Evidence map›Paper›PMID 33014328›Full record

ArticleTherapeutic advances in endocrinology and metabolism2020

Type 2 diabetes in older patients: an analysis of the DPV and DIVE databases.

Gesine van Mark, Sascha R Tittel, Stefan Sziegoleit, Franz Josef Putz, Mesut Durmaz, Michaela Bortscheller, Ivo Buschmann, Jochen Seufert, Reinhard W Holl, Peter Bramlage

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Therapeutic advances in endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Gesine van MarkInstitut für Pharmakologie und Präventive Medizin, Cloppenburg, Germany.
Sascha R TittelInstitut für Epidemiologie und medizinische Biometrie, ZIBMT; Universität Ulm, Ulm, Germany.ORCID https://orcid.org/0000-0001-7913-6135
Stefan SziegoleitPatienten Praxis Berlin Tempelhof, Berlin, Germany.
Franz Josef PutzPraxis für Allgemeinmedizin, Wernberg, Germany.
Mesut DurmazPraxis für Innere Medizin, Endokrinologie & Diabetologie, Hof, Germany.
Michaela BortschellerKlinik für Gastroenterologie, Krankenhaus Pirmasens, Germany.
Ivo BuschmannDepartment of Angiology, Medical School Brandenburg (MHB) & Deutsches Angiologie Zentrum Brandenburg Berlin (DAZB), Brandenburg, Germany.
Jochen SeufertMedizinische Fakultät, Universitätsklinikum Freiburg, Freiburg, Germany.
Reinhard W HollInstitut für Epidemiologie und medizinische Biometrie, ZIBMT; Universität Ulm, Ulm, Germany.
Peter BramlageInstitut für Pharmakologie und Präventive Medizin, Bahnhofstrasse 20, Cloppenburg, 49661, Germany.ORCID https://orcid.org/0000-0003-4970-2110
IPPMed (Germany) · DEUniversität Ulm · DETierärztliche Praxis für Neurologie · DEUniversitätsklinikum Brandenburg an der Havel · DEUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical profile differs between old and young patients with type 2 diabetes mellitus (T2DM). We explored, based on a large real-world database, patient and disease characteristics and actual treatment patterns by age.

methodsThe analysis was based on the DIVE and DPV registries of patients with T2DM. Patients were analyzed by age groups 50-59 (middle-young), 60-69 (young-old), 70-79 (middle-old), 80-89 (old), and 90 years or more (oldest-old).

resultsA total of 396,719 patients were analyzed, of which 17.7% were 50-59 years, 27.7% 60-69 years, 34.3% 70-79 years, 18.3% 80-89 years and 2.0% at least 90 years. We found that (a) T2DM in old and oldest-old patients was characterized much less by the presence of metabolic risk factors such as hypertension, obesity, dyslipidemia and smoking than in younger patients; (b) the HbA1c was much lower in oldest-old than in middle-young patients (7.2 ± 1.6%

conclusionIn very old patients there is a need for frequent careful routine assessment and a tailored pharmacotherapy in which patient safety is much more important than blood-glucose-lowering efficacy.

Indexed as

age at onsetDIVEDPVepidemiologyhypoglycemiainsulinoldest-oldtype-2 diabetes

Identifiers

PMID33014328
PMCPMC7509713
OpenAlexW3088029652

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.