Evidence map›Paper›PMID 40731305›Full record

ReviewEndocrinology, diabetes & metabolism2025

Disparities in Peripheral Circulatory Complication-Related Mortality in Type 2 Diabetes Mellitus Patients: A CDC Analysis (1999-2020).

Iqra Shahid, Hadia Ahmad, Saad Ashraf, Qasim Mehmood, Azka Ijaz, Suraksha Rani, Sara Sohail, Shameer Iqbal Ghuman, Mahnoor Fatima, Minaam Farooq and 3 more

Abstract readReview
In one paragraph

Review in Endocrinology, diabetes & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Iqra ShahidKing Edward Medical University, Lahore, Pakistan.ORCID https://orcid.org/0009-0009-7188-1312
Hadia AhmadKing Edward Medical University, Lahore, Pakistan.
Saad AshrafDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-2125-7043
Qasim MehmoodKing Edward Medical University, Lahore, Pakistan.ORCID https://orcid.org/0000-0002-9274-7421
Azka IjazKing Edward Medical University, Lahore, Pakistan.
Suraksha RaniDepartment of Medicine, Sir Syed College of Medical Sciences for Girls, Karachi, Pakistan.
Sara SohailKing Edward Medical University, Lahore, Pakistan.
Shameer Iqbal GhumanKing Edward Medical University, Lahore, Pakistan.
Mahnoor FatimaKing Edward Medical University, Lahore, Pakistan.
Minaam FarooqKing Edward Medical University, Lahore, Pakistan.ORCID https://orcid.org/0000-0003-0136-4239
Hafsa ShahidDepartment of Medicine, Brigham and Women's Health Hospital, HIM, USA.
Minhal ChaudhryKing Edward Medical University, Lahore, Pakistan.ORCID https://orcid.org/0009-0009-4262-7032
Aayush ChaulagainDepartment of Medicine, Patan Academy of Health Sciences, Lalitpur, Nepal.ORCID https://orcid.org/0009-0002-4302-1277

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeripheral circulatory complication (PCC), a significant complication of type 2 diabetes mellitus (T2DM), poses a considerable mortality burden in the United States. This study aimed to analyse demographic and geographic disparities in PCC-related mortality in T2DM patients from 1999 to 2020.

methodsUtilising the CDC WONDER database, we utilised death certificates to identify PCC-related deaths using ICD-10 Code E11.5 and calculated age-adjusted mortality rates (AAMRs) per 1,000,000 individuals. Joinpoint regression analysis was used to assess annual percent changes (APCs) in mortality rates.

resultsPCC caused 81,793 deaths. The AAMR increased from 1999 to 2004 (APC: 5.88, 95% CI: 2.44 to 12.70), followed by a decrease from 2004 to 2014 (APC: -3.70, 95% CI: -5.83 to -2.45), and an increase again until 2020 (APC: 8.34, 95% CI: 6.05 to 11.50). Males consistently exhibited higher mortality rates (AAMR: 11.08, 95% CI: 11.00 to 11.6) than females (AAMR: 8.34, 95% CI: 8.26 to 8.43). Racial/ethnic disparities were evident, with American Indian or Alaskan natives showing the highest AAMR (19.76) compared to Asian or Pacific Islanders (6.11). Geographic disparities were observed, with the Midwest region (AAMR: 12.86) and West Virginia (AAMR: 18.52) exhibiting significantly higher mortality rates.

conclusionMortality trends associated with PCC in T2DM patients have shown complex trajectories, with notable disparities across demographic and geographic lines. Further research is needed to comprehensively understand the dynamics of PCC and its implications for public health.

Indexed as

Diabetes Mellitus, Type 2Diabetic AngiopathiesHealth Status DisparitiesAdultAgedAged, 80 and overCenters for Disease Control and Prevention, U.S.FemaleHumansMaleMiddle AgedUnited StatesCDC WONDERdisparitiesmortalityperipheral circulatory complicationstype 2 diabetes mellitus

Identifiers

PMID40731305
PMCPMC12307238

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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.