Evidence map›Paper›PMID 31860067›Full record

ArticleEuropean heart journal2020

Does type 2 diabetes confer higher relative rates of cardiovascular events in women compared with men?

Morten Malmborg, Michelle D S Schmiegelow, Caroline H Nørgaard, Anders Munch, Thomas Gerds, Morten Schou, Caroline Kistorp, Christian Torp-Pedersen, Mark A Hlatky, Gunnar Gislason

Open access · hybridAbstract read
In one paragraph

Article in European heart journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 82 citations in OpenAlex.

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  18. Female is Associated with Left Ventricular Diastolic Dysfunction in Patients with Type 2 Diabetes.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Morten MalmborgDepartment of Research, Danish Heart Foundation, Vognmagergade 7, 1120 Copenhagen, Denmark.
Michelle D S SchmiegelowDepartment of Cardiology, Herlev and Gentofte Hospital, Gentofte Hospitalsvej 1, 2900 Hellerup, Denmark.
Caroline H NørgaardDepartment of Research, Unit of Epidemiology and Biostatistics, Aalborg University Hospital, Hobrobej 18-22, 9000 Aalborg, Denmark.
Anders MunchDepartment of Biostatistics, University of Copenhagen, Øster Farimagsgade 5, Entrance B, 2nd floor, 1014 Copenhagen, Denmark.
Thomas GerdsDepartment of Research, Danish Heart Foundation, Vognmagergade 7, 1120 Copenhagen, Denmark.
Morten SchouDepartment of Cardiology, Herlev and Gentofte Hospital, Gentofte Hospitalsvej 1, 2900 Hellerup, Denmark.
Caroline KistorpDepartment of Endocrinology, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Christian Torp-PedersenDepartments of Clinical Investigation and Cardiology, Nordsjaellands Hospital, Kongens Vænge 2, 3400 Hillerød, Denmark.
Mark A HlatkyDepartment of Health Research and Policy, Stanford University School of Medicine, Crothers Way 615, Stanford, CA 94305, USA.
Gunnar GislasonDepartment of Research, Danish Heart Foundation, Vognmagergade 7, 1120 Copenhagen, Denmark.
Aalborg University Hospital · DKDanish National Research Foundation · DKGentofte Hospital · DKUniversity of Copenhagen · DKCopenhagen University Hospital · DKStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo investigate whether diabetes confers higher relative rates of cardiovascular events in women compared with men using contemporary data, and whether these sex-differences depend on age. METHODS AND

resultsAll Danish residents aged 40-89 years without a history major adverse cardiovascular events, including heart failure, as of 1 January 2012 until 31 December 2016 were categorized by diabetes-status and characterized by individual-level linkage of Danish nationwide administrative registers. We used Poisson regression to calculate overall and age-dependent incidence rates, incidence rate ratios, and women-to-men ratios for myocardial infarction, heart failure, ischaemic stroke, or cardiovascular death (MACE-HF). Among 218 549 (46% women) individuals with diabetes, the absolute rate of MACE-HF was higher in men than in women (24.9 vs. 19.9 per 1000 person-years). Corresponding absolute rates in men and women without diabetes were 10.1 vs. 7.0 per 1000 person-years. Comparing individuals with and without diabetes, women had higher relative rates of MACE-HF than men [2.8 (confidence interval, CI 2.9-2.9) in women vs. 2.5 (CI 2.4-2.5) in men] with a women-to-men ratio of 1.15 (CI 1.11-1.19, P < 0.001). The relative rates of MACE-HF were highest in the youngest and decreased with advancing age for both men and women, but the relative rates were higher in women across all ages, with the highest women-to-men ratio between age 50 and 60 years.

conclusionAlthough men have higher absolute rates of cardiovascular complications, the relative rates of cardiovascular complications associated with diabetes are higher in women than in men across all ages in the modern era.

Indexed as

Brain IschemiaDiabetes Mellitus, Type 2Heart FailureMyocardial InfarctionStrokeFemaleHumansIncidenceMaleMiddle AgedRisk FactorsCardiovascular diseaseDiabetes

Identifiers

PMID31860067
PMCPMC7109603
OpenAlexW2995887123

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.