Evidence map›Paper›PMID 38761078›Full record

ArticleJournal of the American Heart Association2024

Trends in Survival After First Myocardial Infarction in People With Diabetes.

Linn Glynn, Marcus Lind, Tomas Andersson, Björn Eliasson, Robin Hofmann, Thomas Nyström

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 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

6 authors.

Linn GlynnDepartment of Clinical Science and Education, Södersjukhuset Karolinska Institutet Stockholm Sweden.ORCID 0009-0003-4948-7366
Marcus LindDepartment of Medicine Sahlgrenska University Hospital Gothenburg Sweden.ORCID 0000-0002-3796-9283
Tomas AnderssonInstitute of Environmental Medicine, Karolinska Institutet Stockholm Sweden.ORCID 0000-0002-2185-0325
Björn EliassonDepartment of Medicine Sahlgrenska University Hospital Gothenburg Sweden.ORCID 0000-0003-2569-4160
Robin HofmannDepartment of Clinical Science and Education, Södersjukhuset Karolinska Institutet Stockholm Sweden.ORCID 0000-0002-8907-895X
Thomas NyströmDepartment of Clinical Science and Education, Södersjukhuset Karolinska Institutet Stockholm Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate temporal trends in survival and subsequent cardiovascular events in a nationwide myocardial infarction population with and without diabetes. METHODS AND

resultsBetween 2006 and 2020, we identified 2527 individuals with type 1 diabetes, 48 321 individuals with type 2 diabetes and 243 170 individuals without diabetes with first myocardial infarction in national health care registries. Outcomes were trends in all-cause death after 30 and 365 days, cardiovascular death and major adverse cardiovascular events (ie, nonfatal stroke, nonfatal myocardial infarction, cardiovascular death, and heart failure hospitalization). Pseudo-observations were used to estimate the mortality risk, with 95% CIs, using linear regression, adjusted for age and sex. Individuals with type 1 diabetes were younger (62±12.2 years) and more often women (43.6%) compared with individuals with type 2 diabetes (75±10.8 years; women, 38.1%), and individuals without diabetes (73±13.2 years; women, 38.4%). Early death decreased in people without diabetes from 23.1% to 17.5%, (annual change -0.48% [95% CI, -0.52% to -0.44%]) and in people with type 2 diabetes from 22.6% to 19.3% (annual change, -0.33% [95% CI, -0.43% to -0.24%]), with no such significant trend in people with type 1 diabetes from 23.8% to 21.7% (annual change, -0.18% [95% CI, -0.53% to 0.17%]). Similar trends were observed with regard to 1-year death, cardiovascular death, and major adverse cardiovascular events.

conclusionsDuring the past 15 years, the trend in survival and major adverse cardiovascular events in people with first myocardial infarction without diabetes and with type 2 diabetes have improved significantly. In contrast, a similar improvement was not seen in people with type 1 diabetes.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Myocardial InfarctionRegistriesAgedAged, 80 and overCause of DeathDenmarkFemaleHumansMaleMiddle AgedRisk AssessmentRisk FactorsSurvival RateTime Factorscardiovascular deathmyocardial infarctiontype 1 diabetestype 2 diabetes

Identifiers

PMID38761078
PMCPMC11179798

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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.