Evidence map›Paper›PMID 33500570›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

Cystic fibrosis-related diabetes onset can be predicted using biomarkers measured at birth.

Yu-Chung Lin, Katherine Keenan, Jiafen Gong, Naim Panjwani, Julie Avolio, Fan Lin, Damien Adam, Paula Barrett, Stéphanie Bégin, Yves Berthiaume and 50 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

  1. Impact of Genetics on Endocrine Manifestations of Cystic Fibrosis.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2026
    Review
  2. Article
  3. The endocrine complications of cystic fibrosis.Nature reviews. Endocrinology · 2026
    Review
  4. Article
  5. Genes · 2024
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Endocrine Complications of Cystic Fibrosis.Clinics in chest medicine · 2022
    Review
  12. Modifier Factors of Cystic Fibrosis Phenotypes: A Focus on Modifier Genes.International journal of molecular sciences · 2022
    Review
  13. Review
  14. Article
  15. Article
  16. Cystic Fibrosis-Related Diabetes in Poland.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

60 authors at 20 institutions in 3 countries.

Yu-Chung LinDepartment of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Katherine KeenanGenetics and Genome Biology, The Hospital for Sick Children, Toronto, ON, Canada.
Jiafen GongGenetics and Genome Biology, The Hospital for Sick Children, Toronto, ON, Canada.
Naim PanjwaniGenetics and Genome Biology, The Hospital for Sick Children, Toronto, ON, Canada.
Julie AvolioProgram in Translational Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Fan LinGenetics and Genome Biology, The Hospital for Sick Children, Toronto, ON, Canada.
Damien AdamDepartment of Medicine, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada.
Paula BarrettIWK Health Centre, Halifax, NS, Canada.
Stéphanie BéginCRCHUM, Montréal, QC, Canada.
Yves BerthiaumeDepartment of Medicine, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada.
Lara BilodeauCentre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec City, QC, Canada.
Candice BjornsonAlberta Children's Hospital, Calgary, AB, Canada.
Janna BruskyJim Pattison Children's Hospital, Saskatoon, SK, Canada.
Caroline BurgessBritish Columbia Children's Hospital, Vancouver, BC, Canada.
Mark ChilversBritish Columbia Children's Hospital, Vancouver, BC, Canada.
Raquel Consunji-AranetaThe Children's Hospital of Winnipeg, Winnipeg, MB, Canada.
Guillaume Côté-MauraisCRCHUM, Montréal, QC, Canada.
Andrea DaleQueen Elizabeth II Health Sciences Centre, Halifax, NS, Canada.
Christine DonnellyIWK Health Centre, Halifax, NS, Canada.
Lori FairserviceAlberta Children's Hospital, Calgary, AB, Canada.
Katie GriffinSt. Michael's Hospital, Toronto, ON, Canada.
Natalie HendersonKingston Health Sciences Centre, Kingston, ON, Canada.
Angela HillabyUniversity of Alberta Hospital, Edmonton, AB, Canada.
Daniel HughesIWK Health Centre, Halifax, NS, Canada.
Shaikh IqbalThe Children's Hospital of Winnipeg, Winnipeg, MB, Canada.
Jennifer IttermanThe Children's Hospital of Western Ontario, London, ON, Canada.
Mary JacksonRoyal University Hospital, Saskatoon, SK, Canada.
Emma KarlsenSt. Paul's Hospital, Vancouver, BC, Canada.
Lorna KosteniukRoyal University Hospital, Saskatoon, SK, Canada.
Lynda LazoskySt. Paul's Hospital, Vancouver, BC, Canada.
Winnie LeungUniversity of Alberta Hospital, Edmonton, AB, Canada.
Valerie LevesqueFoothills Medical Centre, Calgary, AB, Canada.
Émilie MailleCRCHUM, Montréal, QC, Canada.
Dimas Mateos-CorralIWK Health Centre, Halifax, NS, Canada.
Vanessa McMahonBritish Columbia Children's Hospital, Vancouver, BC, Canada.
Mays MerjanehCRCHUM, Montréal, QC, Canada.
Nancy MorrisonQueen Elizabeth II Health Sciences Centre, Halifax, NS, Canada.
Michael ParkinsFoothills Medical Centre, Calgary, AB, Canada.
Jennifer PikeSt. Michael's Hospital, Toronto, ON, Canada.
April PriceThe Children's Hospital of Western Ontario, London, ON, Canada.
Bradley S QuonSt. Paul's Hospital, Vancouver, BC, Canada.
Joe ReismanThe Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Clare SmithFoothills Medical Centre, Calgary, AB, Canada.
Mary Jane SmithJaneway Children's Health & Rehabilitation Centre, St. John's, NL, Canada.
Nathalie VadeboncoeurCentre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec City, QC, Canada.
Danny VeniottSt. Mary's General Hospital, Kitchener, ON, Canada.
Terry ViczkoBritish Columbia Children's Hospital, Vancouver, BC, Canada.
Pearce WilcoxSt. Paul's Hospital, Vancouver, BC, Canada.
Richard van WylickKingston Health Sciences Centre, Kingston, ON, Canada.
Garry CuttingMcKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Elizabeth TullisSt. Michael's Hospital, Toronto, ON, Canada.
Felix RatjenProgram in Translational Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Johanna M RommensDepartment of Molecular Genetics, University of Toronto, Toronto, ON, Canada.
Lei SunDepartment of Statistical Sciences, University of Toronto, Toronto, ON, Canada.
Melinda SolomonDivision of Respiratory Medicine, Hospital for Sick Children, Toronto, ON, Canada.
Anne L StephensonSt. Michael's Hospital, Toronto, ON, Canada.
Emmanuelle BrochieroDepartment of Medicine, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada.
Scott BlackmanMcKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Harriet CorvolAssistance Publique-Hôpitaux de Paris, Hôpital Trousseau, Pediatric Pulmonary Department, Paris, France.
Lisa J StrugDepartment of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. lisa.strug@utoronto.ca.ORCID http://orcid.org/0000-0003-0503-9740
Hospital for Sick Children · CABC Children's Hospital · CAIzaak Walton Killam Health Centre · CASt. Michael's Hospital · CASt. Paul's Hospital · CAUniversity of Toronto · CAFoothills Medical Centre · CAUniversité de Montréal · CAAlberta Children's Hospital · CAAlberta Hospital Edmonton · CAChildren's Hospital of Western Ontario · CAChildren's Hospital of Winnipeg · CAInstitut universitaire de cardiologie et de pneumologie de Québec · CAJohns Hopkins University · USKingston Health Sciences Centre · CAQueen Elizabeth II Health Sciences Centre · CARoyal University Hospital · CAChildren's Hospital of Eastern Ontario · CAInserm · FRJaneway Children's Health and Rehabilitation Centre · CA

Funding

CIHR MOP 117978CIHR MOP167282CIHR MOP 258916CIHR MOP 388348
6 · The paper itself

Abstract

purposeCystic fibrosis (CF), caused by pathogenic variants in the CF transmembrane conductance regulator (CFTR), affects multiple organs including the exocrine pancreas, which is a causal contributor to cystic fibrosis-related diabetes (CFRD). Untreated CFRD causes increased CF-related mortality whereas early detection can improve outcomes.

methodsUsing genetic and easily accessible clinical measures available at birth, we constructed a CFRD prediction model using the Canadian CF Gene Modifier Study (CGS; n = 1,958) and validated it in the French CF Gene Modifier Study (FGMS; n = 1,003). We investigated genetic variants shown to associate with CF disease severity across multiple organs in genome-wide association studies.

resultsThe strongest predictors included sex, CFTR severity score, and several genetic variants including one annotated to PRSS1, which encodes cationic trypsinogen. The final model defined in the CGS shows excellent agreement when validated on the FGMS, and the risk classifier shows slightly better performance at predicting CFRD risk later in life in both studies.

conclusionWe demonstrated clinical utility by comparing CFRD prevalence rates between the top 10% of individuals with the highest risk and the bottom 10% with the lowest risk. A web-based application was developed to provide practitioners with patient-specific CFRD risk to guide CFRD monitoring and treatment.

Indexed as

Cystic FibrosisDiabetes MellitusBiomarkersCanadaCystic Fibrosis Transmembrane Conductance RegulatorGenome-Wide Association StudyHumansInfant, NewbornBiomarkersCystic Fibrosis Transmembrane Conductance Regulator

Identifiers

PMID33500570
PMCPMC8105168
OpenAlexW3124312347

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.