Evidence mapPaperPMID 36722454Full record

Observational studyEndocrinology, diabetes & metabolism2023

Two-year trends from the LANDMARC study: A 3-year, pan-India, prospective, longitudinal study on the management and real-world outcome in patients with type 2 diabetes mellitus.

Ashok K Das, Sanjay Kalra, Shashank Joshi, Ambrish Mithal, Prasanna Kumar K M, Ambika G Unnikrishnan, Hemant Thacker, Bipin Sethi, Subhankar Chowdhury, Amarnath Sugumaran and 9 more

Open access · goldFull text readObservational StudyMulticenter Study
In one paragraph

Observational study in Endocrinology, diabetes & metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 36% 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, 2 citations in OpenAlex.

  1. Observational
  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

19 authors at 12 institutions in 1 country.

Ashok K DasPondicherry Institute of Medical Sciences, Puducherry, India.ORCID 0000-0003-1770-1885
Sanjay KalraBharti Hospital, Karnal, India.ORCID 0000-0003-1308-121X
Shashank JoshiLilavati Hospital, Mumbai, India.
Ambrish MithalMedanta- The Medicity, Gurgaon, India.
Prasanna Kumar K MCentre for Diabetes and Endocrine Care, Bengaluru, India.
Ambika G UnnikrishnanChellaram Diabetes Institute, Pune, India.
Hemant ThackerBhatia Hospital, Mumbai, India.
Bipin SethiCare Hospital, Hyderabad, India.
Subhankar ChowdhuryIPGME and R and SSKM Hospital, Kolkata, India.
Amarnath SugumaranSanofi, Mumbai, India.ORCID 0000-0001-9207-5605
Senthilnathan MohanasundaramSanofi, Mumbai, India.ORCID 0000-0001-8615-6695
Shalini K MenonSanofi, Mumbai, India.
Vaibhav SalviSanofi, Mumbai, India.
Deepa ChodankarSanofi, Mumbai, India.
Saket ThakerSanofi, Mumbai, India.
Chirag TrivediSanofi, Mumbai, India.
Subhash K WangnooApollo Hospital Education and Research Foundation, New Delhi, India.
Abdul H ZargarCenter for Diabetes and Endocrine Care, Srinagar, India.
Nadeem RaisChowpatti Medical Centre, Mumbai, India.
Sanofi (India) · INDiabetes Care and Research Foundation · INBharti Hospital · INBhatia Hospital · INBombay Hospital · INCARE Hospitals · INChellaram Hospital · INIndraprastha Apollo Hospitals · INInstitute of Post Graduate Medical Education and Research · INLilavati Hospital & Research Centre · INMedanta The Medicity · INPondicherry Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere are limited data on the real-world management of diabetes in the Indian population. In this 2-year analysis of the LANDMARC study, the management of type 2 diabetes mellitus (T2DM) and related complications were assessed.

methodThis multicenter, observational, prospective study included adults aged ≥25 to ≤60 years diagnosed with T2DM (duration ≥2 years at enrollment) and controlled/uncontrolled on ≥2 anti-diabetic agents. This interim analysis at 2 years reports the status of glycaemic control, diabetic complications, cardiovascular (CV) risks and therapy, pan-India including metropolitan and non-metropolitan cities.

resultsOf the 6234 evaluable patients, 5318 patients completed 2 years in the study. Microvascular complications were observed in 17.6% of patients (1096/6234); macrovascular complications were observed in 3.1% of patients (195/6234). Higher number of microvascular complications were noted in patients from non-metropolitan than in metropolitan cities (p < .0001). In 2 years, an improvement of 0.6% from baseline (8.1%) in mean glycated haemoglobin (HbA1c) was noted; 20.8% of patients met optimum glycaemic control (HbA1c < 7%). Hypertension (2679/3438, 77.9%) and dyslipidaemia (1776/3438, 51.7%) were the predominant CV risk factors in 2 years. The number of patients taking oral anti-diabetic drugs in combination with insulin increased in 2 years (baseline: 1498/6234 [24.0%] vs. 2 years: 1917/5763 [33.3%]). While biguanides and sulfonylureas were the most commonly prescribed, there was an evident increase in the use of dipeptidyl peptidase-IV inhibitors (baseline: 3049/6234, 48.9% vs. 2 years: 3526/5763, 61.2%).

conclusionThis longitudinal study represents the control of T2DM, its management and development of complications in Indian population. CLINICAL TRIAL REGISTRATION NUMBER: CTRI/2017/05/008452.

Indexed as

Diabetes Mellitus, Type 2AdultGlycated HemoglobinHumansHypoglycemic AgentsLongitudinal StudiesProspective StudiesGlycated HemoglobinHypoglycemic Agentscardiovascular diseasesdiabetes complicationsdiabetic nephropathiesglycaemic control

Identifiers

PMID36722454
PMCPMC10000633
OpenAlexW4318755557

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read97
reference markers read2
identifiers read3
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.