Evidence map›Paper›PMID 37389043›Full record

ArticleHeliyon2023

Predictive value of TCM clinical index for diabetic peripheral neuropathy among the type 2 diabetes mellitus population: A new observation and insight.

Zhikui Tian, Yadong Fan, Xuan Sun, Dongjun Wang, Yuanyuan Guan, Ying Zhang, Zhaohui Zhang, Jing Guo, Huaien Bu, Zhongming Wu and 1 more

Abstract read
In one paragraph

Article in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. 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

11 authors.

Zhikui TianSchool of Health Sciences and Engineering, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.
Yadong FanNanjing University of Chinese Medicine, Nanjing, 210023, China.
Xuan SunSchool of Health Sciences and Engineering, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.
Dongjun WangCollege of Traditional Chinese Medicine, North China University of Science and Technology, Tangshan, 063000, China.
Yuanyuan GuanSchool of Health Sciences and Engineering, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.
Ying ZhangFengnan District Hospital of Traditional Chinese Medicine, Tangshan, 063000, China.
Zhaohui ZhangSurgery of TCM, Second Affiliated Hospital of Tianjin University of TCM, Tianjin, 301617, China.
Jing GuoSurgery of TCM, Second Affiliated Hospital of Tianjin University of TCM, Tianjin, 301617, China.
Huaien BuSchool of Health Sciences and Engineering, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.
Zhongming WuDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China.
Hongwu WangSchool of Health Sciences and Engineering, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: The objectives of this study were to identify clinical predictors of the Traditional Chinese medicine (TCM) clinical index for diabetic peripheral neuropathy (DPN) in type 2 diabetes mellitus (T2DM) patients, develop a clinical prediction model, and construct a nomogram. Methods: We collected the TCM clinical index from 3590 T2DM recruited at the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from January 2019 to October 2020. The participants were randomly assigned to either the training group (n = 3297) or the validation group (n = 1426). TCM symptoms and tongue characteristics were used to assess the risk of developing DPN in T2DM patients. Through 5-fold cross-validation in the training group, the least absolute shrinkage and selection operator (LASSO) regression analysis method was used to optimize variable selection. In addition, using multifactor logistic regression analysis, a predictive model and nomogram were developed. Results: A total of eight independent predictors were found to be associated with the DPN in multivariate logistic regression analyses: advanced age of grading (odds ratio/OR 1.575), smoke (OR 2.815), insomnia (OR 0.557), sweating (OR 0.535), loose teeth (OR 1.713), dry skin (OR 1.831), purple tongue (OR 2.278). And dark red tongue (OR 0.139). The model was constructed using these eight predictor's medium discriminative capabilities. The area under the curve (AUC) of the training set is 0.727, and the AUC of the validation set is 0.744 on the ROC curve. The calibration plot revealed that the model's goodness-of-fit is satisfactory. Conclusions: We established a TCM prediction model for DPN in patients with T2DM based on the TCM clinical index.

Indexed as

Diabetic peripheral neuropathy1Risk factor3Symptoms of TCM4Tongue features5Type 2 diabetes mellitus2

Identifiers

PMID37389043
PMCPMC10300217

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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.