Evidence map›Paper›PMID 42097597›Full record

ArticleJournal of diabetes investigation2026

Improved prognosis prediction of all-cause mortality and cardiovascular events by combined assessment of both ankle-brachial index and brachial-ankle pulse wave velocity in individuals with diabetes: The Kyushu prevention study for atherosclerosis, a prospective, multicenter survey.

Erina Eto, Yasutaka Maeda, Noriyuki Sonoda, Hajime Nawata, Ryoichi Takayanagi, Michio Shimabukuro, Toyoshi Inoguchi

Abstract readMulticenter Study
In one paragraph

Article in Journal of diabetes investigation, 2026. 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

7 authors.

Erina EtoDepartment of Internal Medicine and Bioregulatory Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.ORCID https://orcid.org/0000-0001-7060-8626
Yasutaka MaedaDepartment of Internal Medicine and Bioregulatory Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-3259-5622
Noriyuki SonodaDepartment of Internal Medicine and Bioregulatory Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
Hajime NawataDepartment of Internal Medicine and Bioregulatory Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
Ryoichi TakayanagiDepartment of Internal Medicine and Bioregulatory Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
Michio ShimabukuroSecond Department of Internal Medicine, Faculty of Medicine, University of the Ryukyu, Nishihara, Japan.ORCID https://orcid.org/0000-0001-7835-7665
Toyoshi InoguchiInnovation Center for Medical Redox Navigation, Kyushu University, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-7344-6199

Funding

Japan Arteriosclerosis Prevention Fund
6 · The paper itself

Abstract

AIMS/

introductionPeople with diabetes exhibit early-stage cardiovascular disease (CVD). In this study, we developed a new diagnostic algorithm to predict all-cause mortality and CVD using both the ankle-brachial index (ABI) and brachial-ankle pulse wave velocity (baPWV) in individuals with diabetes. MATERIALS AND

methodsThis study utilized data from the Kyushu Prevention Study for Atherosclerosis, a prospective, multicenter survey. A total of 3,933 participants with diabetes were followed. The primary outcomes were all-cause mortality and CVD. Risk was categorized based on ABI and baPWV, and the prognostic differences were evaluated. Additionally, the independence of this classification from the Framingham Risk Score (FRS) was tested.

resultsABI was the strongest predictor of all-cause mortality. Individuals with a low ABI (<0.70) had the highest risk, while those with an intermediate ABI (0.70-1.0) exhibited a risk similar to individuals with the extremely high baPWV (≥24 m/s), forming the second highest-risk group. For coronary heart disease, ABI and baPWV had complementary predictive value. Individuals with a low ABI (<1.0) or high baPWV (≥19 m/s) were at the highest risk, whereas those with a low baPWV (<14 m/s) had the lowest risk. For cerebrovascular disease, only baPWV was a significant predictor, with risk cutoffs above 23 m/s and below 14 m/s.

conclusionsWe developed a new diagnostic algorithm incorporating both ABI and baPWV to predict all-cause mortality and CVD in individuals with diabetes. This algorithm improved the accuracy of mortality and CVD risk assessment and was independent from the FRS.

Indexed as

Ankle Brachial IndexAtherosclerosisCardiovascular DiseasesDiabetes MellitusPulse Wave AnalysisAgedAlgorithmsFemaleFollow-Up StudiesHumansJapanMaleMiddle AgedPrognosisProspective StudiesRisk FactorsAnkle‐Brachial IndexMortalityPulse wave analysis

Identifiers

PMID42097597
PMCPMC13327309

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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.