Evidence map›Paper›PMID 39223469›Full record

ArticleBMC public health2024

Smoking, all-cause, and cause-specific mortality in individuals with diabetes in Mexico: an analysis of the Mexico city prospective study.

Daniel Ramírez-García, Carlos A Fermín-Martínez, Paulina Sánchez-Castro, Alejandra Núñez-Luna, Martín Roberto Basile-Alvarez, Luisa Fernández-Chirino, Arsenio Vargas-Vázquez, Juan Pablo Díaz-Sánchez, Ashuin Kammar-García, Paloma Almeda-Valdés and 7 more

Abstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

17 authors.

Daniel Ramírez-GarcíaDivision of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
Carlos A Fermín-MartínezDivision of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
Paulina Sánchez-CastroDivision of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
Alejandra Núñez-LunaDivision of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
Martín Roberto Basile-AlvarezDivision of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
Luisa Fernández-ChirinoDivision of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
Arsenio Vargas-VázquezFacultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Juan Pablo Díaz-SánchezDivision of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
Ashuin Kammar-GarcíaDivision of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
Paloma Almeda-ValdésDepartment of Endocrinology and Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Jaime Berumen-CamposExperimental Research Unit, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Pablo Kuri-MoralesInstituto Tecnológico y de Estudios Superiores de Monterrey, Monterrey, Mexico.
Roberto Tapia-ConyerExperimental Research Unit, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Jesus Alegre-Díaz *Experimental Research Unit, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico. inypcjad@gmail.com.
Jacqueline A Seiglie *Diabetes Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Neftali Eduardo Antonio-Villa *Department of Endocrinology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.
Omar Yaxmehen Bello-Chavolla *Division of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico. oyaxbell@yahoo.com.mx.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvidence from low- and middle-income countries regarding the effect of smoking in people with diabetes is lacking. Here, we report the association of smoking with mortality in a large cohort of Mexican adults with diabetes.

methodsParticipants with diabetes mellitus (self-reported diagnosis, use of antidiabetic medications or HbA1c ≥ 6.5%) aged 35-74 years when recruited into the Mexico City Prospective Study were included. Cox regression confounder-adjusted mortality rate ratios (RRs) associated with baseline smoking status were estimated.

resultsAmong 15,975 women and 8225 men aged 35-74 years with diabetes but no other comorbidities at recruitment, 2498 (16%) women and 2875 (35%) men reported former smoking and 2753 (17%) women, and 3796 (46%) men reported current smoking. During a median of 17 years of follow-up there were 5087 deaths at ages 35-74 years. Compared with never smoking, all-cause mortality RR was 1.08 (95%CI 1.01-1.17) for former smoking, 1.11 (95%CI 1.03-1.20) for current smoking, 1.09 (95%CI 0.99-1.20) for non-daily smoking, 1.06 (95%CI 0.96-1.16) for smoking < 10 cigarettes/day (median during follow-up 4 cigarettes/day), and 1.28 (95% CI 1.14-1.43) for smoking ≥ 10 cigarettes/day (median during follow-up 15 cigarettes/day). Mortality risk among daily smokers was greatest for COPD, lung cancer, cardiovascular diseases, and acute diabetic complications.

conclusionIn this cohort of Mexican adults with diabetes, low-intensity daily smoking was associated with increased mortality, despite observing smoking patterns which are different from other populations, and over 5% of total deaths were associated with smoking.

Indexed as

Cause of DeathDiabetes MellitusSmokingAdultAgedFemaleHumansMaleMexicoMiddle AgedProspective StudiesRisk FactorsDiabetesMexican populationMortalitySmoking

Identifiers

PMID39223469
PMCPMC11370065

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.