Evidence map›Paper›PMID 16946390›Full record

ArticleJournal of the Royal Society of Medicine2006

Diabetes management in the USA and England: comparative analysis of national surveys.

Arch G Mainous, Vanessa A Diaz, Sonia Saxena, Richard Baker, Charles J Everett, Richelle J Koopman, Azeem Majeed

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of the Royal Society of Medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 40 citations in OpenAlex.

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  12. Optimizing diabetes care: perspectives from a practical view point.Journal of the Royal Society of Medicine · 2007
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Arch G MainousDepartment of Family Medicine, Medical University of South Carolina, Charleston, SC, USA. mainouag@musc.edu
Vanessa A Diaz
Sonia Saxena
Richard Baker
Charles J Everett
Richelle J Koopman
Azeem Majeed
Medical University of South Carolina · USImperial College London · GBUniversity of Leicester · GB

Funding

SC Cooperative for Healthy Aging in Minority PopulationsP30AG021677 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TILLEY, BARBARA C · 2002 to 2006
$3.5M
Racial Disparities in Diabetes in the US and the UKR21DK066066 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MAINOUS, ARCH G · 2004 to 2005
$292k
Undiagnosed Diabetes: Predictors and ComorbiditiesR21DK067130 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KOOPMAN, RICHELLE J · 2004 to 2004
$146k
Department of Health PDA/02/06/076NIA NIH HHS 1P30 AG 21677NIDDK NIH HHS 1R21 DK 066066NIDDK NIH HHS 1R21 DK 067130PHS HHS 1D12 HP 00023
6 · The paper itself

Abstract

objectivesTo compare diabetes management in adults between England and the United States, particularly focusing on the impact of a universal access health insurance system.

designAnalysis of the nationally-representative surveys Health Survey of England, 2003 (unweighted n =14 057) and the National Health and Nutrition Examination Survey, 2001-2002 (unweighted n =5411). SETTING AND

participantsAdults 20-64 years of age; individuals >65.

main outcome measuresGlycaemic, lipid and blood pressure control and medication use among individuals with previously diagnosed diabetes.

resultsAmong those aged 20-64 the prevalence of diagnosed diabetes was lower in England (2.7%) than in the USA (5.0%). The proportion with diabetes receiving treatment was similar for the two countries. However, the mean HbA1c in England was 7.6%: in the USA it was 7.5% for those with insurance and 8.6% for those without insurance. The proportion of individuals on ACE inhibitors in England was 39%: in USA it was 39% for those with insurance, and 14% for those without.

conclusionsIndividuals in a healthcare system providing universal access have better managed diabetes than those in a market based system once one accounts for insurance.

Indexed as

AdultAgedAngiotensin-Converting Enzyme InhibitorsDiabetes MellitusEnglandFemaleHealth Services AccessibilityHealth SurveysHumansHypoglycemic AgentsInsulinMaleMiddle AgedPrevalenceSocioeconomic FactorsUnited StatesAngiotensin-Converting Enzyme InhibitorsHypoglycemic AgentsInsulin

Identifiers

PMID16946390
PMCPMC1557885
OpenAlexW2036997338

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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 OpenQuestion graph.