Evidence map›Paper›PMID 37528178›Full record

ArticleDiabetologia2023

Risk of first-time major cardiovascular event among individuals with newly diagnosed type 2 diabetes: data from Danish registers.

Alexander C Falkentoft, Thomas Alexander Gerds, Bochra Zareini, Filip K Knop, Lars Køber, Christian Torp-Pedersen, Morten Schou, Niels E Bruun, Anne-Christine Ruwald

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.4field-weighted citation impact, top 10% 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, 13 citations in OpenAlex.

  1. Article
  2. Clinical and Metabolic Characteristics of Spontaneous Remission in Type 2 Diabetes: A Real-World Study from South India.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Article
  3. Article
  4. A cohort description and comparison of four European national diabetes registries for the REDDIE project.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. 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

9 authors at 7 institutions in 1 country.

Alexander C FalkentoftDepartment of Cardiology, Zealand University Hospital, University of Copenhagen, Roskilde, Denmark. alcf@regionsjaelland.dk.
Thomas Alexander GerdsDepartment of Cardiology, Herlev-Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
Bochra ZareiniDepartment of Cardiology, Nordsjællands Hospital, Hillerød, Denmark.
Filip K KnopCenter for Clinical Metabolic Research, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
Lars KøberDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Christian Torp-PedersenDepartment of Cardiology, Nordsjællands Hospital, Hillerød, Denmark.
Morten SchouDepartment of Cardiology, Herlev-Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
Niels E BruunDepartment of Cardiology, Zealand University Hospital, University of Copenhagen, Roskilde, Denmark.
Anne-Christine RuwaldDepartment of Cardiology, Zealand University Hospital, University of Copenhagen, Roskilde, Denmark.
University of Copenhagen · DKAalborg University · DKAalborg University Hospital · DKGentofte Hospital · DKNordsjællands Hospital · DKNovo Nordisk Foundation · DKZealand University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisWe aimed to examine whether individuals with initial omission of glucose-lowering drug treatment (GLDT), including those achieving initial remission of type 2 diabetes, may experience a higher risk of major adverse cardiovascular events (MACE) compared with well-controlled individuals on GLDT after a new type 2 diabetes diagnosis in real-world clinical practice. Furthermore, we examined whether a higher risk could be related to lower initiation of statins and renin-angiotensin system inhibitors (RASi).

methodsIn this cohort study, we used Danish registers to identify individuals with a first measured HbA

resultsWe included 14,221 individuals. Compared with well-controlled participants on GLDT, the 5 year standardised risk of MACE was higher in the three other exposure groups: by 3.3% (95% CI 1.6, 5.1) in the persistent type 2 diabetes group not on GLDT; 2.0% (95% CI 0.4, 3.7) in the remission group not on GLDT; and 3.5% (95% CI 1.3, 5.7) in the poorly controlled group on GLDT. Fewer individuals not on GLDT initiated statins and RASi compared with individuals on GLDT. If initiation of statins and RASi had been the same as in the well-controlled group on GLDT, participants not on GLDT could have reduced their risk of MACE by 2.1% (95% CI 1.2, 2.9) in the persistent type 2 diabetes group and by 1.1% (95% CI 0.4, 1.9) in the remission group. CONCLUSIONS/

interpretationCompared with well-controlled individuals on GLDT, individuals not on initial GLDT had a higher 5 year risk of MACE, even among those achieving remission of type 2 diabetes. This may be related to lower use of statins and RASi.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Hydroxymethylglutaryl-CoA Reductase InhibitorsCohort StudiesDenmarkGlucoseHumansGlucoseHydroxymethylglutaryl-CoA Reductase InhibitorsCardiovascular diseaseGlucose-lowering drugGlycaemic controlRemission of type 2 diabetesRenin–angiotensin system inhibitorStatinType 2 diabetes

Identifiers

PMID37528178
PMCPMC10541344
OpenAlexW4385476193

What OpenQuestion holds

Texttitle and abstract
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.