Evidence map›Paper›PMID 35886592›Full record

ArticleInternational journal of environmental research and public health2022

Dose-Dependent Proton Pump Inhibitor Exposure and Risk of Type 2 Diabetes: A Nationwide Nested Case-Control Study.

Hsin-Ya Kuo, Chih-Sung Liang, Shih-Jen Tsai, Tzeng-Ji Chen, Che-Sheng Chu, Mu-Hong Chen

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In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 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

6 authors at 4 institutions in 1 country.

Hsin-Ya KuoDepartment of Psychiatry, Kaohsiung Veterans General Hospital, Kaohsiung City 813, Taiwan.
Chih-Sung LiangDepartment of Psychiatry, Tri-Service General Hospital, Beitou Branch, National Defense Medical Center, Taipei 112, Taiwan.ORCID 0000-0003-1138-5586
Shih-Jen TsaiDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0002-9987-022X
Tzeng-Ji ChenDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0002-8350-0232
Che-Sheng ChuDepartment of Psychiatry, Kaohsiung Veterans General Hospital, Kaohsiung City 813, Taiwan.ORCID 0000-0002-6911-1839
Mu-Hong ChenDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei 112, Taiwan.
National Yang Ming Chiao Tung University · TWKaohsiung Medical University · TWKaohsiung Veterans General Hospital · TWTri-Service General Hospital Beitou Branch · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To investigate the association between proton pump inhibitor (PPI) exposure and a risk of type 2 diabetes mellitus (T2DM) among patients with upper gastrointestinal disease (UGID). Method: We conducted a case−control study from Taiwan’s National Health Insurance Research Database between 1998 and 2013. A total of 20,940 patients with T2DM and 20,940 controls were included. The dose of PPIs was categorized according to the cumulative defined daily dose (cDDD). The risk of T2DM was assessed using conditional logistic regression analysis. Result: Compared with cDDD ≤ 30, higher dosage of PPI exposure was associated with an increased risk of T2DM development: cDDD 31−120 (odds ratio [OR]: 1.20, 95% confidence interval [CI]: 1.13−1.26); cDDD 121−365 (OR: 1.26, 95% CI: 1.19−1.33); and cDDD > 365 (OR: 1.34, 95% CI: 1.23−1.46). Subgroup analysis of individual PPI showed that pantoprazole (OR: 1.14, 95% CI: 1.07−1.21), lansoprazole (OR: 1.08, 95% CI: 1.03−1.12), and omeprazole (OR: 1.11, 95% CI: 1.06−1.16) have a significantly higher risk of T2DM development. Conclusions: A dose-dependent increased risk of T2DM was found among patients with UGID using higher doses of PPIs compared with those with lower doses of these drugs. Further studies are necessary to investigate the underlying pathophysiology of PPIs and T2DM.

Indexed as

Diabetes Mellitus, Type 2Gastrointestinal DiseasesCase-Control StudiesHumansOdds RatioProton Pump InhibitorsProton Pump Inhibitorsproton pump inhibitorstype 2 diabetes mellitusupper gastrointestinal disease

Identifiers

PMID35886592
PMCPMC9316003
OpenAlexW4285727088

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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.