Evidence map›Paper›PMID 40332561›Full record

SynthesisActa diabetologica2025

Association between nailfold capillaroscopic findings and diabetes: a systematic review and meta-analysis.

Wanling He, Mengjing Zhang, Runxin Mao, Chaoying Han, Lili Shi, Huiqun Wu

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Acta diabetologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Wanling He *Medical School, Nantong University, Nantong, China.
Mengjing Zhang *Medical School, Nantong University, Nantong, China.
Runxin Mao *Medical School, Nantong University, Nantong, China.
Chaoying Han *Medical School, Nantong University, Nantong, China.
Lili ShiMedical School, Nantong University, Nantong, China. lilishi8668@163.com.ORCID http://orcid.org/0000-0003-1852-0613
Huiqun WuMedical School, Nantong University, Nantong, China. wuhuiqun@ntu.edu.cn.

Funding

Jiangsu Students' Platform for innovation and entrepreneurship training program 202410304163EJiangsu Students' Platform for innovation and entrepreneurship training program 202410304169TKey Laboratory of Engineering Dielectrics and Its Application (Harbin University of Science and Technology), Ministry of Education 1311016Science and Technology Project of Nantong City MS2023050University-Industry Collaborative Education Program of the Ministry of Education 230700562265543
6 · The paper itself

Abstract

purposePeople with diabetes often experience abnormal microcirculation, which can lead to various complications. This study aimed to investigate the relevance of nailfold capillaroscopy-a non-invasive imaging modality-in characterizing microvascular alterations specific to diabetes mellitus (DM).

methodsPubMed, Web of Science, and Baidu Academic were searched for relavant studies that investigated the associations between nailfold microcirculation abnormalities and DM. The quality of included studies was assessed using the National Institutes of Health (NIH) Quality Assessment tool for Observational Cohort and Cross-Sectional Studies. Meta-analysis was conducted to assess the relationship of various nailfold capillaroscopic findings with DM, and subgroup analysis was used to explore heterogeneity.

resultsTen studies with 1,423 participants were included. The quality of two studies was rated as Good, one as Poor, and the other seven were rated as Normal. The pooled analysis revealed significant correlations between various nailfold capillaroscopic findings and DM, including tortuosity (odds ratio [OR] 8.33, 95% confidence interval [CI]: 2.31-30.04), abnormal morphology (OR 5.00, 95% CI 3.03-8.26), ectasia (OR 4.86, 95% CI 2.56-9.20), bushy capillaries (OR 29.09, 95% CI 5.90-143.55), hemorrhage (OR 5.33, 95% CI 2.31-12.34), avascular areas (OR 6.14, 95% CI 1.40-26.86), bizarre capillaries (OR 10.33, 95% CI 2.79-38.31), and meander capillaries (OR: 2.84, 95% CI 1.25-6.45). Subgroup analysis showed strong associations between nailfold capillaroscopic findings and type 2 diabetes mellitus (T2DM).

conclusionOur findings demonstrated that distinct nailfold capillary abnormalities aresignificantly correlated with DM, particularly T2DM. PROTOCOL REGISTRATION: Protocol registered in PROSPERO (registration number: CRD42024608214).

Indexed as

Diabetes MellitusDiabetes Mellitus, Type 2Microscopic AngioscopyNailsCapillariesCross-Sectional StudiesHumansMicrocirculationDiabetes mellitusNailfold capillaroscopyNailfold capillaryType 1 diabetes mellitusType 2 diabetes mellitus

Identifiers

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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.