Evidence map›Paper›PMID 36443963›Full record

ArticleJournal of diabetes2022

Type 1 diabetes mellitus and SARS-CoV-2 in pediatric and adult patients - Data from the DPV network.

Bastian Raphael Büttner, Sascha René Tittel, Clemens Kamrath, Beate Karges, Katharina Köstner, Andreas Melmer, Elke Müller-Roßberg, Friederike Richter, Tilman R Rohrer, Reinhard W Holl

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 48% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  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

10 authors at 8 institutions in 2 countries.

Bastian Raphael BüttnerDepartment of Pediatrics, Saarland University Medical Center, Homburg, Saar, Germany.
Sascha René TittelInstitute for Epidemiology and Medical Biometry, Zentralinstitut für Biomedizinische Technik (ZIBMT), Ulm University, Ulm, Germany.ORCID https://orcid.org/0000-0001-7913-6135
Clemens KamrathCenter of Child and Adolescent Medicine, Justus Liebig University, Giessen, Germany.ORCID https://orcid.org/0000-0002-8241-4105
Beate KargesDivision of Endocrinology and Diabetes, Medical Faculty, RWTH Aachen University, Aachen, Germany.ORCID https://orcid.org/0000-0002-3757-2868
Katharina KöstnerGerman Center for Pediatric and Adolescent Rheumatology, Garmisch-Partenkirchen, Germany.
Andreas MelmerDepartment of Diabetes, Endocrinology, Clinical Nutrition and Metabolism, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0001-8085-8768
Elke Müller-RoßbergDepartment of Pediatric Endocrinology and Diabetes, Children's Hospital, Esslingen, Germany.
Friederike RichterDepartment of Pediatrics, Garmisch-Partenkirchen Medical Center, Garmisch-Partenkirchen, Germany.
Tilman R RohrerDepartment of Pediatrics, Saarland University Medical Center, Homburg, Saar, Germany.ORCID https://orcid.org/0000-0001-9516-7863
Reinhard W HollInstitute for Epidemiology and Medical Biometry, Zentralinstitut für Biomedizinische Technik (ZIBMT), Ulm University, Ulm, Germany.ORCID https://orcid.org/0000-0003-1395-4842
Institut für Medizinische Informatik, Biometrie und Epidemiologie · DESaarland University · DEGarmisch-Partenkirchen Medical Center · DEGerman Center for Pediatric and Adolescent Rheumatology · DEJustus-Liebig-Universität Gießen · DEKlinikum Esslingen · DERWTH Aachen University · DEUniversity of Bern · CH

Funding

Bundesministerium für Bildung und Forschung 82DZD14A02Ulm University
6 · The paper itself

Abstract

backgroundData on patients with type 1 diabetes mellitus (T1DM) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections are sparse. This study aimed to investigate the association between SARS-CoV-2 infection and T1DM.

methodsData from the Prospective Diabetes Follow-up (DPV) Registry were analyzed for diabetes patients tested for SARS-CoV-2 by polymerase chain reaction (PCR) in Germany, Austria, Switzerland, and Luxembourg during January 2020-June 2021, using Wilcoxon rank-sum and chi-square tests for continuous and dichotomous variables, adjusted for multiple testing.

resultsData analysis of 1855 pediatric T1DM patients revealed no differences between asymptomatic/symptomatic infected and SARS-CoV-2 negative/positive patients regarding age, new-onset diabetes, diabetes duration, and body mass index. Glycated hemoglobin A1c (HbA1c) and diabetic ketoacidosis (DKA) rate were not elevated in SARS-CoV-2-positive vs. -negative patients. The COVID-19 manifestation index was 37.5% in individuals with known T1DM, but 57.1% in individuals with new-onset diabetes. 68.8% of positively tested patients were managed as outpatients/telemedically. Data analysis of 240 adult T1MD patients revealed no differences between positively and negatively tested patients except lower HbA1c. Of these patients, 83.3% had symptomatic infections; 35.7% of positively tested patients were hospitalized.

conclusionsOur results indicate low morbidity in SARS-CoV-2-infected pediatric T1DM patients. Most patients with known T1DM and SARS-CoV-2 infections could be managed as outpatients. However, SARS-CoV-2 infection was usually symptomatic if it coincided with new-onset diabetes. In adult patients, symptomatic SARS-CoV-2 infection and hospitalization were associated with age.

Indexed as

COVID-19Diabetes Mellitus, Type 1Diabetic KetoacidosisAdultChildGlycated HemoglobinHumansProspective StudiesSARS-CoV-2Glycated Hemoglobin1型糖尿病COVID-19diabetic ketoacidosisDPV databaseSARS-CoV-2type 1 diabetes mellitus严重急性呼吸综合征冠状病毒2型前瞻性糖尿病随访数据新冠肺炎糖尿病酮症酸中毒

Identifiers

PMID36443963
PMCPMC9705805
OpenAlexW4310209527

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.