Evidence map›Paper›PMID 36890680›Full record

ArticleJournal of diabetes2023

Longer leukocyte telomere length increases cardiovascular mortality in type 2 diabetes patients.

Ziwei Chen, Yao Shen, Jing He, Yang Shen, Weida Zhu, Xiaohui Wu, Mingbing Xiao

Abstract read
In one paragraph

Article in Journal of diabetes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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.

Ziwei ChenDepartment of Cardiology, Affiliated Hospital of Nantong University, Nantong, China.
Yao ShenEye Institute, Affiliated Hospital of Nantong University, Nantong, China.
Jing HeDepartment of Chemotherapy, Affiliated Hospital of Nantong University, Nantong, China.
Yang ShenDepartment of Cardiology, Affiliated Hospital of Nantong University, Nantong, China.
Weida ZhuDepartment of Cardiology, Affiliated Hospital of Nantong University, Nantong, China.
Xiaohui WuDepartment of Cardiology, Affiliated Hospital of Nantong University, Nantong, China.
Mingbing XiaoResearch Center of Clinical Medicine, Affiliated Hospital of Nantong University, Nantong, China.ORCID https://orcid.org/0000-0002-4661-6201

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsLeukocyte telomere length (LTL), as a biomarker of biological aging, is associated with the prevalence and complications of diabetes. This study aims to investigate the associations between LTL and all-cause and cause-specific mortality in patients with type 2 diabetes.

methodsAll participants with baseline LTL records were included from the National Health and Nutrition Examination Survey 1999-2002. Death status and its causes were ascertained for National Death Index based on International Classification of Diseases, Tenth Revision code. Cox proportional hazards regression models were established to estimate the hazard ratios (HRs) of LTL associating with all-cause and cause-specific mortality.

resultsThe study enrolled 804 diabetic patients with the mean follow-up of 14.9 ± 2.59 years. There were 367 (45.6%) all-cause deaths, 80 (10.0%) cardiovascular deaths, and 42 (5.2%) cancer-related deaths. Longer LTL was associated with reduced all-cause mortality, whereas this association disappeared after adjusting for other variables. Compared with the lowest tertiles of LTL, the multivariable-adjusted hazard ratio of cardiovascular mortality was 2.11 (95% confidence interval [CI] 1.31-3.39; p < .05) in the highest tertiles. In terms of cancer mortality, the highest tertile was negatively correlated with the risk of cancer mortality (HR 0.58 [95% CI 0.37, 0.91], p < .05).

conclusionIn conclusion, LTL was independently associated with the risk of cardiovascular mortality in patients with type 2 diabetes and was negatively correlated with the risk of cancer mortality. Telomere length may be a predictor of cardiovascular mortality in diabetes.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2NeoplasmsHumansLeukocytesNutrition SurveysTelomerecross-sectional studydiabetesleukocyte telomere lengthmortalityNHANES横断面研究死亡率白细胞端粒长度糖尿病

Identifiers

PMID36890680
PMCPMC10101828

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.