Evidence map›Paper›PMID 38660516›Full record

ArticleFrontiers in endocrinology2024

Association of the systemic immuno-inflammation index, neutrophil-to-lymphocyte ratio, and platelet-to-lymphocyte ratio with diabetic microvascular complications.

Jiahang Li, Xueying Wang, Wenjing Jia, Kai Wang, Wenju Wang, Weibo Diao, Feiya Ou, Jing Ma, Yan Yang

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 5 pooled it
18.6field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 5 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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2 more citing papers are in PubMed but not listed here.

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 3 institutions in 1 country.

Jiahang Li *Department of Pharmacy, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Xueying Wang *Department of Traditional Chinese Medicine, The First Affiliated Hospital-of Air Force Medical University, Xi'an, China.
Wenjing JiaDepartment of Pharmacy, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Kai WangDepartment of Pharmacy, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Wenju WangDepartment of Pharmacy, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Weibo DiaoDepartment of Pharmacy, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Feiya OuDepartment of Pharmacy, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Jing MaDepartment of Traditional Chinese Medicine, The First Affiliated Hospital-of Air Force Medical University, Xi'an, China.
Yan YangDepartment of Pharmacy, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Air Force Medical University · CNXi'an Medical University · CNHangzhou Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The systemic immuno-inflammation index (SII), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) are widely used and have been shown to be predictive indicators of various diseases. Diabetic nephropathy (DN), retinopathy (DR), and peripheral neuropathy (DPN) are the most prominent and common microvascular complications, which have seriously negative impacts on patients, families, and society. Exploring the associations with these three indicators and diabetic microvascular complications are the main purpose. Methods: There were 1058 individuals with type 2 diabetes mellitus (T2DM) in this retrospective cross-sectional study. SII, NLR, and PLR were calculated. The diseases were diagnosed by endocrinologists. Logistic regression and subgroup analysis were applied to evaluate the association between SII, NLP, and PLR and diabetic microvascular complications. Results: SII, NLR, and PLR were significantly associated with the risk of DN [odds ratios (ORs): 1.52, 1.71, and 1.60, respectively] and DR [ORs: 1.57, 1.79, and 1.55, respectively] by multivariate logistic regression. When NLR ≥2.66, the OR was significantly higher for the risk of DPN (OR: 1.985, 95% confidence interval: 1.29-3.05). Subgroup analysis showed no significant positive associations across different demographics and comorbidities, including sex, age, hypertension, HbA1c (glycated hemoglobin), and dyslipidemia. Conclusion: This study found a positive relationship between NLR and DN, DR, and DPN. In contrast, SII and PLR were found to be only associated with DN and DR. Therefore, for the diagnosis of diabetic microvascular complications, SII, NLR and PLR are highly valuable.

Indexed as

Blood PlateletsDiabetes Mellitus, Type 2Diabetic AngiopathiesLymphocytesNeutrophilsAdultAgedCross-Sectional StudiesDiabetic NephropathiesDiabetic NeuropathiesDiabetic RetinopathyFemaleHumansInflammationLymphocyte CountMalediabetic microvascular complicationsNLRPLRSIIT2DM

Identifiers

PMID38660516
PMCPMC11039910
OpenAlexW4394688305

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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.