Evidence map›Paper›PMID 36028774›Full record

ArticleDiabetologia2022

Progression likelihood score identifies substages of presymptomatic type 1 diabetes in childhood public health screening.

Andreas Weiss, Jose Zapardiel-Gonzalo, Franziska Voss, Manja Jolink, Joanna Stock, Florian Haupt, Kerstin Kick, Tiziana Welzhofer, Anja Heublein, Christiane Winkler and 4 more

Erratum issued Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06815081 (A Study to Determine a Capillary Alternative to the Gold Standard Oral Glucose Tolerance Test), which is not on this map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 pooled it
9.7field-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.

NCT06815081 recruitingnot on this mapstarted 2024, after this paper: background citation

A Study to Determine a Capillary Alternative to the Gold Standard Oral Glucose Tolerance Test

TypeobservationalSponsorUniversity of OxfordRan2024 to 2027Enrolled135ConditionsType 1 Diabetes (T1D), Type 2 Diabetes
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

Andreas WeissInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.ORCID 0000-0001-9597-0576
Jose Zapardiel-GonzaloInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.ORCID 0000-0002-9098-1652
Franziska VossInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.ORCID 0000-0002-5772-4435
Manja JolinkInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.
Joanna StockInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.
Florian HauptInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.ORCID 0000-0001-8316-928X
Kerstin KickTechnical University Munich, School of Medicine, Forschergruppe Diabetes at Klinikum rechts der Isar, Munich, Germany.ORCID 0000-0002-9139-1339
Tiziana WelzhoferTechnical University Munich, School of Medicine, Forschergruppe Diabetes at Klinikum rechts der Isar, Munich, Germany.
Anja HeubleinInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.
Christiane WinklerInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.ORCID 0000-0002-7606-3687
Peter AchenbachInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.ORCID 0000-0001-6720-2684
Anette-Gabriele ZieglerInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany. anette-g.ziegler@helmholtz-muenchen.de.ORCID 0000-0002-6290-5548
Ezio BonifacioGerman Center for Diabetes Research (DZD), Munich, Germany.ORCID 0000-0002-8704-4713
Fr1da-study group
Helmholtz Zentrum München · DETUM Klinikum · DEDeutsches Diabetes-Zentrum e.V. · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisThe aim of this study was to develop strategies that identify children from the general population who have late-stage presymptomatic type 1 diabetes and may, therefore, benefit from immune intervention.

methodsWe tested children from Bavaria, Germany, aged 1.75-10 years, enrolled in the Fr1da public health screening programme for islet autoantibodies (n=154,462). OGTT and HbA

resultsOf 447 children with multiple islet autoantibodies, 364 (81.4%) were staged. Undiagnosed stage 3 type 1 diabetes, presymptomatic stage 2, and stage 1 type 1 diabetes were detected in 41 (0.027% of screened children), 30 (0.019%) and 293 (0.19%) children, respectively. The 2 year risk for progression to stage 3 type 1 diabetes was 48% (95% CI 34, 58) in children with stage 2 type 1 diabetes (annualised risk, 28%). HbA CONCLUSIONS/

interpretationPublic health screening for islet autoantibodies found 0.027% of children to have undiagnosed clinical type 1 diabetes and 0.038% to have undiagnosed presymptomatic stage 2 or stage 1b type 1 diabetes, with 50% risk to develop clinical type 1 diabetes within 2 years.

Indexed as

Diabetes Mellitus, Type 1Islets of LangerhansAutoantibodiesChildDisease ProgressionHumansMass ScreeningPublic HealthAutoantibodiesClinical trial modellingGlucose toleranceImmunotherapyIslet autoantibodiesPopulation screeningProgression scorePublic health screeningType 1 diabetes

Identifiers

PMID36028774
PMCPMC9630406
OpenAlexW4293479350

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.