Evidence map›Paper›PMID 29923859›Full record

ArticleCornea2018

Central Corneal Thickness Increase Due to Stromal Thickening With Diabetic Peripheral Neuropathy Severity.

Navasuja Kumar, Rodica Pop-Busui, David C Musch, David M Reed, Anna C Momont, Munira Hussain, Nilesh Raval, Sayoko E Moroi, Roni Shtein

Abstract read
In one paragraph

Article in Cornea, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Corneal Epithelial Changes in Diabetic Patients: A Review.International journal of molecular sciences · 2024
    Review
  4. Article
  5. Article
  6. Systemic Associations with Keratoconus.Life (Basel, Switzerland) · 2023
    Review
  7. Article
  8. Repeatability of a new swept-source optical coherence tomographer and agreement with other three optical biometers.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  9. Article
  10. Review
  11. Review
  12. Corneal alteration and pathogenesis in diabetes mellitus.International journal of ophthalmology · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Navasuja KumarDepartment of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, MI.
Rodica Pop-BusuiDepartment of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, University of Michigan Medical School, Ann Arbor, MI.
David C MuschDepartment of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, MI.
David M ReedDepartment of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, MI.
Anna C MomontDepartment of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, MI.
Munira HussainDepartment of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, MI.
Nilesh RavalWayne State University School of Medicine, Wayne State University School of Medicine, Detroit, MI.
Sayoko E MoroiDepartment of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, MI.
Roni ShteinDepartment of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, MI.
University of Michigan–Ann Arbor · US

Funding

PERL: A multicenter clinical trial of allopurinol to prevent GFR loss in T1DUC4DK101108 · NIDDK · JOSLIN DIABETES CENTER · PI DORIA, ALESSANDRO, MAUER, S. MICHAEL · 2013 to 2018
$31.6M
PUBLIC HEALTH DEMONSTRATIONP60DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MYERS, MARTIN G · 1985 to 2012
$26.5M
Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID P OLSON · 2013 to 2026
$24.3M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Targeting Inflammation with Salsalate as a Novel Therapy for Diabetic NeuropathyR01DK107956 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BUSUI (POP-BUSUI), RODICA, FELDMAN, EVA LUCILLE · 2016 to 2020
$3.0M
Cardiac Autonomic Neuropathy and Myocardial Dysfunction in Type 1 DiabetesR01HL102334 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BUSUI (POP-BUSUI), RODICA · 2010 to 2014
$2.3M
NHLBI NIH HHS R01 HL102334NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK092926NIDDK NIH HHS P60 DK020572NIDDK NIH HHS R01 DK107956NIDDK NIH HHS UC4 DK101108
6 · The paper itself

Abstract

purposeTo investigate the relationship between central corneal thickness (CCT) and diabetes disease severity among patients with diabetic peripheral neuropathy (DPN) compared with controls.

methodsIn this cross-sectional study, 34 participants were examined. DPN status was assessed by clinical examination, nerve conduction studies, and quantitative sensory testing. All participants underwent comprehensive eye examination that included intraocular pressure measured by Goldmann applanation tonometry. CCT was measured by ultrasound pachymetry, and the thickness of corneal layers was assessed by corneal confocal microscopy. Association of CCT and DPN was examined using ANOVA.

resultsAmong the 34 participants, there were 9 controls, 16 patients with mild DPN, and 9 patients with severe DPN. CCT was significantly increased in the DPN groups compared with controls (P = 0.0003). Mean CCT among controls was 552.7 ± 29.2 μm compared with 583.4 ± 25.0 μm in the mild DPN group and 613.3 ± 28.8 μm in the severe DPN group. In addition, stromal thickness differed significantly between the 3 study groups (P = 0.045). Mean stromal thickness among controls was 439.5 ± 23.5 μm compared with 478.9 ± 37.5 μm in the mild DPN group and 494.5 ± 39.1 μm in the severe DPN group.

conclusionsThis study demonstrates that CCT increases with DPN severity because of an increase in stromal thickness. CCT increase associated with DPN has important clinical implications including glaucoma progression, keratoconus susceptibility, and intraocular pressure assessment and should be accounted for when evaluating patients with diabetes.

Indexed as

AdultBlood GlucoseCorneaCorneal DiseasesCorneal PachymetryCorneal StromaCross-Sectional StudiesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic NeuropathiesFemaleGlycated HemoglobinHumansIntraocular PressureMaleMicroscopy, ConfocalBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID29923859
PMCPMC6081252
OpenAlexW2809358640

What Socratic holds

Textmetadata
LicenceTDM
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.