Evidence map›Paper›PMID 38664892›Full record

ArticleJournal of diabetes2024

Epidemiology of type 1 diabetes mellitus in children and adolescents: A 50-year, single-center experience.

Nurgun Kandemir, Dogus Vuralli, Alev Ozon, Nazlı Gonc, Didem Ardicli, Lala Jalilova, Omer Nazim Gulcek, Ayfer Alikasifoglu

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
19.8field-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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. A study of 25-(OH)DExperimental and therapeutic medicine · 2026
    Article
  5. Review
  6. Impact of SGLT2 Inhibitors on Glomerular Filtration in Type 1 Diabetes.The Journal of clinical endocrinology and metabolism · 2026
    Article
  7. Article
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  9. Article
  10. Article
  11. Review
  12. Article
  13. Vitamin DFrontiers in immunology · 2026
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

8 authors at 1 institution in 1 country.

Nurgun KandemirHacettepe University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, Turkey.
Dogus VuralliHacettepe University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, Turkey.ORCID https://orcid.org/0000-0002-4011-2299
Alev OzonHacettepe University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, Turkey.
Nazlı GoncHacettepe University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, Turkey.
Didem ArdicliHacettepe University Faculty of Medicine, Department of Pediatrics, Ankara, Turkey.
Lala JalilovaHacettepe University Faculty of Medicine, Department of Pediatrics, Ankara, Turkey.
Omer Nazim GulcekHacettepe University Faculty of Medicine, Department of Pediatrics, Ankara, Turkey.
Ayfer AlikasifogluHacettepe University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, Turkey.
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobal variations in epidemiology of type 1 diabetes mellitus (T1DM) exist. This study is designed to examine demographic and clinical features of T1DM over the past 3 decades as well as evolving trends in epidemiology over last 50 years.

methodsClinical characteristics of 925 patients with T1DM over last 30 years (1990-2019) were evaluated and compared to previously published data of 477 patients diagnosed between 1969 and 1990 from one of the major referral centers for diabetes in Turkey.

resultsMean age at diagnosis decreased from 9.5 ± 4.0 to 7.1 ± 3.6 years within the past 50 years (p < .001). Age at diagnosis peaked at 12-14 years between 1969 and 1990, then fell to 10-11.9 years between 1990 and 1999, and to 4-5.9 years between 2000-2009 and 2010-2019 (p = .005). Although the percentage of patients diagnosed <6 years of age is gradually increasing, the percentage between the ages of 6 and 11.9 years is decreasing, and the percentage diagnosed ≥12 years remained stable. A total of 47.5% of patients had ketoacidosis, 38.2% had ketosis, and 14.3% had only hyperglycemia. 23% of patients had severe diabetic ketoacidosis (DKA), whereas 42% had moderate. Over last 3 decades, there has been no change in frequency of ketoacidosis at presentation, but there has been significant decline in severity (p = .865, and p < .001, respectively). Although the frequency of patients with mild DKA increased over time, frequency of patients with moderate DKA decreased; however, no significant difference was observed among patients with severe ketoacidosis. DKA was more frequent and severe in patients <6 years of age (p = .005, and p < .001, respectively).

conclusionAge at diagnosis shifted to younger ages in T1DM in the past 50 years. Half of patients had ketoacidosis at diagnosis and frequency of presentation with DKA did not decrease, but severity decreased slightly. Increase in prevalence of T1DM in the younger age group and the fact that half of patients present with DKA indicate that awareness should be increased in terms of early diagnosis and treatment.

Indexed as

Diabetes Mellitus, Type 1AdolescentAge of OnsetChildChild, PreschoolDiabetic KetoacidosisFemaleHumansInfantMalePrevalenceRetrospective StudiesTurkeyage groupsdiabetic ketoacidosisepidemiologyTurkeytype 1 diabetes mellitus

Identifiers

PMID38664892
PMCPMC11045915
OpenAlexW4395673064

What OpenQuestion holds

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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.