Evidence map›Paper›PMID 12836867›Full record

ArticleCanadian family physician Medecin de famille canadien2003

Type 2 diabetes in family practice. Room for improvement.

Stewart B Harris, Moira Stewart, Judith Belle Brown, Stephen Wetmore, Catherine Faulds, Susan Webster-Bogaert, Sheila Porter

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00593489 (Advancing INSIGHT Methods in General Practice), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.7field-weighted citation impact, top 4% 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.

NCT00593489 nacompletednot on this mapstarted 2006, after this paper: background citation

Advancing INSIGHT Methods in General Practice

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2006 to 2010Enrolled154ConditionsDiabetes MellitusArmsBasal Insulin Initiation Strategy
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 62 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Association between chronic conditions and perceived unmet health care needs.Open medicine : a peer-reviewed, independent, open-access journal · 2012
    Article
  9. Article
  10. Article
  11. Article
  12. Clinical inertia in patients with T2DM requiring insulin in family practice.Canadian family physician Medecin de famille canadien · 2010
    Article
  13. Article
  14. Article
  15. Article
  16. Enhancing diabetes care in family practice: a flow sheet.Canadian family physician Medecin de famille canadien · 2008
    Article
  17. Article
  18. Review
  19. Improving diabetes management: structured clinic program for Canadian primary care.Canadian family physician Medecin de famille canadien · 2007
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Stewart B HarrisCentre for Studies in Family Medicine, Department of Family Medicine, University of Western Ontario, London. sharris1@uwo.ca
Moira Stewart
Judith Belle Brown
Stephen Wetmore
Catherine Faulds
Susan Webster-Bogaert
Sheila Porter
Centre for Family Medicine · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo further knowledge of diabetes management in family practice. DESIGN Retrospective, observational chart audit study.

settingSouthwestern Ontario. PARTICIPANT: A random sample of non-academic family physicians and a random selection of their patients with type 2 diabetes mellitus.

main outcome measuresGlycemic control as measured by HbA1c and adherence to recommendations in clinical practice guidelines (CPGs).

resultsEighty-four percent of patients had at least one HbA1c test ordered in the previous year. Overall mean HbA1c was 0.079 and half-the patients had levels deemed acceptable by 1992 CPGs. Screening for microvascular complications was disappointing; only 28% were tested for microalbuminuria, and 15% were examined for diabetes-related foot conditions. Screening for macrovascular complications was more comprehensive; blood pressure was measured in 88%, and lipid profiles documented in 48%, of patient charts.

conclusionManagement of glycemic control and screening for microvascular and macrovascular disease in family practice can be improved.

Indexed as

Disease ManagementGuideline AdherencePractice Guidelines as TopicAdultAgedAged, 80 and overDiabetes Mellitus, Type 2Diabetic AngiopathiesFamily PracticeFemaleGlycated HemoglobinHumansHyperglycemiaMaleMedical AuditMiddle Agedglucosylated hemoglobin AGlycated Hemoglobin

Identifiers

PMID12836867
PMCPMC2214245
OpenAlexW1910689459

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.