Evidence map›Paper›PMID 34737360›Full record

ArticleScientific reports2021

Association between antibiotics use and diabetes incidence in a nationally representative retrospective cohort among Koreans.

Sun Jae Park, Young Jun Park, Jooyoung Chang, Seulggie Choi, Gyeongsil Lee, Joung Sik Son, Kyae Hyung Kim, Yun Hwan Oh, Sang Min Park

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Medication-Induced Hyperglycemia and Diabetes Mellitus: A Review of Current Literature and Practical Management Strategies.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Review
  8. Article
  9. Applied physiology: gut microbiota and antimicrobial therapy.European journal of applied physiology · 2024
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. 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

9 authors at 4 institutions in 1 country.

Sun Jae Park *Department of Biomedical Sciences, Seoul National University Graduate School, Seoul, 03082, Korea.
Young Jun Park *Department of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101, Daehak-ro, Jongno-gu, Seoul, 03080, Korea.
Jooyoung ChangDepartment of Biomedical Sciences, Seoul National University Graduate School, Seoul, 03082, Korea.
Seulggie ChoiDepartment of Biomedical Sciences, Seoul National University Graduate School, Seoul, 03082, Korea.
Gyeongsil LeeDepartment of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101, Daehak-ro, Jongno-gu, Seoul, 03080, Korea.
Joung Sik SonDepartment of Family Medicine, Korea University Guro Hospital, Seoul, 08308, Korea.
Kyae Hyung KimDepartment of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101, Daehak-ro, Jongno-gu, Seoul, 03080, Korea.
Yun Hwan OhDepartment of Family Medicine, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, 63241, Korea.
Sang Min ParkDepartment of Biomedical Sciences, Seoul National University Graduate School, Seoul, 03082, Korea. smpark.snuh@gmail.com.
Seoul National University Hospital · KRSeoul National University · KRJeju National University Hospital · KRKorea University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Numerous studies have reported that antibiotics could lead to diabetes, even after adjusting for confounding variables. This study aimed to determine the causal relationship between antibiotics use and diabetes in a nationally representative cohort. This retrospective cohort study included adults aged 40 years or older who were enrolled in the Korean National Health Insurance Service-Health Screening Cohort. Antibiotic exposure was assessed from 2002 to 2005 and newly diagnosed diabetes mellitus was determined based on diagnostic codes and history of antidiabetic medication use from 2006 to 2015. Multivariate Cox proportional hazards model was used to assess the association between antibiotic use and diabetes incidence. The mean age of the 201,459 study subjects was 53.2 years. People who used antibiotics for 90 or more days had a higher risk of diabetes (adjusted hazard ratio [aHR] 1.16, 95% confidence interval [CI] 1.07-1.26) compared to non-users. Those who used five or more classes of antibiotics had a higher risk of diabetes than those who used one antibiotic class (aHR 1.14; 95% CI 1.06-1.23). The clear dose-dependent association between antibiotics and diabetes incidence supports the judicious use of antibiotics in the future.

Indexed as

AdultAgedAged, 80 and overAnti-Bacterial AgentsCohort StudiesDatabases, FactualDiabetes MellitusDrug PrescriptionsFemaleHumansIncidenceMaleMiddle AgedNational Health ProgramsPrescription DrugsProportional Hazards ModelsAnti-Bacterial AgentsPrescription Drugs

Identifiers

PMID34737360
PMCPMC8568925
OpenAlexW3209729982

What OpenQuestion holds

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LicenceCC BY
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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.