Evidence mapPaperPMID 27200379Full record

Observational studyJournal of diabetes research2016

Lower Hemoglobin Concentration Is Associated with Retinal Ischemia and the Severity of Diabetic Retinopathy in Type 2 Diabetes.

Alicia Traveset, Esther Rubinat, Emilio Ortega, Nuria Alcubierre, Beatriz Vazquez, Marta Hernández, Carmen Jurjo, Ramon Espinet, Juan Antonio Ezpeleta, Didac Mauricio

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of diabetes research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.0field-weighted citation impact, top 10% of its field
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

33 citing papers in PubMed, 51 citations in OpenAlex.

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  19. Can the level of HbABMC ophthalmology · 2022
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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

10 authors at 4 institutions in 1 country.

Alicia TravesetDepartment of Ophthalmology, University Hospital Arnau de Vilanova, 25198 Lleida, Spain.
Esther RubinatDepartment of Endocrinology and Nutrition, University Hospital Arnau de Vilanova, 25198 Lleida, Spain; Institut de Recerca Biomedica de Lleida, University of Lleida, 25198 Lleida, Spain.
Emilio OrtegaDepartment of Endocrinology and Nutrition, Institut d'Investigacions Biomediques August Pi Suñer, CIBER de Obesidad y Nutrición, Hospital Clinic, 08036 Barcelona, Spain.
Nuria AlcubierreInstitut de Recerca Biomedica de Lleida, University of Lleida, 25198 Lleida, Spain.
Beatriz VazquezDepartment of Optometry, University Hospital Arnau de Vilanova, 25198 Lleida, Spain.
Marta HernándezDepartment of Endocrinology and Nutrition, University Hospital Arnau de Vilanova, 25198 Lleida, Spain.
Carmen JurjoDepartment of Ophthalmology, University Hospital Arnau de Vilanova, 25198 Lleida, Spain.
Ramon EspinetDepartment of Ophthalmology, University Hospital Arnau de Vilanova, 25198 Lleida, Spain.
Juan Antonio EzpeletaDepartment of Ophthalmology, University Hospital Arnau de Vilanova, 25198 Lleida, Spain.
Didac MauricioDepartment of Endocrinology and Nutrition, CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Health Sciences Research Institute and University Hospital Germans Trias i Pujol, 08916 Badalona, Spain.
Hospital Universitari Arnau de Vilanova · ESUniversitat de Lleida · ESCentro de Investigación Biomédica en Red · ESCentro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims. To assess the association of blood oxygen-transport capacity variables with the prevalence of diabetic retinopathy (DR), retinal ischemia, and macular oedema in patients with type 2 diabetes mellitus (T2DM). Methods. Cross-sectional, case-control study (N = 312) with T2DM: 153 individuals with DR and 159 individuals with no DR. Participants were classified according to the severity of DR and the presence of retinal ischemia or macular oedema. Hematological variables were collected by standardized methods. Three logistic models were adjusted to ascertain the association between hematologic variables with the severity of DR and the presence of retinal ischemia or macular oedema. Results. Individuals with severe DR showed significantly lower hemoglobin, hematocrit, and erythrocyte levels compared with those with mild disease and in individuals with retinal ischemia and macular oedema compared with those without these disorders. Hemoglobin was the only factor that showed a significant inverse association with the severity of DR [beta-coefficient = -0.52, P value = 0.003] and retinal ischemia [beta-coefficient = -0.49, P value = 0.001]. Lower erythrocyte level showed a marginally significant association with macular oedema [beta-coefficient = -0.86, P value = 0.055]. Conclusions. In patients with DR, low blood oxygen-transport capacity was associated with more severe DR and the presence of retinal ischemia. Low hemoglobin levels may have a key role in the development and progression of DR.

Indexed as

Retinal VesselsAdultAgedAnemiaCase-Control StudiesCross-Sectional StudiesDiabetes Mellitus, Type 2Diabetic RetinopathyErythrocyte CountFemaleHematocritHemoglobinsHumansIschemiaMacular EdemaMaleHemoglobins

Identifiers

PMID27200379
PMCPMC4855016
OpenAlexW2337137281

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.