Evidence mapPaperPMID 37865393Full record

ArticleBMJ open diabetes research & care2023

Association of prognostic nutritional index with the risk of all-cause mortality and cardiovascular mortality in patients with type 2 diabetes: NHANES 1999-2018.

Yachan Ning, Dikang Pan, Julong Guo, Zhixiang Su, Jingyu Wang, Sensen Wu, Yongquan Gu

Abstract read
In one paragraph

Article in BMJ open diabetes research & care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
field-weighted citation impact
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

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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

23 citing papers in PubMed.

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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.

Yachan Ning *Department of Intensive Care Medicine, Xuanwu Hospital, Beijing, China.
Dikang Pan *Vascular Department, Xuanwu Hospital, Capital Medical University, Beijing, China.
Julong GuoVascular Department, Xuanwu Hospital, Capital Medical University, Beijing, China.
Zhixiang SuVascular Department, Xuanwu Hospital, Capital Medical University, Beijing, China.
Jingyu WangRenal Division, Peking University First Hospital, Beijing, China.
Sensen WuVascular Department, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yongquan GuVascular Department, Xuanwu Hospital, Capital Medical University, Beijing, China gu15901598209@aliyun.com.ORCID 0000-0002-2869-9736

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is little bulk clinical evidence on nutritional status and mortality in patients with diabetes. The purpose of this study was to examine the relationship between prognostic nutritional index (PNI) and all-cause mortality and cardiovascular mortality in adults with diabetes. RESEARCH DESIGN AND

methodsThis study included 5916 adult patients with diabetes from the National Health and Nutrition Examination Survey 1999-2018. Cox proportional risk models were used to estimate risk ratios (HRs) and 95% CIs for all-cause mortality, cardiovascular disease (CVD) mortality.

resultsDuring a mean follow-up of 8.17 years, there were 1248 deaths from all causes and 370 deaths from CVD. After multivariate adjustment, the risk of all-cause mortality was reduced by 24%, 38%, and 28% in Q2 (49.0-52.99), Q3 (53.0-57.99), and Q4 (≥58.0), respectively, compared with Q1 (PNI<49.0). The risk of cardiovascular mortality was reduced by 30%, 27%, and 26%, respectively. Consistent results were observed in the subgroup analysis.

conclusionsLower serum PNI levels were significantly associated with higher all-cause and CVD mortality. These findings suggest that maintaining an appropriate range of serum PNI status may reduce the risk of death in patients with diabetes.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2AdultHumansNutrition AssessmentNutrition SurveysPrognosisDiabetes Mellitus, Type 2MalnutritionMortality

Identifiers

PMID37865393
PMCPMC10603407

What Socratic holds

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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.