Evidence map›Paper›PMID 32893192›Full record

ArticleBMJ open2020

Epidemiology and determinants of non-diabetic hyperglycaemia and its conversion to type 2 diabetes mellitus, 2000-2015: cohort population study using UK electronic health records.

Rathi Ravindrarajah, David Reeves, Elizabeth Howarth, Rachel Meacock, Claudia Soiland-Reyes, Sarah Cotterill, William Whittaker, Simon Heller, Matt Sutton, Peter Bower and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Cost-effectiveness of implementing the National Health Service England Diabetes Prevention Programme in Canada: a modelling study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
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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

11 authors at 4 institutions in 1 country.

Rathi RavindrarajahDivision of Population Health,Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK rathi.ravindrarajah@manchester.ac.uk.ORCID 0000-0003-4875-4912
David ReevesDivision of Population Health,Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID 0000-0001-6377-6859
Elizabeth HowarthDivision of Population Health,Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Rachel MeacockDivision of Population Health,Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Claudia Soiland-ReyesResearch & Innovation, Northern Care Alliance NHS Group, Summerfield House, M5 5AP, Salford, Salford, UK.
Sarah CotterillCentre for Biostatistics, University of Manchester, Manchester, UK.
William WhittakerDivision of Population Health,Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID 0000-0003-2530-0360
Simon HellerAcademic Unit of Diabetes, Endo and Metab, Unversity of Sheffield, Sheffield, UK.
Matt SuttonDivision of Population Health,Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Peter BowerDivision of Population Health,Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Evangelos KontopantelisDivision of Population Health,Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID 0000-0001-6450-5815
University of Manchester · GBManchester Academic Health Science Centre · GBNorthern Health and Social Care Trust · GBUniversity of Sheffield · GB

Funding

Department of Health 16/48/07
6 · The paper itself

Abstract

objectivesTo study the characteristics of UK individuals identified with non-diabetic hyperglycaemia (NDH) and their conversion rates to type 2 diabetes mellitus (T2DM) from 2000 to 2015, using the Clinical Practice Research Datalink.

designCohort study. SETTINGS: UK primary Care Practices.

participantsElectronic health records identified 14 272 participants with NDH, from 2000 to 2015. PRIMARY AND SECONDARY OUTCOME MEASURES: Baseline characteristics and conversion trends from NDH to T2DM were explored. Cox proportional hazards models evaluated predictors of conversion.

resultsCrude conversion was 4% within 6 months of NDH diagnosis, 7% annually, 13% within 2 years, 17% within 3 years and 23% within 5 years. However, 1-year conversion fell from 8% in 2000 to 4% in 2014. Individuals aged 45-54 were at the highest risk of developing T2DM (HR 1.20, 95% CI 1.15 to 1.25- compared with those aged 18-44), and the risk reduced with older age. A body mass index (BMI) above 30 kg/m

conclusionAlthough the rate of conversion from NDH to T2DM fell between 2010 and 2015, this is likely due to changes over time in the cut-off points for defining NDH, and more people of lower diabetes risk being diagnosed with NDH over time. People aged 45-54, smokers, depressed, with high BMI and more deprived are at increased risk of conversion to T2DM.

Indexed as

Diabetes Mellitus, Type 2HyperglycemiaAdolescentAdultAgedCohort StudiesElectronic Health RecordsHumansIncidenceMiddle AgedRisk FactorsUnited KingdomYoung Adultdiabetes & endocrinologyepidemiologyprimary care

Identifiers

PMID32893192
PMCPMC7484863
OpenAlexW3047076858

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.