Evidence map›Paper›PMID 33660948›Full record

ArticleJournal of diabetes investigation2021

Association between influenza and the incidence rate of new-onset type 1 diabetes in Japan.

Yuichi Nishioka, Tatsuya Noda, Sadanori Okada, Tomoya Myojin, Shinichiro Kubo, Tsuneyuki Higashino, Hiroki Nakajima, Takehiro Sugiyama, Hitoshi Ishii, Tomoaki Imamura

Abstract read
In one paragraph

Article in Journal of diabetes investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Multiple or Single Endocrine Abnormalities Associated With Immune Checkpoint Inhibitors.The Journal of clinical endocrinology and metabolism · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Fulminant type 1 diabetes developed after influenza split vaccination.Endocrinology, diabetes & metabolism case reports · 2023
    Article
  14. Article
  15. Review
  16. Review
  17. Article
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

10 authors.

Yuichi NishiokaDepartment of Public Health, Health Management and Policy, Nara Medical University, Nara, Japan.ORCID https://orcid.org/0000-0002-1956-3925
Tatsuya NodaDepartment of Public Health, Health Management and Policy, Nara Medical University, Nara, Japan.ORCID https://orcid.org/0000-0002-3652-7547
Sadanori OkadaDepartment of Diabetes and Endocrinology, Nara Medical University Hospital, Nara, Japan.ORCID https://orcid.org/0000-0002-3097-8152
Tomoya MyojinDepartment of Public Health, Health Management and Policy, Nara Medical University, Nara, Japan.ORCID https://orcid.org/0000-0002-3820-6157
Shinichiro KuboDepartment of Public Health, Health Management and Policy, Nara Medical University, Nara, Japan.ORCID https://orcid.org/0000-0002-9090-7399
Tsuneyuki HigashinoHealthcare and Wellness Division, Mitsubishi Research Institute, Inc, Tokyo, Japan.
Hiroki NakajimaDepartment of Diabetes and Endocrinology, Nara Medical University Hospital, Nara, Japan.ORCID https://orcid.org/0000-0002-5899-0903
Takehiro SugiyamaDiabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0001-5391-682X
Hitoshi IshiiDepartment of Diabetes and Endocrinology, Nara Medical University Hospital, Nara, Japan.ORCID https://orcid.org/0000-0002-6214-0557
Tomoaki ImamuraDepartment of Public Health, Health Management and Policy, Nara Medical University, Nara, Japan.ORCID https://orcid.org/0000-0003-1981-9959

Funding

Japan Society for the Promotion of Science 18H04126Japan Society for the Promotion of Science 18K17390
6 · The paper itself

Abstract

aimThis study aimed to determine whether there is an association between influenza and new-onset type 1 diabetes. MATERIALS AND

methodsThis population-based retrospective cohort study used data from the National Database of Health Insurance Claims and Specific Health Check-ups of Japan. Influenza was defined based on drug prescriptions and the onset of type 1 diabetes was defined using specific medical codes indicating a diagnosis of type 1 diabetes. The incidence rate ratio of new-onset type 1 diabetes within 180 days after an influenza diagnosis was calculated and it was compared with that at other times using Poisson regression and generalized estimating equations. Sensitivity analyses were performed to confirm the robustness of this finding.

resultsThe data of 10,400 patients with new-onset type 1 diabetes were analyzed, including 2,196 (952 male 1,244 female) patients diagnosed with influenza between 1 September 2014 and 31 August 2017. Although only patients with type 1 diabetes were included, adjusted analysis showed that individuals had a 1.3-fold (95% confidence interval: 1.15-1.46) higher risk of developing type 1 diabetes in the first 180 days after influenza diagnosis than that at other times.

conclusionsIn this Japanese population-based cohort, the risk of new-onset type 1 diabetes may increase after the diagnosis of influenza. These results, which must be confirmed in other populations, suggest that influenza may be a causal factor for new-onset type 1 diabetes. The molecular mechanisms underlying the potential etiological relationship between influenza and type 1 diabetes should be elucidated.

Indexed as

AdolescentAdultAgedChildChild, PreschoolDiabetes Mellitus, Type 1FemaleHumansIncidenceInfantInfluenza, HumanJapanMaleMiddle AgedRetrospective StudiesYoung AdultDiabetes mellitus type 1Influenza

Identifiers

PMID33660948
PMCPMC8504904

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Registered trials

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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.