Evidence mapPaperPMID 38552312Full record

SynthesisRheumatology (Oxford, England)2024

Risk of diabetes mellitus in systemic lupus erythematosus: systematic review and meta-analysis.

Ivet Etchegaray-Morales, Claudia Mendoza-Pinto, Pamela Munguía-Realpozo, Juan Carlos Solis-Poblano, Socorro Méndez-Martínez, Jorge Ayón-Aguilar, Carlos Abud-Mendoza, Mario García-Carrasco, Ricard Cervera

Open access · greenAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Rheumatology (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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

9 authors at 4 institutions in 2 countries.

Ivet Etchegaray-MoralesDepartment of Rheumatology, Medicine School, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
Claudia Mendoza-PintoDepartment of Rheumatology, Medicine School, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
Pamela Munguía-RealpozoDepartment of Rheumatology, Medicine School, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
Juan Carlos Solis-PoblanoDepartment of Haematology, Specialties Hospital UMAE, Instituto Mexicano del Seguro Social, Puebla, Mexico.
Socorro Méndez-MartínezCoordination of Health Research, Instituto Mexicano del Seguro Social, Puebla, Mexico.
Jorge Ayón-AguilarCoordination of Health Research, Instituto Mexicano del Seguro Social, Puebla, Mexico.
Carlos Abud-MendozaDepartment of Rheumatology, Hospital Central Dr Ignacio Morones Prieto, San Luis Potosí, Mexico.
Mario García-CarrascoDepartment of Rheumatology, Medicine School, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
Ricard CerveraDepartment of Autoimmune Diseases, Reference Centre (UEC/CSUR) for Systemic Autoimmune Diseases of the Catalan and Spanish Health Systems, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0001-6085-492X
Mexican Social Security Institute · MXBenemérita Universidad Autónoma de Puebla · MXHospital Central Dr. Ignacio Morones Prieto · MXUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the risk of DM and evaluate the impact of SLE therapies on the risk of developing DM in patients with SLE.

methodsElectronic database searches of PubMed, Embase, Cochrane Library and Web of Science were performed from inception to February 2023. Cohort and cross-sectional studies that analysed the risk of DM in patients with SLE were included. The associations between diabetes and antirheumatic agents, such as antimalarials and glucocorticoids, were analysed in cohort studies. Data were pooled using fixed- or random-effects meta-analysis to estimate pooled odd ratios (OR), relative risks (RR) and 95% confidence intervals (CIs). This study was registered with PROSPERO (CRD42023402774).

resultsA total of 37 studies (23 cross-sectional and 14 cohort studies) involving 266 537 patients with SLE were included. The pooled analyses from cross-sectional studies and cohort studies did not show an increased risk of DM in SLE patients (OR = 1.05, 95% CI 0.87-1.27; P = 0.63 and RR = 1.32, 95% CI 0.93-1.87; P = 0.12, respectively). However, several cohort studies consistently demonstrated a reduced risk of diabetes with antimalarials, while glucocorticoid use has been associated with an increased risk of developing diabetes. Age, sex, hypertension and immunosuppressants have not been identified as risk factors for DM in SLE patients.

conclusionAlthough there was no increased risk of DM in patients with SLE compared with controls, HCQ users or adherents had a decreased risk, whereas glucocorticoid users had an increased risk.

Indexed as

AntimalarialsDiabetes MellitusGlucocorticoidsLupus Erythematosus, SystemicAntirheumatic AgentsCross-Sectional StudiesHumansRisk FactorsAntimalarialsAntirheumatic AgentsGlucocorticoidsdiabetes mellitusmeta-analysisrisk factorssystemic lupus erythematosus

Identifiers

PMID38552312
PMCPMC11292046
OpenAlexW4393302066

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.