Evidence map›Paper›PMID 34972197›Full record

ArticlePloS one2021

Trends in incidence and prevalence of type 1 diabetes between 1999 and 2019 based on the Childhood Diabetes Registry of Saxony, Germany.

Ulf Manuwald, Olaf Schoffer, Joachim Kugler, Henna Riemenschneider, Thomas Michael Kapellen, Wieland Kiess, Ulrike Rothe

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

7 authors.

Ulf ManuwaldHealth Sciences/Public Health, Faculty of Medicine "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany.ORCID 0000-0001-6240-9475
Olaf SchofferCenter of Evidence-Based Healthcare, University Hospital "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany.ORCID 0000-0001-6922-7148
Joachim KuglerHealth Sciences/Public Health, Faculty of Medicine "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany.
Henna RiemenschneiderDepartment of General Practice/MK3, Faculty of Medicine "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany.
Thomas Michael KapellenDepartment of Women and Child Health, Center for Pediatric Research, Hospital for Children and Adolescents, University of Leipzig, Leipzig, Germany.
Wieland KiessDepartment of Women and Child Health, Center for Pediatric Research, Hospital for Children and Adolescents, University of Leipzig, Leipzig, Germany.
Ulrike RotheHealth Sciences/Public Health, Faculty of Medicine "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Childhood Diabetes Registry of Saxony has been existing since 1999. The aim of this study was to investigate the incidence rates, cohort and point prevalence, and the trends of type 1 diabetes among children and adolescents based on the registry data over the past 21 years.

methodsA completeness check of the Childhood Diabetes Registry of Saxony for the observation period 2012-2019 was performed using the capture-recapture method. The age-standardized incidence rates per 100,000 person years (PY) were estimated for the observation period 1999-2019. Prevalence was estimated per 100,000 children and adolescents as the point prevalence of five consecutive years, and as a cohort prevalence for the birth cohorts, which result from the difference of age and year at diagnosis. Trend analyses were executed using join point regression.

resultsA completeness of 98% (95% CI 89-100) was determined for the period from 2012 to 2019. The standardized incidence rate of type 1 diabetes among children and adolescents increased from 17.1 per 100,000 PY in 1999 to 24.7 per 100,000 PY in 2019. If this trend continues, the incidence rate will increase to 34.8 (95% CI 24.4-49.6) per 100,000 PY in 2030. The point prevalence of 5 consecutive years did not show a continuous trend over time. According to this method, the prevalence reached a plateau in the last segment (2013-2019). The calculation of cohort prevalence indicated a continuous increase from 2013 to 2019 with no significant statistical difference in terms of sex.

conclusionThe point prevalence and the last incidence rates indicate that type 1 diabetes of children and adolescents is slowing down or has reached a plateau in Saxony. Nevertheless, the cohort prevalence predicts a steady increase. Future studies should continue investigating these trends in a longer observation period and consider including possible correlating environmental factors.

Indexed as

Hospitals, PediatricAdolescentChildChild, PreschoolData CollectionDiabetes Mellitus, Type 1FemaleGermanyHumansIncidenceInfantInfant, NewbornMalePrevalenceRegistriesRegression Analysis

Identifiers

PMID34972197
PMCPMC8719733

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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.