Evidence map›Paper›PMID 31943641›Full record

ArticlePediatric diabetes2021

Diabetic ketoacidosis at diagnosis among youth with type 1 and type 2 diabetes: Results from SEARCH (United States) and YDR (India) registries.

Pradeep A Praveen, Christine W Hockett, Toan C Ong, Anandakumar Amutha, Scott P Isom, Elizabeth T Jensen, Viswanathan Mohan, Dana A Dabelea, Ralph B D'Agostino, Richard F Hamman and 6 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric diabetes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 5% 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, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  9. ICMR-MDRF Diabetes Biosamples: Cohort profile.The Indian journal of medical research · 2024
    Article
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  12. Diabetic Ketoacidosis and Long-term Insulin Requirements in Youths with Newly Diagnosed Type 2 Diabetes During the SARS-CoV-2 Pandemic.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2023
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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

16 authors at 9 institutions in 2 countries.

Pradeep A PraveenDepartment of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Christine W HockettLifecourse Epidemiology of Adiposity and Diabetes Center, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado.ORCID 0000-0002-1665-6763
Toan C OngDepartment of Pediatrics, University of Colorado, Aurora, Colorado.
Anandakumar AmuthaDr. Mohan's Diabetes Specialties Centre and Madras Diabetes Research Foundation, Chennai, India.
Scott P IsomDepartment of Biostatistics and Bioinformatics, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Elizabeth T JensenDepartment of Epidemiology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Viswanathan MohanDr. Mohan's Diabetes Specialties Centre and Madras Diabetes Research Foundation, Chennai, India.ORCID 0000-0001-5038-6210
Dana A DabeleaLifecourse Epidemiology of Adiposity and Diabetes Center, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado.ORCID 0000-0001-9514-8929
Ralph B D'AgostinoDepartment of Biostatistics and Bioinformatics, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Richard F HammanLifecourse Epidemiology of Adiposity and Diabetes Center, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado.
Elizabeth J Mayer-DavisDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0003-3858-0517
Jean M LawrenceDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California.
Lawrence M DolanDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Michael G KahnDepartment of Pediatrics, University of Colorado, Aurora, Colorado.
Sri Venkata MadhuUniversity College of Medical Science, GTB Hospital, Delhi, India.
Nikhil TandonDepartment of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0003-4604-1986
Colorado School of Public Health · USWake Forest University · USAll India Institute of Medical Sciences · INMadras Diabetes Research Foundation · INUniversity of Colorado Anschutz Medical Campus · USKaiser Permanente · USUniversity College of Medical Sciences · INUniversity of Cincinnati Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
UCHSC DIABETES ENDOCRINOLOGY RESEARCH CENTERP30DK057516 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HUTTON, JOHN C · 2000 to 2010
$14.0M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
SEARCH for Diabetes in Youth Coordinating CenterU01DP000250 · DP · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BELL, RONNY A · 2005 to 2009
$4.8M
SEARCH For Diabetes in Youth, Phase 3: Cohort Study-Carolina CenterU18DP002708 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MAYER-DAVIS, ELIZABETH J · 2010 to 2014
$3.6M
SEARCH for Diabetes in Youth 2: Colorado CenterU01DP000247 · DP · UNIVERSITY OF COLORADO DENVER · PI DABELEA, DANA · 2005 to 2009
$3.6M
SEARCH for Diabetes in Youth 2: South Carolina CenterU01DP000254 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MAYER-DAVIS, ELIZABETH J · 2005 to 2009
$3.5M
SEARCH for Diabetes in Youth 3: Washington Site, Part BU18DP002710 · DP · SEATTLE CHILDREN'S HOSPITAL · PI PIHOKER, CATHERINE · 2010 to 2014
$3.2M
ACL HHS U18DP006131ACL HHS U18DP006133ACL HHS U18DP006134ACL HHS U18DP006136ACL HHS U18DP006138ACL HHS U18DP006139CDC HHS 00097CDC HHS 1U18DP002709CDC HHS 1U18DP006131CDC HHS 200-2010-35171CDC HHS DP-05-069CDC HHS DP-10-001CDC HHS U18DP000247-06A1CDC HHS U18DP002708CDC HHS U18DP002710-01CDC HHS U18DP002714CDC HHS U18DP006133CDC HHS U18DP006134CDC HHS U18DP006136CDC HHS U18DP006138CDC HHS U18DP006139CDC HHS U48/CCU419249CDC HHS U48/CCU519239CDC HHS U48/CCU819241-3CDC HHS U48/CCU919219CDC HHS U58/CCU019235-4NCATS NIH HHS UL1 TR000062NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR001425NCATS NIH HHS UL1 Tr001450NCATS NIH HHS UL1 TR00423NCCDPHP CDC HHS U01 DP000244NCCDPHP CDC HHS U01 DP000246NCCDPHP CDC HHS U01 DP000247NCCDPHP CDC HHS U01 DP000248NCCDPHP CDC HHS U01 DP000250NCCDPHP CDC HHS U01 DP000254NCCDPHP CDC HHS U18 DP002708NCCDPHP CDC HHS U18 DP002709NCCDPHP CDC HHS U18 DP002710NCCDPHP CDC HHS U18 DP002714NCCDPHP CDC HHS U18 DP006138NIDDK NIH HHS P30 DK057516NIDDK NIH HHS R01 DK127208NIDDK NIH HHS R21 DK105869NIH HHS P30 DK57516NIH HHS R21DK105869-02
6 · The paper itself

Abstract

backgroundThere is significant global variation in the prevalence of diabetic ketoacidosis (DKA) at diagnosis among youth with type 1 diabetes (T1D). However, data for youth with type 2 diabetes (T2D) are limited, even in developed countries. We compared the prevalence of DKA at diagnosis among individuals with T1D and T2D from the SEARCH for Diabetes in Youth (SEARCH) and the Registry of Youth Onset Diabetes in India (YDR) registries.

methodsWe harmonized the SEARCH and YDR registries to the structure and terminology in the Observational Medical Outcome Partnership Common Data Model. Data used were from youth with T1D and T2D diagnosed before 20 years and newly diagnosed between 2006 and 2012 in YDR and 2009 and 2012 in SEARCH.

resultsThere were 5366 US youth (4078 with T1D, 1288 with T2D) and 2335 Indian youth (2108 with T1D, 227 with T2D). More than one third of T1D youth enrolled in SEARCH had DKA at diagnosis which was significantly higher than in YDR (35.3% vs 28.7%, P < .0001). The burden of DKA in youth with T1D was significantly higher among younger age groups; this relationship was similar across registries (P = .4). The prevalence of DKA among T2D in SEARCH and YDR were 5.5% and 6.6% respectively (P = .4).

conclusionsThere is significant burden of DKA at diagnosis with T1D among youth from United States and India, especially among the younger age groups. The reasons for this high prevalence are largely unknown but are critical to developing interventions to prevent DKA at diagnosis.

Indexed as

AdolescentChildChild, PreschoolDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic KetoacidosisFemaleHumansIndiaInfantInfant, NewbornMaleRegistriesUnited StatesYoung Adultdiabetic ketoacidosisSEARCH for Diabetes in Youth registrytype 1 diabetestype 2 diabetesYDR registry

Identifiers

PMID31943641
PMCPMC7748377
OpenAlexW2998931724

What OpenQuestion holds

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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.