Evidence map›Paper›PMID 34244538›Full record

Trial reportScientific reports2021

Serum urate and cardiovascular events in the DCCT/EDIC study.

Alicia J Jenkins, Barbara H Braffett, Arpita Basu, Ionut Bebu, Samuel Dagogo-Jack, Trevor J Orchard, Amisha Wallia, Maria F Lopes-Virella, W Timothy Garvey, John M Lachin and 2 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 31% 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.

NCT00360815 nacompletednot on this map

Diabetes Control and Complications Trial (DCCT)

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran1983 to 1993Enrolled1,441ConditionsType 1 Diabetes MellitusArmsInsulin
NCT00360893 active not recruitingnot on this map

Epidemiology of Diabetes Interventions and Complications (EDIC)

TypeobservationalSponsorGeorge Washington UniversityRan1994 to 2027Enrolled1,441ConditionsType 1 Diabetes Mellitus
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. 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

12 authors at 20 institutions in 3 countries.

Alicia J Jenkins *Division of Endocrinology, Clinical Sciences Building, Suite 822, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC, 29425, USA.
Barbara H Braffett *George Washington University Biostatistics Center, Rockville, MD, USA.
Arpita Basu *University of Nevada, Las Vegas, NV, USA.
Ionut BebuGeorge Washington University Biostatistics Center, Rockville, MD, USA.
Samuel Dagogo-JackUniversity of Tennessee Health Science Center, Memphis, TN, USA.
Trevor J OrchardUniversity of Pittsburgh, Pittsburgh, PA, USA.
Amisha WalliaNorthwestern University, Chicago, IL, USA.
Maria F Lopes-VirellaDivision of Endocrinology, Clinical Sciences Building, Suite 822, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC, 29425, USA.
W Timothy GarveyUniversity of Alabama at Birmingham, Birmingham VA Medical Center, Birmingham, AL, USA.
John M LachinGeorge Washington University Biostatistics Center, Rockville, MD, USA.
Timothy J LyonsDivision of Endocrinology, Clinical Sciences Building, Suite 822, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC, 29425, USA. lyonstj@musc.edu.
DCCT/EDIC Research Group
Boston University · USUniversity of Minnesota · USGeorge Washington University · USMedical University of South Carolina · USUniversity of Pittsburgh · USNorthwestern University · USWestern University · CAUniversity of Toronto · CAJoslin Diabetes Center · USCornell University · USUniversity of Iowa · USHenry Ford Health System · USUniversity of Maryland, Baltimore · USCase Western Reserve University · USUniversity of Wisconsin–Madison · USAlbert Einstein College of Medicine · USUniversity of New Mexico · USUniversity of South Florida · USMayo Clinic in Florida · USUniversity of Tennessee at Knoxville · US

Funding

Limited Competition for the Continuation of Epidemiology of Diabetes Interventions and Complications (EDIC) Study Clinical Research Center (Collaborative U01)U01DK094157 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI Ionut Bebu, Barbara Halina Braffett · 2011 to 2026
$97.6M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI GERALD I SHULMAN · 1993 to 2026
$44.0M
Epidemiology of Diabetes Interventions and Complications Data Coordinating CenterU01DK094176 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI BEBU, IONUT, BRAFFETT, BARBARA HALINA · 2012 to 2022
$30.8M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2013 to 2026
$19.5M
Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Garth R Swanson · 2020 to 2026
$8.8M
Lipoproteins and PEDF in the Vascular Complications of DiabetesR01DK080043 · NIDDK · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI LYONS, TIMOTHY J · 2009 to 2010
$1.4M
NIDDK NIH HHS P30 DK045735NIDDK NIH HHS P30 DK079626NIDDK NIH HHS P30 DK123704NIDDK NIH HHS R01 DK080043NIDDK NIH HHS U01 DK094157NIDDK NIH HHS U01 DK094176
6 · The paper itself

Abstract

In type 2 diabetes, hyperuricemia is associated with cardiovascular disease (CVD) and the metabolic syndrome (MetS), but associations in type 1 diabetes (T1D) have not been well-defined. This study examined the relationships between serum urate (SU) concentrations, clinical and biochemical factors, and subsequent cardiovascular events in a well-characterized cohort of adults with T1D. In 973 participants with T1D in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Study (DCCT/EDIC), associations were defined between SU, measured once in blood collected 1997-2000, and (a) concurrent MetS and (b) incident 'any CVD' and major adverse cardiovascular events (MACE) through 2013. SU was higher in men than women [mean (SD): 4.47 (0.99) vs. 3.39 (0.97) mg/dl, respectively, p < 0.0001], and was associated with MetS features in both (men: p = 0.0016; women: p < 0.0001). During follow-up, 110 participants (11%) experienced "any CVD", and 53 (5%) a MACE. Analyzed by quartiles, SU was not associated with subsequent CVD or MACE. In women, SU as a continuous variable was associated with MACE (unadjusted HR: 1.52; 95% CI 1.07-2.16; p = 0.0211) even after adjustment for age and HbA1c (HR: 1.47; 95% CI 1.01-2.14; p = 0.0467). Predominantly normal range serum urate concentrations in T1D were higher in men than women and were associated with features of the MetS. In some analyses of women only, SU was associated with subsequent MACE. Routine measurement of SU to assess cardiovascular risk in T1D is not merited.Trial registration clinicaltrials.gov NCT00360815 and NCT00360893.

Indexed as

AdultCardiovascular DiseasesDiabetes Mellitus, Type 1FemaleHeart Disease Risk FactorsHumansMaleMetabolic SyndromeMiddle AgedUric AcidUric Acid

Identifiers

PMID34244538
PMCPMC8271014
OpenAlexW3181879960

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.