Evidence map›Paper›PMID 35697817›Full record

Observational studyScientific reports2022

Male sex increases the risk of diabetic retinopathy in an urban safety-net hospital population without impacting the relationship between axial length and retinopathy.

Jing Qian, Zeeshan Haq, Daphne Yang, Jay M Stewart

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 14 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

4 authors at 2 institutions in 2 countries.

Jing Qian *University of California, San Francisco, Department of Ophthalmology, 490 Illinois Street, Floor 5, San Francisco, CA, 94143-4081, USA.
Zeeshan Haq *University of California, San Francisco, Department of Ophthalmology, 490 Illinois Street, Floor 5, San Francisco, CA, 94143-4081, USA.
Daphne YangUniversity of California, San Francisco, Department of Ophthalmology, 490 Illinois Street, Floor 5, San Francisco, CA, 94143-4081, USA.
Jay M StewartUniversity of California, San Francisco, Department of Ophthalmology, 490 Illinois Street, Floor 5, San Francisco, CA, 94143-4081, USA. jay.stewart@ucsf.edu.
San Francisco General Hospital · USUniversity of California, San Francisco · US

Funding

Ultrasound-enhanced corneal drug deliveryR01EY024004 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEWART, JAY MICHAEL · 2017 to 2020
$1.6M
NEI NIH HHS R01 EY024004
6 · The paper itself

Abstract

This study sought to assess the association between axial length (AL) and diabetic retinopathy (DR) in a diverse cohort of patients and to investigate the impact of sex on this relationship. An urban safety net hospital database was used for this cross-sectional observational study. Diabetic patients who underwent fundus photography and AL measurement between March 2017 and June 2020 were included. The fundus photographs were graded following the Early Treatment of Diabetic Retinopathy Study criteria. The study enrolled 1843 patients with diabetes (mean age: 56.9 ± 12.1 years; AL: 23.56 ± 1.12 mm), including 931 men and 912 women. Male sex was a risk factor for diabetic retinopathy (P = 0.001; odds ratio [OR] 1.5, 95% confidence interval [CI] 1.18-1.98). A higher DR prevalence was associated with shorter AL both in men (P = 0.003; OR 0.77; 95% CI 0.66-0.91) and women (P = 0.02; OR 0.83; 95% CI 0.71-0.97) after adjusting for systemic risk factors using multivariable logistic regression. There was no significant impact of sex on the relationship between AL and DR (P = 0.56). In the subset of patients with asymmetric DR, the percentage of patients whose shorter eye had a higher stage of DR was not significantly different between men and women (P = 0.20). Male sex is a risk factor for DR in a diverse safety-net hospital population. Longer AL is associated with a lower risk of DR, and this relationship is not affected by sex.

Indexed as

Diabetes Mellitus, Type 2Diabetic RetinopathyAdultAgedCross-Sectional StudiesDiagnostic Techniques, OphthalmologicalFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsSafety-net ProvidersUrban Population

Identifiers

PMID35697817
PMCPMC9192741
OpenAlexW4282590728

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.