Evidence map›Paper›PMID 34785933›Full record

ArticleInternational journal of general medicine2021

Prevalence and Clinical Significance of Subclinical Hypothyroidism in Diabetic Peripheral Neuropathy.

Mahmoud A Allam, Youssef A Nassar, Hosameldeen S Shabana, Sadek Mostafa, Farag Khalil, Hendawy Zidan, Mohammed Abo-Ghebsha, Amir Abdelghaffar, Ahmed Essmat, Essam Elmahdi

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In one paragraph

Article in International journal of general medicine, 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
1.3field-weighted citation impact, top 20% 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, 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

10 authors at 2 institutions in 1 country.

Mahmoud A AllamDepartment of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Youssef A NassarDepartment of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hosameldeen S ShabanaDepartment of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0000-0003-1674-2722
Sadek MostafaDepartment of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Farag KhalilDepartment of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hendawy ZidanDepartment of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohammed Abo-GhebshaDepartment of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Amir AbdelghaffarDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed EssmatDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Essam ElmahdiDepartment of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Al-Azhar University · EGMansoura University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimDiabetic peripheral neuropathy (DPN) is one of the most common and disabling complications of DM. Many studies documented the prevalence of clinical and subclinical hypothyroidism (SCH) in diabetic patients but not in the particular group of patients with DPN. The present study aimed to determine the prevalence of SCH in DPN patients and to evaluate its association with severity of DPN. PATIENTS AND

methodsThe present cross-sectional study was conducted on 300 consecutive patients with DPN. The clinical manifestations of DPN were documented according to the validated Arabic version of the Michigan Neuropathy Screening Instrument. Severity of DPN was categorized into mild (6-8 points), moderate (9-11 points) or severe (12+ points) according to the Toronto Clinical Scoring System. All patients were submitted to careful history-taking and full clinical and neurological examination. Patients were diagnosed with SCH if they had TSH level above the upper limit of the normal reference range in association with normal free thyroxine (FT4) level.

resultsSCH was prevalent in 53 patients (17.7%, 95% CI: 13.5%-22.5%). Patients with SCH had significantly higher frequency of severe DPN (52.8% versus 28.3%,

conclusionThe present study showed that SCH is highly prevalent in DPN patients and is independently related to its severity.

Indexed as

diabetes mellitusdiabetic peripheral neuropathysubclinical hypothyroidismthyroid dysfunctionthyroid hormones

Identifiers

PMID34785933
PMCPMC8579825
OpenAlexW3214066558

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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.