC6904221
OpenAlexW2995659045

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.