Evidence map›Paper›PMID 37627106›Full record

ArticleCancers2023

Elevated Glycated Haemoglobin (HbA1c) Is Associated with an Increased Risk of Pancreatic Ductal Adenocarcinoma: A UK Biobank Cohort Study.

Declan McDonnell, Adrian W E Cheang, Sam Wilding, Sarah H Wild, Adam E Frampton, Christopher D Byrne, Zaed Z Hamady

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. 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

7 authors at 3 institutions in 1 country.

Declan McDonnellHuman Development & Health, University of Southampton, University Hospital, Southampton SO16 6YD, UK.ORCID 0000-0001-9088-9875
Adrian W E CheangHuman Development & Health, University of Southampton, University Hospital, Southampton SO16 6YD, UK.
Sam WildingHuman Development & Health, University of Southampton, University Hospital, Southampton SO16 6YD, UK.
Sarah H WildUsher Institute, University of Edinburgh, Edinburgh EH8 9YL, UK.ORCID 0000-0001-7824-2569
Adam E FramptonSection of Oncology, University of Surrey, Guildford GU2 7XH, UK.ORCID 0000-0002-1392-2755
Christopher D ByrneHuman Development & Health, University of Southampton, University Hospital, Southampton SO16 6YD, UK.ORCID 0000-0001-6322-7753
Zaed Z HamadyHuman Development & Health, University of Southampton, University Hospital, Southampton SO16 6YD, UK.
University Hospital Southampton NHS Foundation Trust · GBUniversity of Edinburgh · GBUniversity of Surrey · GB

Funding

NIHR Southampton Biomedical Research Centre IS-BRC-20004
6 · The paper itself

Abstract

backgroundThe role of dysglycaemia as a risk marker for Pancreatic Ductal Adenocarcinoma (PDAC) is uncertain. We investigated the relationship between glycated haemoglobin (HbA1c) and incident PDAC using a retrospective cohort study within the UK Biobank.

methodsA study involving 499,804 participants from the UK Biobank study was undertaken. Participants were stratified by diabetes mellitus (DM) status, and then by HbA1c values < 42 mmol/mol, 42-47 mmol/mol, or ≥48 mmol/mol. Cox proportional hazard models were used to describe the association between HbA1c category (with time-varying interactions) and incident PDAC.

resultsPDAC occurred in 1157 participants during 11.6 (10.9-12.3) years follow up [(median (interquartile range)]. In subjects without known DM at baseline, 12 months after recruitment, the adjusted hazard ratios (aHR, 95% CI) for incident PDAC for HbA1c 42-47 mmol/mol compared to HbA1c < 42 mmol/mol (reference group) was 2.10 (1.31-3.37,

conclusionsDysglycaemia detected by elevated HbA1c is associated with an increased risk of PDAC. The strength of the association between elevated HbA1c and incident PDAC is inversely proportional to the time from detecting dysglycaemia but remains significant for at least 60 months following HbA1c testing.

Indexed as

adenocarcinomadiabetesHbA1cNODMpancreaticPDACT3cDM

Identifiers

PMID37627106
PMCPMC10452109
OpenAlexW4385811740

What Socratic holds

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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.