Evidence map›Paper›PMID 33558149›Full record

ArticleJournal of diabetes and its complications2021

Effect of CFTR modulator therapy on cystic fibrosis-related diabetes.

Holly Gaines, Kellie R Jones, Jonea Lim, Nighat F Medhi, Sixia Chen, R Hal Scofield

Open access · greenAbstract read
In one paragraph

Article in Journal of diabetes and its complications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Holly GainesDepartment of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America; College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America.
Kellie R JonesDepartment of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America; Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America; Oklahoma City Department of Veterans Affairs Medical Center, Oklahoma City, Oklahoma, United States of America.
Jonea LimDepartment of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America.
Nighat F MedhiDepartment of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America.
Sixia ChenDepartment of Biostatistics and Epidemiology at University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America.
R Hal ScofieldDepartment of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America; Arthritis & Clinical Immunology, Oklahoma Medical Research Foundation, Medical Service, Oklahoma City, Oklahoma, United States of America; Oklahoma City Department of Veterans Affairs Medical Center, Oklahoma City, Oklahoma, United States of America. Electronic address: hal-scofield@omrf.ouhsc.edu.
University of Oklahoma Health Sciences Center · USOklahoma City VA Medical Center · US

Funding

Tracking and Evaluation CoreU54GM104938 · NIGMS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI TIMOTHY M VANWAGONER · 2013 to 2026
$68.2M
Sex Chromosome Aneuploidies in Autoimmune DiseaseI01BX001451 · VA · OKLAHOMA CITY VA MEDICAL CENTER · PI SCOFIELD, ROBERT HAL · 2012 to 2025
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Autoimmunity in Post-Traumatic Stress DisorderI01CX001877 · VA · OKLAHOMA CITY VA MEDICAL CENTER · PI SCOFIELD, ROBERT HAL · 2020 to 2023
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BLRD VA I01 BX001451CSRD VA I01 CX001877NIGMS NIH HHS U54 GM104938
6 · The paper itself

Abstract

backgroundHalf of adults with cystic fibrosis (CF) develop CF-related diabetes (CFRD). CFRD contributes to worsened pulmonary function and malnutrition. We undertook this study to determine the effect of cystic fibrosis transmembrane regulator (CFTR) modulators on CRFD.

methodsWe reviewed the medical records of adults with CF who followed in the CF clinic at Oklahoma University Medical Center. We collected data for age at diagnosis of CF and CFRD, CF mutations present, first date of ivacaftor therapy either alone or in combination, insulin use, pulmonary function, body mass index data, and home glucose monitoring results. Clinical resolution of CFRD was taken as discontinuation of routine insulin and resolution of high interstitial home glucose values.

resultsWe identified 69 adult CF patients, of whom 31 had CFRD. Among these 14 CFRD patients taking ivacaftor alone or in combination, four patients completely stopped using insulin. Another patient went from three times a day pre-prandial insulin to using insulin once a week. Home blood glucose and hemoglobin A1c values supported resolution of CFRD. Three patients continued to have hypoglycemia despite stopping insulin. No CFRD patient not taking CFTR modulators markedly changed the insulin regimen. Pulmonary function was preserved in those patients with resolved CFRD (FEV

conclusionsAbout one-third of patients on CFTR modulator therapy had resolution or near resolution of CFRD.

Indexed as

Cystic FibrosisDiabetes MellitusAdultAminophenolsBlood GlucoseBlood Glucose Self-MonitoringChloride Channel AgonistsCystic Fibrosis Transmembrane Conductance RegulatorHumansInsulinQuinolonesAminophenolsBlood GlucoseCFTR protein, humanChloride Channel AgonistsCystic Fibrosis Transmembrane Conductance RegulatorInsulinivacaftorQuinolonesCystic fibrosis (CF)Cystic fibrosis-related diabetes (CFRD)Ivacaftor

Identifiers

PMID33558149
PMCPMC8113061
OpenAlexW3120125686

What OpenQuestion holds

Textmetadata
LicenceTDM
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.