Evidence map›Paper›PMID 33815790›Full record

ArticleTherapeutic advances in infectious disease

Increased mortality associated with uncontrolled diabetes mellitus in patients with pulmonary cryptococcosis: a single US cohort study.

Solana Archuleta, Amal A Gharamti, Stefan Sillau, Paula Castellanos, Sindhu Chadalawada, William Mundo, Mehdi Bandali, Jose Oñate, Ernesto Martínez, Daniel B Chastain and 5 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

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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

15 authors at 8 institutions in 6 countries.

Solana ArchuletaSchool of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
Amal A GharamtiDepartment of Internal Medicine, American University of Beirut, Beirut, Lebanon.
Stefan SillauDepartment of Neurology, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
Paula CastellanosUniversidad de Manizales, Manizales, Colombia.
Sindhu ChadalawadaNRI General Hospital, Guntur, India.ORCID https://orcid.org/0000-0002-6669-8363
William MundoSchool of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
Mehdi BandaliSchool of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
Jose OñateUniversidad del Valle, Cali, Colombia.
Ernesto MartínezUniversidad del Valle, Cali, Colombia.
Daniel B ChastainDepartment of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Albany, GA, USA.ORCID https://orcid.org/0000-0002-4018-0195
Kristen DeSantoHealth Sciences Library, University of Colorado Denver, Aurora, Colorado, USA.
Leland ShapiroDepartment of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
Ilan S SchwartzDivision of Infectious Diseases, Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada.
Carlos Franco-ParedesDepartment of Medicine, Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.ORCID https://orcid.org/0000-0001-8757-643X
Andrés F Henao-MartínezDepartment of Medicine, Division of Infectious Diseases, University of Colorado Denver, 12700 E. 19th Avenue, Mail Stop B168, Aurora, CO 80045, USA.ORCID https://orcid.org/0000-0001-7363-8652
University of Colorado Denver · USUniversidad del Valle · COAmerican University of Beirut · LBGeorgia College & State University · USGuntur Medical College · INHospital Infantil de México Federico Gómez · MXUniversidad de Manizales · COUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes mellitus is an established risk factor for bacterial infections, but its role in cryptococcosis is unclear. The study aimed to determine whether uncontrolled diabetes (HbA1c >7%) was an independent risk factor for mortality in cryptococcosis.

methodsA retrospective case-control study partially matched by age and gender was performed in patients tested for

resultsWe identified 96 cases of cryptococcosis and 125 controls. Among cases, cryptococcal meningitis (49.0%) and pneumonia (36.5%) constituted most infections. Cases with pulmonary cryptococcosis with uncontrolled diabetes had a higher mortality at 10 weeks (50%

conclusionUncontrolled diabetes is associated with worse outcomes in pulmonary cryptococcosis, including a 4-fold and 6-fold increased odds of death at 10 weeks and 1 year, respectively. Glucose control interventions should be explored to improve clinical outcomes in patients with pulmonary cryptococcosis.

Indexed as

cryptococcosisCryptococcusdiabetes mellitusglycemic levelsmortalityrisk factors

Identifiers

PMID33815790
PMCPMC7992770
OpenAlexW3136710643

What OpenQuestion holds

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LicenceCC BY-NC
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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.