Evidence map›Paper›PMID 37391762›Full record

ArticleCardiovascular diabetology2023

Effect of onset of type 2 diabetes on risks of cardiovascular disease and heart failure among new Zealanders with impaired glucose tolerance over 25 years: tapered-matched landmark analysis.

Dahai Yu, Bingjie Qu, Uchechukwu Levi Osuagwu, Karen Pickering, John Baker, Richard Cutfield MBChB, Yamei Cai, Brandon J Orr-Walker, Gerhard Sundborn, Zhanzheng Zhao and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  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 at 6 institutions in 4 countries.

Dahai YuDepartment of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, China.
Bingjie QuDepartment of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, China.
Uchechukwu Levi OsuagwuTranslational Health Research Institute (THRI), Western Sydney University, Campbelltown, Sydney, NSW, 2560, Australia.
Karen PickeringDiabetes Foundation Aotearoa, Otara, New Zealand.
John BakerDiabetes Foundation Aotearoa, Otara, New Zealand.
Richard Cutfield MBChBDiabetes Foundation Aotearoa, Otara, New Zealand.
Yamei CaiDepartment of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, China.
Brandon J Orr-WalkerDiabetes Foundation Aotearoa, Otara, New Zealand.
Gerhard SundbornSection of Pacific Health, the University of Auckland, Auckland, New Zealand.
Zhanzheng Zhao *Department of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, China. zhanzhengzhao@zzu.edu.cn.
David Simmons *Department of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, China. Da.Simmons@westernsydney.edu.au.
First Affiliated Hospital of Zhengzhou University · CNCamden and Campbelltown Hospitals · AUCounties Manukau District Health Board · NZNew Zealand Association of Counsellors · NZKeele University · GBUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to examine the association between the incident onset of T2DM and 5- and 10-year risks of CVD and HF in people with IGT identified in primary care in South and West Auckland, New Zealand (NZ) between 1994 and 2019.

methodsWe compared CVD and HF risks in patients with IGT and with/without T2D newly diagnosed within the exposure window (1-5 years). Tapered matching and landmark analysis (to account for immortal bias) were used to control for potential effects of known confounders.

resultsAmong 26,794 patients enrolled with IGT, 845 had T2D newly diagnosed within 5 years from enrolment (landmark date) and 15,452 did not have T2D diagnosed. Patients progressing to T2D (vs. those not progressing) had a similar 5-year risk for CVD (hazard ratio 1.19; 95% CI 0.61-2.32) but significantly higher 10-year risk of CVD (2.45(1.40-4.29)), 5-year risk of HF (1.94(1.20-3.12)) and 10-year risk of HF (2.84(1.83-4.39). The association between the onset of T2D and risk of 10-year risk of CVD, 5-year and 10-year risk of HF was more likely among men, the socioeconomically deprived, those currently smoking, patients with higher metabolic measures and/or those with lower renal function. Patients of NZ European ethnicity had a lower 10-year risk of CVD.

conclusionsThe study suggests that the diagnosis of T2D mediates the risk of CVD and HF in people with IGT. The development of risk scores to identify and better manage individuals with IGT at high risk of T2D is warranted.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Glucose IntoleranceHeart FailureAustralasian PeopleHumansMaleNew ZealandCardiovascular diseasesHeart failureImpaired glucose toleranceLandmark analysisTapered matchingType 2 diabetes

Identifiers

PMID37391762
PMCPMC10314599
OpenAlexW4382777031

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.