Evidence map›Paper›PMID 34932277›Full record

ArticleJournal of diabetes investigation2022

Heart rate-corrected QT interval: A novel diagnostic biomarker for diabetic peripheral neuropathy.

Ai-Jun Jiang, Heng Gu, Zhan-Rong Feng, Ying Ding, Xiao-Hua Xu, Guo-Ping Yin, Wen-Li Zhang, Zi-Yang Shen, Qian Li

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 10 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

9 authors at 3 institutions in 2 countries.

Ai-Jun JiangDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Heng GuNanjing Medical University, Nanjing, China.
Zhan-Rong FengDepartment of Endocrinology, Shuyang Hospital of Traditional Chinese Medicine, Suqian, China.
Ying DingDepartment of Endocrinology, Shuyang Hospital of Traditional Chinese Medicine, Suqian, China.
Xiao-Hua XuDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Guo-Ping YinDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Wen-Li ZhangDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Zi-Yang ShenDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0001-6069-7039
Qian LiDepartment of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0002-8443-6412
Nanjing Medical University · CNAnyang Hospital of Traditional Chinese Medicine · CNJungheinrich (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionTo explore the relationship between heart rate-corrected QT (QTc) interval and diabetic peripheral neuropathy (DPN), and whether QTc interval has diagnostic utility for DPN beyond nerve conduction velocity. MATERIALS AND

methodsA total of 965 patients with diabetes, including 473 patients with DPN and 492 patients without DPN, underwent standard 12-lead electrocardiography and detailed assessments of peripheral neuropathy.

resultsPatients with DPN had longer QTc intervals than those without. Among participants, from the first to fourth quartile of QTc interval, the proportion of patients with DPN appreciably increased and the nerve conduction velocity obviously decreased (P for trend <0.001). The univariate and multivariate analyses showed that prolonged QTc interval was closely associated with increased risk of DPN (univariable odds ratio 1.112, 95% confidence interval 1.097-1.127, P < 0.001; multivariable odds ratio 1.118, 95% confidence interval 1.099-1.137, P < 0.001). Receiver operating characteristic analysis for the diagnosis of DPN showed a greater area under the curve for QTc interval of 0.894 than the median nerve motor conduction velocity of 0.691, median nerve sensory conduction velocity of 0.664 and peroneal nerve motor conduction velocity of 0.692. The optimal cut-off point of QTc interval for DPN was 428.5 ms with sensitivity of 0.715 and specificity of 0.920 (P < 0.001). The combination of QTc interval and nerve conduction testing increased the area under the curve for the diagnosis of DPN (from 0.736 to 0.916; P < 0.001).

conclusionsQTc interval with 428.5 ms has more reliable diagnostic utility for DPN than nerve conduction velocity, and prolonged QTc interval is closely associated with an increased risk of DPN.

Indexed as

Diabetes Mellitus, Type 2Diabetic NeuropathiesArrhythmias, CardiacBiomarkersElectrocardiographyHeart RateHumansNeural ConductionBiomarkersDiabetesDiabetic peripheral neuropathyDiagnosis

Identifiers

PMID34932277
PMCPMC9077736
OpenAlexW4200059741

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.