Evidence map›Paper›PMID 36700969›Full record

SynthesisDiabetologia2023

Do sex differences in paediatric type 1 diabetes care exist? A systematic review.

Silvia A G de Vries, Carianne L Verheugt, Dick Mul, Max Nieuwdorp, Theo C J Sas

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Diabetologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  14. Diabetes and women's health.Journal of diabetes investigation · 2025
    Review
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  20. Observational
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

5 authors at 2 institutions in 1 country.

Silvia A G de VriesDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, the Netherlands. a.devries2@amsterdamumc.nl.ORCID 0000-0002-2415-1239
Carianne L VerheugtDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, the Netherlands.ORCID 0000-0001-9406-9057
Dick MulDiabeter, Center for Paediatric and Adult Diabetes Care and Research, Rotterdam, the Netherlands.ORCID 0000-0001-8095-9155
Max NieuwdorpDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, the Netherlands.ORCID 0000-0002-1926-7659
Theo C J SasDiabeter, Center for Paediatric and Adult Diabetes Care and Research, Rotterdam, the Netherlands.ORCID 0000-0002-8727-1385
Amsterdam University Medical Centers · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisSex differences are present in cardiovascular care and in outcomes among adults with type 1 diabetes mellitus, which typically commences in childhood. Whether sex influences care and outcomes in childhood is not known. This systematic review provides an overview of sex differences in children with type 1 diabetes, focusing on patient and disease characteristics, treatment, comorbidities and complications.

methodsLiterature in MEDLINE up to 15 June 2021 was searched, using the terms diabetes mellitus, sex characteristics, sex distribution, children and/or adolescents. All primary outcome studies on children with type 1 diabetes that mentioned a sex difference in outcome were included, with the exception of qualitative studies, case reports or case series. Studies not pertaining to the regular clinical care process and on incidence or prevalence only were excluded. Articles reporting sex differences were identified and assessed on quality and risk of bias using Joanna Briggs Institute critical appraisal tools. Narrative synthesis and an adapted Harvest plot were used to summarise evidence by category.

resultsA total of 8640 articles were identified, rendering 90 studies for review (n=643,217 individuals). Studies were of observational design and comprised cohort, cross-sectional and case-control studies. Most of the included studies showed a higher HbA CONCLUSIONS/

interpretationSex disparities were observed throughout diabetes care in children with type 1 diabetes. Several outcomes appear worse in young female children, especially during adolescence. Focus on the cause and treatment of these differences may provide opportunities for better outcomes. REGISTRATION: This systematic review is registered in PROSPERO (CRD42020213640).

Indexed as

Diabetes Mellitus, Type 1AdolescentAdultChildCross-Sectional StudiesFemaleHumansInsulinMaleQuality of LifeSex CharacteristicsInsulinChildDiabetes mellitusNarrative synthesisSex differencesSystematic reviewType 1 diabetes

Identifiers

PMID36700969
PMCPMC9947056
OpenAlexW4318050015

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.