Evidence map›Paper›PMID 17443369›Full record

Trial reportJournal of general internal medicine2007

Group visits: promoting adherence to diabetes guidelines.

Dawn E Clancy, Peng Huang, Eni Okonofua, Derik Yeager, Kathryn Marley Magruder

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 11 pooled it
–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

39 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  7. Group Medical Care: A Systematic Review of Health Service Performance.International journal of environmental research and public health · 2021
    Pooled it
  8. Interventions to increase attendance for diabetic retinopathy screening.The Cochrane database of systematic reviews · 2018
    Pooled it
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  10. Effectiveness of group medical visits for improving diabetes care: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013
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  18. The Economic Evaluation of Team Clinic-Group Approach to a Care Model of Early Adolescents With Type 1 Diabetes.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
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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

5 authors.

Dawn E ClancyDepartment of Medicine, Medical University of South Carolina, Charleston, SC 250591, USA. clancyd@musc.edu
Peng Huang
Eni Okonofua
Derik Yeager
Kathryn Marley Magruder

Funding

Global Statistical Tests in Parkinson's Disease StudiesR21NS043569 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI HUANG, PENG · 2002 to 2003
$215k
UNDERSTANDING &ELIMINATING HEALTH DISPARITIES IN BLACKSP01HS010871 · AHRQ · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TILLEY, BARBARA C · 2000 to 2004
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AHRQ HHS 5 P01 HS10871AHRQ HHS P01 HS010871NINDS NIH HHS 1R21NS043569NINDS NIH HHS R21 NS043569
6 · The paper itself

Abstract

backgroundCurrent diabetes management guidelines offer blueprints for providers, yet type 2 diabetes control is often poor in disadvantaged populations. The group visit is a new treatment modality originating in managed care for efficient service delivery to patients with chronic health problems. Group visits offer promise for delivering care to diabetic patients, as visits are lengthier and can be more frequent, more organized, and more educational.

objectiveTo evaluate the effect of group visits on clinical outcomes, concordance with 10 American Diabetes Association (ADA) guidelines [American Diabetes Association, Diabetes Care, 28:S4-36, 2004] and 3 United States Preventive Services Task Force (USPSTF) cancer screens [U.S. Preventive Services Task Force, http://www.ahrq.gov/clinic/uspstf/resource.htm, 2003]. RESEARCH DESIGN AND

methodsA 12-month randomized controlled trial of 186 diabetic patients comparing care in group visits with care in the traditional patient-physician dyad. Clinical outcomes (HbA1c, blood pressure [BP], lipid profiles) were assessed at 6 and 12 months and quality of care measures (adherence to 10 ADA guidelines and 3 USPSTF cancer screens) at 12 months.

resultsAt both measurement points, HbA1c, BP, and lipid levels did not differ significantly for patients attending group visits versus those in usual care. At 12 months, however, patients receiving care in group visits exhibited greater concordance with ADA process-of-care indicators (p < .0001) and higher screening rates for cancers of the breast (80 vs. 68%, p = .006) and cervix (80 vs 68%, p = .019).

conclusionsGroup visits can improve the quality of care for diabetic patients, but modifications to the content and style of group visits may be necessary to achieve improved clinical outcomes.

Indexed as

Hospitals, Group PracticePatient CompliancePractice Guidelines as TopicDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedPrimary Health Care

Identifiers

PMID17443369
PMCPMC1852919

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.