Evidence map›Paper›PMID 39687000›Full record

SynthesisPeerJ2024

The association between fibroblast growth factor 21 with diabetes retinopathy among type 2 diabetes mellitus patients: a systematic review, meta-analysis, and meta-regression.

Herni Basir, Annisa Salsabilla Dwi Nugrahani, Andi Makbul Aman, Syakib Bakri, Haerani Rasyid, Husaini Umar, Faridin H P, Andi Muhammad Ichsan, Andi Alfian Zainuddin

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PeerJ, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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.

Herni BasirEndocrinology and Metabolism Division, Department of Internal Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Annisa Salsabilla Dwi NugrahaniFaculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia.ORCID 0000-0002-5450-4568
Andi Makbul AmanEndocrinology and Metabolism Division, Department of Internal Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Syakib BakriDepartment of Internal Medicine, Faculty of Medicine Hasanuddin University, Makassar, Indonesia.
Haerani RasyidDepartment of Internal Medicine, Faculty of Medicine Hasanuddin University, Makassar, Indonesia.
Husaini UmarEndocrinology and Metabolism Division, Department of Internal Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Faridin H PDepartment of Internal Medicine, Faculty of Medicine Hasanuddin University, Makassar, Indonesia.
Andi Muhammad IchsanDepartment of Ophthalmology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Andi Alfian ZainuddinDepartment of Public Health, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic retinopathy (DR), a leading cause of vision loss worldwide, is a common complication of type 2 diabetes mellitus (T2DM) driven by chronic hyperglycemia and microvascular damage. Fibroblast growth factor 21 (FGF21) is crucial in blood sugar regulation and has been linked to DR incidence and severity. While some studies suggest that FGF21 levels may contribute to the DR incidence, others propose a protective role. This discrepancy necessitates further analysis, prompting this study to evaluate the association between FGF21 levels and DR incidence and severity in T2DM patients. Methods: A systematic search was conducted through MEDLINE, Web of Science, Scopus, and Embase up to May 2024 for studies evaluating the association between FGF21 and DR incidence and severity. A random-effect model meta-analysis was performed to calculate the pooled standardized mean difference (SMD) and 95% confidence intervals (CI). A univariate meta-regression was performed to analyze factors influencing pooled size estimates. All statistical analyses were performed using STATA 17 software. Result: This systematic review and meta-analysis of 5,852 participants revealed that FGF21 was positively correlated with DR (SMD 3.11; 95% CI [0.92-5.30], Conclusion: A higher level of FGF21 was associated with higher DR and STDR incidence among T2DM patients, highlighting its potential utilization as a biomarker for DR detection and enabling the exploration of FGF21-based treatment strategies. However, variables independently predicting DR among patients with elevated FGF21 levels shall be explored further. PROSPERO ID: CRD42024559142.

Indexed as

Diabetes Mellitus, Type 2Diabetic RetinopathyFibroblast Growth FactorsBiomarkersHumansIncidenceBiomarkersFGF21 protein, humanfibroblast growth factor 21Fibroblast Growth FactorsDiabetic retinopathyFibroblast growth factorMeta-analysisMeta-regressionType 2 diabetes mellitus

Identifiers

PMID39687000
PMCPMC11648683

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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.