Evidence map›Paper›PMID 32051462›Full record

ArticleScientific reports2020

Elevated HbA1c is not associated with recurrent venous thromboembolism in the elderly, but with all-cause mortality- the SWEETCO 65+ study.

Alexandra Mathis, Lukas Villiger, Martin F Reiner, Michael Egloff, Hans Ruedi Schmid, Simona Stivala, Andreas Limacher, Marie Mean, Drahomir Aujesky, Nicolas Rodondi and 11 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

21 authors at 10 institutions in 1 country.

Alexandra MathisDiaMon Institute, Baden-Dättwil, Switzerland.
Lukas VilligerDiaMon Institute, Baden-Dättwil, Switzerland.
Martin F ReinerDepartment of Internal Medicine, Cantonal Hospital of Baden, Baden, Switzerland.
Michael EgloffDepartment of Internal Medicine, Cantonal Hospital of Baden, Baden, Switzerland.
Hans Ruedi SchmidCentral Laboratory, Cantonal Hospital of Baden, Baden, Switzerland.
Simona StivalaCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.ORCID http://orcid.org/0000-0003-1549-8932
Andreas LimacherCTU Bern, and Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.
Marie MeanDivision of General Internal Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Drahomir AujeskyDivision of General Internal Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Nicolas RodondiDivision of General Internal Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Anna Angelillo-ScherrerDepartment of Hematology and Central Hematology Laboratory, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Marc RighiniDivision of Angiology and Hemostasis, Geneva University Hospital, Geneva, Switzerland.
Daniel StaubDivision of Angiology, Basel University Hospital, Basel, Switzerland.
Markus AschwandenDivision of Angiology, Basel University Hospital, Basel, Switzerland.
Beat FrauchigerDepartment of Internal Medicine, Cantonal Hospital of Frauenfeld, Frauenfeld, Switzerland.
Joseph OsterwalderCantonal Hospital of St. Gallen, St. Gallen, Switzerland.
Nils KucherDivision of Angiology, Zurich University Hospital, Zurich, Switzerland.
Christian M MatterCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
Martin BanyaiDivision of Angiology, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Oliver HugliEmergency Department, Lausanne University Hospital, Lausanne, Switzerland.ORCID http://orcid.org/0000-0003-2312-1625
Juerg H BeerDepartment of Internal Medicine, Cantonal Hospital of Baden, Baden, Switzerland. hansjuerg.beer@ksb.ch.
University of Bern · CHUniversity of Zurich · CHKantonsspital Baden · CHUniversity Hospital of Basel · CHKantonsspital Frauenfeld · CHKantonsspital St. Gallen · CHUniversity Hospital of Geneva · CHUniversity Hospital of Zurich · CHUniversity of Lausanne · CHUniversity of Lucerne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association of glycated hemoglobin (HbA1c) with venous thromboembolism (VTE) and death in the elderly is unknown. In the SWEETCO 65+ study we analyzed prospectively a Swiss Cohort of Elderly Patients with Venous Thromboembolism (SWITCO 65+). 888 patients were enrolled for the SWEETCO 65+ analysis. HbA1c was determined at baseline and divided into three categories (HbA1c < 5.7%, normal range; 5.7-6.49%, pre-diabetic range; and >6.5%, diabetic range). Median follow-up was 2.5 years. The primary endpoint was recurrent VTE. Secondary endpoints included all-cause mortality and major bleeds. The total prevalence of diabetes was 22.1%. The risk of recurrent VTE was similar in patients with HbA1c with pre-diabetes (adjusted subhazard ratio (aSHR) 1.07 [0.70 to 1.63]) and diabetes (aSHR 0.73 [0.39 to 1.37]) as compared to those with a HbA1c in the normal range. However, a HbA1c ≥ 6.5% (median IQ range 7.0 [6.70;7.60]) was significantly associated with a higher risk of all-cause mortality (adjusted hazard ratio [aHR] 1.83 [1.21 to 2.75]). In summary we found no association between HbA1c and major bleeding. Elevated HbA1c levels are not associated with recurrent VTE but with increased all-cause mortality in an elderly population with acute VTE.

Indexed as

AgedAged, 80 and overBiomarkersFemaleGlycated HemoglobinHumansMaleMortalityVenous ThromboembolismBiomarkersGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID32051462
PMCPMC7016100
OpenAlexW3005650304

What OpenQuestion holds

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LicenceCC BY
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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.