Evidence map›Paper›PMID 32410357›Full record

ArticlePediatric diabetes2020

Time trends in incidence of diabetes mellitus in Austrian children and adolescents <15 years (1989-2017).

Birgit Rami-Merhar, Sabine E Hofer, Elke Fröhlich-Reiterer, Thomas Waldhoer, Maria Fritsch, Austrian Diabetes Incidence Study Group

Open access · hybridAbstract readHistorical Article
In one paragraph

Article in Pediatric diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.7field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 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

6 authors at 4 institutions in 1 country.

Birgit Rami-MerharDepartment of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5575-5222
Sabine E HoferDepartment of Pediatrics, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0001-6778-0062
Elke Fröhlich-ReitererDepartment of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.
Thomas WaldhoerDepartment of Epidemiology, Center of Public Health, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-2043-8299
Maria FritschDepartment of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5304-673X
Austrian Diabetes Incidence Study Group
Medical University of Graz · ATComprehensive Cancer Center Vienna · ATInnsbruck Medical University · ATUniversity of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the time trends of nationwide diabetes incidence <15 years of age from 1989 until 2017 in Austria.

methodsThe Austrian Diabetes Incidence Study Group registers all newly diagnosed patients with diabetes mellitus <15 years of age in a prospective population-based study. The diabetes type was classified on the basis of clinical and laboratory findings according to American Diabetes Association criteria. Time trends were estimated by Joinpoint analysis.

results1311 patients were diagnosed with type 1 diabetes (T1D) between 1989 and 1999 and 4624 patients with any type of diabetes (1999-2017). T1D accounted for the majority of cases (94.2%), 1.8% were classified as type 2 (T2D) and 4.0% as other specific types of diabetes (1999-2017). In the total cohort (age 0 to <15 years), a constant increase until 2012 (annual percent change [APC] 4.5, 95% confidence interval [CI]: 3.94, 5.06) was observed, followed by a leveling off with a corresponding drop (APC 0.28, 95%CI: -3.94, 4.69). This observation was mainly driven by the dynamic in the youngest age group (0-4 years) with a steep increase until 2007 (APC 7.1, 95%CI: 5.05, 9.19) and a decrease from 2007 to 2017 (APC -0.86, 95%CI: 4.41, 2.82). No significant increase of T2D <15 years was detected. Over the observed time period (APC = 3.7, 95%CI: -0.30, 7.78).

conclusionsThe incidence of T1D is declining in young children aged 0 to 4 years, but is still rising in children 5 to 14 years in Austria. Incidence of T2D did not increase significantly and other specific types of diabetes occur twice as often compared to T2D.

Indexed as

AdolescentAustriaChildChild, PreschoolCohort StudiesDiabetes Mellitus, Type 1FemaleHistory, 20th CenturyHistory, 21st CenturyHumansIncidenceInfantInfant, NewbornMaleRegistrieschildrenincidence rateother specific types of diabetesrotavirus vaccinationtype 1 diabetes mellitustype 2 diabetes mellitus

Identifiers

PMID32410357
PMCPMC7383999
OpenAlexW3024475828

What OpenQuestion holds

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LicenceCC BY-NC
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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.