Evidence map›Paper›PMID 36927295›Full record

SynthesisBMC cardiovascular disorders2023

The association between diabetes and abdominal aortic aneurysms in men: results of two Danish screening studies, a systematic review, and a meta-analysis of population-based screening studies.

Katrine Lawaetz Larsen, Egle Kavaliunaite, Lars Melholt Rasmussen, Jesper Hallas, Axel Diederichsen, Flemming Hald Steffensen, Martin Busk, Lars Frost, Grazina Urbonaviciene, Jess Lambrechtsen and 2 more

Registry-linked trialOpen access · goldFull text readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00662480 (Randomized Preventive Vascular Screening Trial of 65-74 Year Old Men in the Central Region of Denmark), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 17% 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.

NCT00662480 phase4unknown statusnot on this map

Randomized Preventive Vascular Screening Trial of 65-74 Year Old Men in the Central Region of Denmark

TypeinterventionalSponsorCentral Jutland Regional HospitalRan2008 to 2023Enrolled40,000ConditionsAbdominal Aortic Aneurysms, Peripheral Arterial Disease, HypertensionArmsScreening for hypertension, lower limb atherosclerosis and abdominal aortic aneurysm
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
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

12 authors at 4 institutions in 1 country.

Katrine Lawaetz LarsenDepartment of Cardiac, Thoracic and Vascular Surgery, Odense University Hospital, J.B. Winsløws Vej 4, 5000, Odense C, Denmark. katrine.lawaetz.larsen@rsyd.dk.ORCID 0000-0002-6234-5181
Egle KavaliunaiteDepartment of Cardiac, Thoracic and Vascular Surgery, Odense University Hospital, J.B. Winsløws Vej 4, 5000, Odense C, Denmark.
Lars Melholt RasmussenDepartment of Clinical Biochemistry and Pharmacology, Odense University Hospital, J.B. Winsløws Vej 4, 5000, Odense C, Denmark.
Jesper HallasDepartment of Clinical Biochemistry and Pharmacology, Odense University Hospital, J.B. Winsløws Vej 4, 5000, Odense C, Denmark.
Axel DiederichsenDepartment of Cardiology, Odense University Hospital, J.B. Winsløws Vej 4, 5000, Odense C, Denmark.
Flemming Hald SteffensenDepartment of Cardiology, Lillebaelt Hospital, Beriderbakken 4, 7100, Vejle, Denmark.
Martin BuskDepartment of Cardiology, Lillebaelt Hospital, Beriderbakken 4, 7100, Vejle, Denmark.
Lars FrostDepartment of Cardiology, Diagnostic Centre, Regional Hospital Silkeborg, Falkevej 1A, 8600, Silkeborg, Denmark.
Grazina UrbonavicieneDepartment of Cardiology, Diagnostic Centre, Regional Hospital Silkeborg, Falkevej 1A, 8600, Silkeborg, Denmark.
Jess LambrechtsenDepartment of Cardiology, Odense University Hospital Svendborg, Baagøes Àlle 15, 5700, Svendborg, Denmark.
Kenneth EgstrupDepartment of Cardiology, Odense University Hospital Svendborg, Baagøes Àlle 15, 5700, Svendborg, Denmark.
Jes Sanddal LindholtDepartment of Cardiac, Thoracic and Vascular Surgery, Odense University Hospital, J.B. Winsløws Vej 4, 5000, Odense C, Denmark.
Odense University Hospital · DKLillebaelt Hospital · DKRegionshospitalet Silkeborg · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA paradoxical protective effect of diabetes on the development and progression of abdominal aortic aneurysms (AAA) has been known for years. This study aimed to investigate whether the protective role of diabetes on AAAs has evolved over the years.

methodsA cross-sectional study, a systematic review and meta-analysis. This study was based on two large, population-based, randomised screening trials of men aged 65-74; VIVA (2008-2011) and DANCAVAS (2014-2018), including measurement of the abdominal aorta by ultrasound or CT, respectively. Analyses were performed using multiple logistic regressions to estimate the odds ratios (ORs) for AAAs in men with diabetes compared to those not having diabetes. Moreover, a systematic review and meta-analysis of population-based screening studies of AAAs to visualise a potential change of the association between diabetes and AAAs. Studies reporting only on women or Asian populations were excluded.

resultsIn VIVA, the prevalence of AAA was 3.3%, crude OR for AAA in men with diabetes 1.04 (95% confidence interval, CI, 0.80-1.34), and adjusted OR 0.64 (CI 0.48-0.84). In DANCAVAS, the prevalence of AAA was 4.2%, crude OR 1.44 (CI 1.11-1.87), and adjusted OR 0.78 (CI 0.59-1.04). Twenty-three studies were identified for the meta-analysis (N = 224 766). The overall crude OR was 0.90 (CI 0.77-1.05) before 2000 and 1.16 (CI 1.03-1.30) after 1999. The overall adjusted OR was 0.63 (CI 0.59-0.69) before 2000 and 0.69 (CI 0.57-0.84) after 1999.

conclusionBoth the crude and adjusted OR showed a statistically non-significant trend towards an increased risk of AAA by the presence of diabetes. If this represents an actual trend, it could be due to a change in the diabetes population.

trial registrationDANCAVAS: Current Controlled Trials: ISRCTN12157806. VIVA: ClinicalTrials.gov NCT00662480.

Indexed as

Aortic Aneurysm, AbdominalDiabetes MellitusCross-Sectional StudiesDenmarkFemaleHumansMaleMass ScreeningRisk FactorsUltrasonographyAbdominal aortic aneurysmComputerised tomography (CT)Meta-analysisScreeningUltrasound

Identifiers

PMID36927295
PMCPMC10022183
OpenAlexW4327549435

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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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.