Evidence map›Paper›PMID 41908907›Full record

ArticleFrontiers in clinical diabetes and healthcare2026

Cumulative burden of diabetes-related complications and health-related quality of life in primary care: a cross-sectional study from Mexico.

Ruben Silva-Tinoco, Lilia Castillo-Martínez, Ana Galindez-Fuentes, Alejandro Avalos-Bracho, Edward W Gregg, Teresa Cuatecontzi-Xochitiotzi, Christian Hinojosa-Segura, María Fernanda Bernal-Ceballos

Abstract read
In one paragraph

Article in Frontiers in clinical diabetes and healthcare, 2026. 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. 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

8 authors.

Ruben Silva-TinocoUnidad de Atención a la Salud, Servicios Públicos de Salud del Instituto Mexicano del Seguro Social para el Bienestar, Mexico City, Mexico.
Lilia Castillo-MartínezDepartment of Clinical Nutrition, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Ana Galindez-FuentesClínica Especializada en el Manejo de la Diabetes en la Ciudad de México, Servicios Públicos de Salud del Instituto Mexicano del Seguro Social para el Bienestar, Mexico City, Mexico.
Alejandro Avalos-BrachoUnidad de Atención a la Salud, Servicios Públicos de Salud del Instituto Mexicano del Seguro Social para el Bienestar, Mexico City, Mexico.
Edward W GreggRoyal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland.
Teresa Cuatecontzi-XochitiotziClínica Especializada en el Manejo de la Diabetes en la Ciudad de México, Servicios Públicos de Salud del Instituto Mexicano del Seguro Social para el Bienestar, Mexico City, Mexico.
Christian Hinojosa-SeguraClínica Especializada en el Manejo de la Diabetes en la Ciudad de México, Servicios Públicos de Salud del Instituto Mexicano del Seguro Social para el Bienestar, Mexico City, Mexico.
María Fernanda Bernal-CeballosUnidad de Atención a la Salud, Servicios Públicos de Salud del Instituto Mexicano del Seguro Social para el Bienestar, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Understanding the coexistence of diabetes-related complications and their impact on quality of life can help guide healthcare strategies. Aim: The purpose of this study was to assess the prevalence and coexistence of diabetes-related complications and their association with health-related quality of life (HRQoL) in patients with type 2 diabetes (T2D). Methods: We conducted a cross-sectional study of 1,703 patients with T2D receiving standard care in primary healthcare units in Mexico. Diabetes-related complications assessed included peripheral neuropathy, retinopathy, chronic kidney disease, cardiovascular disease, and amputation history. HRQoL was measured using the EuroQol 5-Dimension 5-Level questionnaire. Multivariable regression analyses were used to adjust for confounders and assess associations with HRQoL. Results: Complications were present in 70.5% of patients, predominantly peripheral neuropathy. The most affected HRQoL dimensions were pain/discomfort (53.8%) and anxiety/depression (53.4%), followed by mobility (34.2%), self-care (34%), and usual activities (24.2%). Multivariable analysis showed female sex was independently associated with a higher likelihoodof reporting problems across all dimensions. Having at least one complication was also associated with impairment, except for anxiety/depression, where risk increased with two or more complications. Hypertension and use of insulin were associated with a higher risk of problems in mobility, selfcare, and usual activities. Longer diabetes duration and use of insulin were risk factors for pain/discomfort, while higher body mass index was associated with anxiety/depression. Conclusion: Diabetes-related complications are highly prevalent and affect HRQoL domains in primary care, with a greater burden as complications accumulate.

Indexed as

diabetes-related complicationsEQ-5D-5Lhealth-related quality of lifeprimary caretype 2 diabetes

Identifiers

PMID41908907
PMCPMC13019879

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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.