PROTOCOL: New‐Onset Diabetes Mellitus Post COVID‐19 Infection: A Systematic Review and Meta‐Analysis
Bibliographic record
Abstract
Background: Emerging evidence suggests that coronavirus disease 2019 (COVID-19) infection may cause diabetes mellitus in patients without a prior history of the condition. Objective: This review aims to determine the incidence of new-onset diabetes mellitus in COVID-19 patients compared to individuals without COVID-19, including rates of diabetic ketoacidosis, hyperglycaemia, mortality, and intensive care unit admission. Subgroup analyses will investigate patients receiving corticosteroid therapy for COVID-19, patients admitted to hospital due to COVID-19, and the incidence of new-onset diabetes mellitus in relation to diabetes mellitus worldwide. The incidence of new-onset diabetes mellitus post-infection after a 6-12-month follow-up will also be reported. Methods: This protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) guidelines and is registered in PROSPERO (CRD42023457569). Eligible studies will include published and peer-reviewed cohort studies in English, after 1 December 2019. PubMed, Medline, Embase, and Scopus will be systematically searched. Included studies should compare new-onset diabetes mellitus incidence in COVID-19 patients against a control group without COVID-19. Two independent reviewers will extract data from included studies and assess risk of bias using the Newcastle-Ottawa quality assessment scale. A random-effects meta-analysis will compare the relative risk of new-onset diabetes mellitus post COVID-19 infection compared to non-infected individuals. Conclusion: The findings of this review will contribute to understanding the bidirectional relationship between COVID-19 and diabetes mellitus and inform clinical management strategies for patients at risk. Systematic Review Registration: PROSPERO CRD42023457569.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.022 | 0.316 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.069 | 0.014 |
| Bibliometrics | 0.001 | 0.006 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".