Evidence map›Paper›PMID 34535469›Full record

ArticleDiabetes care2021

A Biomarker-Based Score for Risk of Hospitalization for Heart Failure in Patients With Diabetes.

David D Berg, Stephen D Wiviott, Benjamin M Scirica, Thomas A Zelniker, Erica L Goodrich, Petr Jarolim, Ofri Mosenzon, Avivit Cahn, Deepak L Bhatt, Lawrence A Leiter and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. A Clinical Prediction Model for Selective NT-proBNP Testing in Hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Validation of the WATCH-DM and TRS-HFJournal of the American Heart Association · 2022
    Article
  12. Article
  13. Review
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

18 authors at 7 institutions in 6 countries.

David D BergTIMI Study Group, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA dberg1@bwh.harvard.edu.ORCID 0000-0002-0366-5492
Stephen D WiviottTIMI Study Group, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Benjamin M SciricaTIMI Study Group, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Thomas A ZelnikerDivision of Cardiology, Vienna General Hospital and Medical University of Vienna, Austria.
Erica L GoodrichTIMI Study Group, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Petr JarolimDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Ofri MosenzonFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Avivit CahnFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Deepak L BhattDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Lawrence A LeiterLi Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, Toronto, Canada.
Darren K McGuireUniversity of Texas Southwestern Medical Center and Parkland Health and Hospital System, Dallas, TX.
John P H WildingDepartment of Cardiovascular and Metabolic Medicine, Aintree University Hospital, University of Liverpool, Liverpool, U.K.
Per JohansonAstraZeneca, Goteborg, Sweden.
Anna Maria LangkildeAstraZeneca, Goteborg, Sweden.
Itamar RazFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Eugene BraunwaldTIMI Study Group, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Marc S SabatineTIMI Study Group, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
David A MorrowTIMI Study Group, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Brigham and Women's Hospital · USHebrew University of Jerusalem · ILAstraZeneca (Sweden) · SEParkland Health & Hospital System · USSt. Michael's Hospital · CAUniversity of Liverpool · GBVienna General Hospital · AT

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
NCATS NIH HHS UL1 TR002541
6 · The paper itself

Abstract

objectiveHeart failure (HF) is an impactful complication of type 2 diabetes mellitus (T2DM). We aimed to develop and validate a risk score for hospitalization for HF (HHF) incorporating biomarkers and clinical factor(s) in patients with T2DM. RESEARCH DESIGN AND

methodsWe derived a risk score for HHF using clinical data, high-sensitivity troponin T (hsTnT), and N-terminal prohormone of B-type natriuretic peptide (NT-proBNP) from 6,106 placebo-treated patients with T2DM in SAVOR-TIMI 53 (Saxagliptin Assessment of Vascular Outcomes Recorded in Patients with Diabetes Mellitus-Thrombolysis in Myocardial Infarction 53). Candidate variables were assessed using Cox regression. The strongest indicators of HHF risk were included in the score using integer weights. The score was externally validated in 7,251 placebo-treated patients in DECLARE-TIMI 58 (Dapagliflozin Effect on CardiovascuLAR Events-Thrombolysis in Myocardial Infarction 58). The effect of dapagliflozin on HHF was assessed by risk category in DECLARE-TIMI 58.

resultsThe strongest indicators of HHF risk were NT-proBNP, prior HF, and hsTnT (each

conclusionsWe developed and validated a risk score for HHF in T2DM that incorporated NT-proBNP, prior HF, and hsTnT. The risk score identifies patients at higher risk of HHF who derive greater absolute benefit from dapagliflozin.

Indexed as

Diabetes Mellitus, Type 2Heart FailureHospitalizationBiomarkersHumansRisk AssessmentRisk FactorsBiomarkers

Identifiers

PMID34535469
PMCPMC8546278
OpenAlexW3198951773

What OpenQuestion holds

Textmetadata
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.