Evidence map›Paper›PMID 10954934›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2000

A survey of diabetes care in general practice in England and Wales.

M Pierce, G Agarwal, D Ridout

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

16 citing papers in PubMed.

  1. A cluster randomised controlled trial of the effect of a treatment algorithm for hypertension in patients with type 2 diabetes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Trial
  2. Understanding of blood pressure by people with type 2 diabetes: a primary care focus group study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Continuity of Care: Literature review and implications.Sultan Qaboos University medical journal · 2007
    Article
  11. Patients' experiences of continuity in the care of type 2 diabetes: a focus group study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006
    Article
  12. Diabetes and the quality and outcomes framework.BMJ (Clinical research ed.) · 2005
    Article
  13. The prevention of type 2 diabetes: general practitioner and practice nurse opinions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004
    Article
  14. Article
  15. Article
  16. Practice size: impact on consultation length, workload, and patient assessment of care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

M PierceDepartment of General Practice and Primary Health Care, Imperial College School of Medicine, Chelsea and Westminster Hospital, London. m.pierce@ic.ac.uk
G Agarwal
D Ridout

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe focus of care for people with diabetes has shifted from hospital to general practice. Many practices now offer diabetes care via dedicated mini-clinics, shared care schemes or opportunistically. There has never been a national survey of the organisation of diabetes care in general practice.

aimTo describe some key features of diabetes care in primary care in England and Wales.

methodDescriptive postal questionnaire survey to one in five (1873) randomly sampled general practices.

resultsSeventy per cent (1320) of practices responded. Of these, 96% had diabetes registers identifying 1.9% of their population as having diabetes; 71% held clinics run by a general practitioner (GP) and a nurse (64%) or a nurse alone (34%); 80% felt adequately supported; and 54% shared patient management protocols with the local secondary care team. Overall, practices provided most of the routine diabetes care for 75% of their diabetic patients. The majority of GPs and practice nurses had received some recent, albeit brief, diabetes education.

conclusionA large proportion of diabetes care now takes place in the community, much of it delivered by practice nurses. The organisational infrastructure necessary for delivering good care is in place. Many practices have a special interest in diabetes with the majority feeling adequately supported by secondary care. However, there are concerns about the educational needs of those providing care. More work needs to be done to ensure seamless care across the primary-secondary care interface.

Indexed as

Diabetes MellitusEnglandFamily PracticeHumansPrimary NursingWales

Identifiers

PMID10954934
PMCPMC1313748

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.