Evidence map›Paper›PMID 36146952›Full record

ArticleJournal of diabetes2022

Temporal trends in patients with peripheral artery disease influenced by diabetes mellitus in Germany.

Volker H Schmitt, Lukas Hobohm, Markus Vosseler, Christoph Brochhausen, Thomas Münzel, Christine Espinola-Klein, Karsten Keller

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 26% 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, 5 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

7 authors at 2 institutions in 1 country.

Volker H SchmittDepartment of Cardiology, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany.
Lukas HobohmDepartment of Cardiology, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany.
Markus VosselerDepartment of Cardiology, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany.
Christoph BrochhausenInstitute of Pathology, University of Regensburg, Regensburg, Germany.
Thomas MünzelDepartment of Cardiology, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany.
Christine Espinola-KleinDepartment of Cardiology, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany.
Karsten KellerDepartment of Cardiology, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany.ORCID https://orcid.org/0000-0002-0820-9584
Johannes Gutenberg University Mainz · DEUniversity of Regensburg · DE

Funding

Johannes Gutenberg Universitat
6 · The paper itself

Abstract

introductionIn patients with peripheral artery disease (PAD) the presence of diabetes mellitus (DM) is associated with higher morbidity and mortality. Because huge efforts are made to improve medical care of patients with DM including chronic disease programs, the aim of the present study was to investigate temporal trends regarding the clinical burden of DM on PAD patients within a 15-year observational period.

methodsWe analyzed all patients hospitalized because of PAD between 2005 and 2019 in Germany stratified regarding DM.

resultsOverall, 2 654 871 hospitalizations of PAD patients (865 823 with DM) were included. Hospitalizations based on PAD inclined from 142 778 in 2005 to 190 135 in 2019 (β 3956 per year; 95% confidence interval [CI] 3034-4878, p < .001) with simultaneous increase of hospitalizations of PAD patients with DM (2005: 41609 (29.1%) versus 2019: 65 302 (34.3%); β 2019 per year [95% CI 1593-2446], p < .001). Amputation rates (β -0.42 [95% CI -0.44 to -0.40]; p < .001) as well as in-hospital case-fatality rate (2005: 4.7%, 2019: 2.8%; β -0.64 [95% CI -0.69 to -0.59]; p < .001) decreased in diabetic PAD patients during the observational time. In spite of improved morbidity and mortality in the last years of the observational period, patients with DM still suffered from an increased risk for morbidity and mortality during the observational period compared to nondiabetic PAD patients.

conclusionsDespite the progress in DM treatments, DM still was associated with an unfavorable clinical patient profile and remained a substantial risk factor for morbidity and mortality in hospitalized patients with PAD and DM in Germany between 2005 and 2019.

Indexed as

Diabetes MellitusDiabetic AngiopathiesPeripheral Arterial DiseaseAmputation, SurgicalHumansRisk Factorsamputationatherosclerosisdiabetes mellitusepidemiologyhealth services researchperipheral artery diseasetime-trends动脉粥样硬化卫生服务研究外周动脉疾病截肢时间趋势流行病学糖尿病

Identifiers

PMID36146952
PMCPMC9574718
OpenAlexW4296809111

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.