Evidence map›Paper›PMID 33081808›Full record

ArticleCardiovascular diabetology2020

Global trend of diabetes mortality attributed to vascular complications, 2000-2016.

Wei Ling, Yi Huang, Yan-Mei Huang, Rong-Rong Fan, Yi Sui, Hai-Lu Zhao

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06607497 (Better Risk Perception Via Patient Similarity to Control Hyperglycemia and Sustained by Telemonitoring), which is not on this map. Cited by 81 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 7 pooled it
9.1field-weighted citation impact, top 1% 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.

NCT06607497 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Better Risk Perception Via Patient Similarity to Control Hyperglycemia and Sustained by Telemonitoring

TypeinterventionalSponsorSingHealth PolyclinicsRan2024 to 2026Enrolled360ConditionsDiabetes Mellitus, Type 2ArmsIntervention using an AI enabled risk communication tool (PERDICT.AI), Telemonitoring with Primary Tech Enhanced Care (PTEC-DM)
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 7 syntheses or guidelines pooled it, 126 citations in OpenAlex.

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21 more citing papers are in PubMed but not listed here.

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 2 countries.

Wei LingDepartment of Endocrinology, Xiangya Hospital, Central South University, Changsha, 410008, China.ORCID 0000-0002-6923-2200
Yi HuangCenter for Diabetic Systems Medicine, Guangxi Key Laboratory of Excellence, Guilin Medical University, Guilin, 541100, China.
Yan-Mei HuangDepartment of Geriatrics, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Rong-Rong FanDepartment of Biosciences and Nutrition, Karolinska Institute, 171 77, Stockholm, Sweden.
Yi SuiDepartment of Clinical Nutrition, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510080, China. suiyi0126@126.com.
Hai-Lu ZhaoCenter for Diabetic Systems Medicine, Guangxi Key Laboratory of Excellence, Guilin Medical University, Guilin, 541100, China. zhaohailu9@126.com.
Guilin Medical University · CNCentral South University · CNKarolinska Institutet · SESun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global epidemic of diabetes mellitus continues to grow and affects developed and developing countries alike. Intensive glycemic control is thought to modify the risks for vascular complications, hence the risks for diabetes-related death. We investigated the trend of diabetic vascular complication-related deaths between 2000 and 2016 in the global diabetes landscape.

methodsWe collected 17 years of death certificates data from 108 countries in the World Health Organization mortality database between 2000 and 2016, with coding for diabetic complications. Crude and age-standardized proportions and rates were calculated. Trend analysis was done with annual average percentage change (AAPC) of rates computed by joinpoint regression.

resultsFrom 2000 through 2016, 7,108,145 deaths of diabetes were reported in the 108 countries. Among them, 26.8% (1,904,787 cases) were attributed to vascular complications in damaged organs, including the kidneys (1,355,085 cases, 71.1%), peripheral circulatory (515,293 cases, 27.1%), nerves (28,697 cases, 1.5%) and eyes (5751 cases, 0.3%). Overall, the age-standardized proportion of vascular complication-related mortality was 267.8 [95% confidence interval (95% CI), 267.5-268.1] cases per 1000 deaths and the rate was 53.6 (95% CI 53.5-53.7) cases per 100,000 person-years. Throughout the 17-year period, the overall age-standardized proportions of deaths attributable to vascular complications had increased 37.9%, while the overall age-standardized mortality rates related to vascular complications had increased 30.8% (AAPC = 1.9% [1.4-2.4%, p < 0.05]). These increases were predominantly driven by a 159.8% increase in the rate (AAPC = 2.7% [1.2-4.3%, p < 0.05]) from renal complications. Trends in the rates and AAPC of deaths varied by type of diabetes and of complications, as well as by countries, regions and domestic income.

conclusionDiabetic vascular complication-related deaths had increased substantially during 2000-2016, mainly driven by the increased mortality of renal complications.

Indexed as

Age DistributionAge FactorsCause of DeathDatabases, FactualDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic AngiopathiesDiabetic NephropathiesFemaleGlobal HealthHumansMaleRisk AssessmentRisk FactorsTime FactorsDiabetes mellitusDiabetic nephropathyMortalityVascular complication

Identifiers

PMID33081808
PMCPMC7573870
OpenAlexW3093678855

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.