Evidence map›Paper›PMID 36431169›Full record

ArticleJournal of clinical medicine2022

Glycated Haemoglobin A1c Variability Score Elicits Kidney Function Decline in Chinese People Living with Type 2 Diabetes.

Yiling Zhou, Hongmei Huang, Xueqin Yan, Simona Hapca, Samira Bell, Furong Qu, Li Liu, Xiangyang Chen, Shengzhao Zhang, Qingyang Shi and 9 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
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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

19 authors at 5 institutions in 2 countries.

Yiling ZhouDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, China.
Hongmei HuangDepartment of Endocrinology and Metabolism, The First People's Hospital of Shuangliu District, Chengdu 610200, China.
Xueqin YanDepartment of Chronic Disease Management, Pidu District Second People's Hospital, Chengdu 610000, China.
Simona HapcaDivision of Computing Science and Mathematics, University of Stirling, Stirling FK9 4LA, UK.
Samira BellDivision of Population Health Science and Genomics, School of Medicine, University of Dundee, Dundee DD2 4BF, UK.ORCID 0000-0001-9100-1575
Furong QuDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, China.
Li LiuDepartment of Endocrinology and Metabolism, Second People's Hospital of Ya'an City, Ya'an 625000, China.
Xiangyang ChenDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, China.
Shengzhao ZhangDepartment of Pharmacy, Karamay Central Hospital, Karamay 834000, China.ORCID 0000-0002-8681-7403
Qingyang ShiChinese Evidence-Based Medicine Center, Cochrane China Center, MAGIC China Center, West China Hospital, Sichuan University, Chengdu 610041, China.
Xiaoxi ZengDepartment of Nephrology, West China Hospital, Sichuan University, Chengdu 610041, China.ORCID 0000-0001-9946-4291
Miye WangDepartment of Informatics, West China Hospital, Sichuan University, Chengdu 610041, China.
Nan LiDepartment of Informatics, West China Hospital, Sichuan University, Chengdu 610041, China.
Heyue DuDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, China.
Wentong MengLaboratory of Stem Cell Biology, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu 610041, China.
Baihai SuDepartment of Nephrology, West China Hospital, Sichuan University, Chengdu 610041, China.ORCID 0000-0002-2187-8168
Haoming TianDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, China.
Sheyu LiDepartment of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, China.ORCID 0000-0003-0060-0287
On Behalf Of The WECODe Study Group
Sichuan University · CNChengdu Second People's Hospital · CNThe First People's Hospital of Shunde · CNUniversity of Dundee · GBUniversity of Stirling · GB

Funding

Sichuan Science and Technology Program 2022YFH0114Space Medical Experiment Project of China Manned Space Program HYZHXM01004the 1·3·5 project for disciplines of excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University 2020HXF011
6 · The paper itself

Abstract

Our aim was to investigate the association of glycated haemoglobin A1c (HbA1c) variability score (HVS) with estimated glomerular filtration rate (eGFR) slope in Chinese adults living with type 2 diabetes. This cohort study included adults with type 2 diabetes attending outpatient clinics between 2011 and 2019 from a large electronic medical record-based database of diabetes in China (WECODe). We estimated the individual-level visit-to-visit HbA1c variability using HVS, a proportion of changes in HbA1c of ≥0.5% (5.5 mmol/mol). We estimated the odds of people experiencing a rapid eGFR annual decline using a logistic regression and differences across HVS categories in the mean eGFR slope using a mixed-effect model. The analysis involved 2397 individuals and a median follow-up of 4.7 years. Compared with people with HVS ≤ 20%, those with HVS of 60% to 80% had 11% higher odds of experiencing rapid eGFR annual decline, with an extra eGFR decline of 0.93 mL/min/1.73 m2 per year on average; those with HVS > 80% showed 26% higher odds of experiencing a rapid eGFR annual decline, with an extra decline of 1.83 mL/min/1.73 m2 per year on average. Chinese adults with type 2 diabetes and HVS > 60% could experience a more rapid eGFR decline.

Indexed as

eGFR slopeelectronic medical recordsHbA1c variabilitykidney function declinetype 2 diabetes

Identifiers

PMID36431169
PMCPMC9692466
OpenAlexW4308975373

What OpenQuestion holds

Textmetadata
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.