Evidence map›Paper›PMID 35239970›Full record

ArticleDiabetes care2021

Associations of Type 2 Diabetes Onset Age With Cardiovascular Disease and Mortality: The Kailuan Study.

Maoxiang Zhao, Lulu Song, Lan Sun, Miao Wang, Chi Wang, Siyu Yao, Yao Li, Cuijuan Yun, Sijin Zhang, Yizhen Sun and 3 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 106 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 1 pooled it
18.9field-weighted citation impact, top 1% 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

106 citing papers in PubMed, 1 synthesis or guideline pooled it, 184 citations in OpenAlex.

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46 more citing papers are in PubMed but not listed here.

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

13 authors at 4 institutions in 1 country.

Maoxiang ZhaoDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Lulu SongDepartment of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Lan SunInstitute of Materia Medica, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
Miao WangDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Chi WangDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Siyu YaoDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Yao LiDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Cuijuan YunDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Sijin ZhangDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Yizhen SunDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Ziwei HouDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.
Shouling WuDepartment of Cardiology, Kailuan Hospital, Tangshan, China.ORCID 0000-0001-7095-6022
Hao XueDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0001-5915-4811
People's Liberation Army No. 150 Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNKailuan General Hospital · CNMinistry of Ecology and Environment · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to explore the associations between type 2 diabetes onset age and cardiovascular disease (CVD) and all-cause mortality in the Chinese population. RESEARCH DESIGN AND

methodsThis study included 101,080 participants free of prevalent diabetes and CVD at baseline from the Kailuan Study. All participants were monitored biennially until 31 December 2017. During follow-up, 11,384 participants were diagnosed as having type 2 diabetes. For each case subject, one control subject was randomly selected, matched for age (± 1 years) and sex. The final analysis comprised 10,777 case-control pairs. Weighted Cox regression models were used to evaluate the average hazard ratios (AHRs) and 95% CIs of incident CVD and all-cause mortality among patients with new-onset type 2 diabetes versus control subjects across age-groups.

resultsDuring a median follow-up of 5.57 years, 1,794 incident events (907 CVD events, of which there were 725 strokes and 887 deaths) occurred. After adjustment for potential confounders, participants with type 2 diabetes diagnosed at age <45 years had the highest relative risks of CVD and all-cause mortality relative to the matched control subjects, with AHRs of 3.21 (95% CI 1.18-8.72) for CVD, 2.99 (95% CI 1.01-9.17) for stroke, and 4.79 (95% CI 1.95-11.76) for all-cause mortality. The risks gradually attenuated with each decade increase in type 2 diabetes onset age.

conclusionsThe relative risks of CVD and all-cause mortality differed across type 2 diabetes onset age-groups, and the associations were more evident in younger-onset type 2 diabetes.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Age of OnsetHumansMiddle AgedProportional Hazards ModelsRiskRisk Factors

Identifiers

PMID35239970
PMCPMC8247507
OpenAlexW3153959337

What OpenQuestion holds

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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.