Evidence map›Paper›PMID 34125293›Full record

ArticleActa diabetologica2021

Factors associated with stroke among patients with type 2 diabetes mellitus in China: a propensity score matched study.

Chenlu He, Wei Wang, Qian Chen, Ziyuan Shen, Enchun Pan, Zhongming Sun, Peian Lou, Xunbao Zhang

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Article in Acta diabetologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 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

8 authors at 1 institution in 1 country.

Chenlu HeSchool of Public Health, Xuzhou Medical University, Xuzhou, 221004, Jiangsu, China.
Wei WangSchool of Public Health, Xuzhou Medical University, Xuzhou, 221004, Jiangsu, China. weiwang90@163.com.ORCID http://orcid.org/0000-0003-3746-7280
Qian ChenSchool of Public Health, Xuzhou Medical University, Xuzhou, 221004, Jiangsu, China.
Ziyuan ShenSchool of Public Health, Xuzhou Medical University, Xuzhou, 221004, Jiangsu, China.
Enchun PanHuai´an Center for Disease Control and Prevention, Huai´an, 223001, Jiangsu, China.
Zhongming SunHuai´an Center for Disease Control and Prevention, Huai´an, 223001, Jiangsu, China.
Peian LouXuzhou Center for Disease Control and Prevention, Xuzhou, 221000, Jiangsu, China.
Xunbao ZhangSchool of Public Health, Xuzhou Medical University, Xuzhou, 221004, Jiangsu, China. xunbz@163.com.
Xuzhou Medical College · CN

Funding

Natural Science Foundation for Colleges Universities in Jiangsu Province 20KJB330005the National Natural Science Foundation of China 82003484Universities' philosophy and social science researches in Jiangsu Province 2020SJA1053
6 · The paper itself

Abstract

objectiveThis study aimed to examine the prevalence of stroke and associated factors of stroke in patients with type 2 diabetes(T2DM) in China.

methodsParticipants were 18,013 T2DM patients recruited with stratified random cluster sampling method from December 2013 to January 2014 in China. Propensity score matching was used to eliminate confounding effects between groups and logistic regression analysis was used to examine factors associated with stroke among T2DM patients.

resultsOverall, the prevalence of stroke in the subjects with T2DM was 9.5%. After nearest neighbor matching, smoking (OR = 1.60, 95%CI: 1.26-2.03), hypertension (OR = 2.96, 95%CI: 2.55-3.43), dyslipidemia (OR = 2.00, 95%CI: 1.71-2.33), family history of stroke (OR = 2.02, 95%CI: 1.61-2.54), obesity (OR = 1.21, 95%CI: 1.01-1.45) and sleep duration < 6 h/day (OR = 1.44, 95%CI: 1.20-1.73) or > 8 h/day (OR = 1.22, 95%CI: 1.05-1.42) were positively associated with stroke, whereas drinking 1-3 days/week (OR = 0.64, 95%CI: 0.45-0.90) or daily (OR = 0.45, 95%CI: 0.33-0.60), effective exercise (OR = 0.65, 95%CI: 0.57-0.73) and underweight (OR = 0.30, 95%CI: 0.13-0.71) were negatively related to stroke. Besides, the risk of stroke increased substantially with accumulation of above seven modified risk factors. The odds ratio values of stroke in patients having ≥ 5 of the above seven risk factors was 14.39 (95% CI: 8.87-23.26).

conclusionsThe prevalence of stroke was high among T2DM in China. It is of great significance to strengthen comprehensive management of health-related behaviors including smoking cessation, moderate alcohol consumption, effective exercise, 6-8 h of sleep duration, keeping normal weight and the prevention of hypertension and dyslipidemia to have sustained beneficial effects on improvements of stroke risk factors.

Indexed as

Diabetes Mellitus, Type 2StrokeChinaHumansPropensity ScoreRisk FactorsAssociated factorsPropensity score matchingStrokeType 2 diabetes

Identifiers

PMID34125293
OpenAlexW3168440316

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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.