Evidence map›Paper›PMID 35938490›Full record

ArticleDiabetes & vascular disease research

Triglyceride-glucose index is prospectively associated with chronic kidney disease progression in Type 2 diabetes - mediation by pigment epithelium-derived factor.

Serena Low, Sharon Pek, Angela Moh, Keven Ang, Jonathon Khoo, Yi-Ming Shao, Wern E Tang, Ziliang Lim, Tavintharan Subramaniam, Chee F Sum and 1 more

Abstract read
In one paragraph

Article in Diabetes & vascular disease research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. Role of Triglyceride-Glucose Index in Type 2 Diabetes Mellitus and Its Complications.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
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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

11 authors.

Serena LowDiabetes Centre, 609710Admiralty Medical Centre, Singapore.
Sharon PekClinical Research Unit, 150819Khoo Teck Puat Hospital, Singapore.
Angela MohClinical Research Unit, 150819Khoo Teck Puat Hospital, Singapore.
Keven AngClinical Research Unit, 150819Khoo Teck Puat Hospital, Singapore.
Jonathon KhooClinical Research Unit, 150819Khoo Teck Puat Hospital, Singapore.
Yi-Ming ShaoClinical Research Unit, 150819Khoo Teck Puat Hospital, Singapore.
Wern E Tang63707National Healthcare Group Polyclinics, Singapore.
Ziliang Lim63707National Healthcare Group Polyclinics, Singapore.
Tavintharan SubramaniamDiabetes Centre, 609710Admiralty Medical Centre, Singapore.ORCID 0000-0002-5365-8899
Chee F SumDiabetes Centre, 609710Admiralty Medical Centre, Singapore.
Su C LimDiabetes Centre, 609710Admiralty Medical Centre, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTriglyceride-glucose (TyG) index is a surrogate marker of insulin resistance. Its role in chronic kidney disease (CKD) progression in Type 2 Diabetes Mellitus (T2DM) is unclear. We investigated the association between TyG index and CKD progression, and possible mediation of the association by pigment epithelium-derived factor (PEDF).

methodsThis was a prospective study on 1571 patients with T2DM. CKD progression was defined as worsening across KDIGO estimated glomerular filtration rate (eGFR) categories with ≥25% reduction from baseline. PEDF was quantitated using enzyme-linked immunosorbent assay method. Cox proportional hazards regression model was used to assess the relationship between TyG index and CKD progression.

resultsOver a follow-up period of up to 8.6 years (median 4.6 years, IQR 3.0-3.6), 42.7% of subjects had CKD progression. Every unit increase in TyG was associated with hazards of 1.44 (95%CI 1.29-1.61;

conclusionsHigher TyG index independently predicted CKD progression in T2DM. PEDF mediated the association between TyG index and CKD progression.

Indexed as

Diabetes Mellitus, Type 2Renal Insufficiency, ChronicBiomarkersBlood GlucoseEye ProteinsGlucoseHumansNerve Growth FactorsPigment Epithelium-Derived FactorProspective StudiesRisk FactorsSerpinsTriglyceridesBiomarkersBlood GlucoseEye ProteinsGlucoseNerve Growth FactorsPigment Epithelium-Derived FactorSerpinsTriglycerideschronic kidney diseasepigment epithelium-derived factortriglyceride-glucose indexType 2 diabetes

Identifiers

PMID35938490
PMCPMC9364218

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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.