ArticleJournal of the Royal Society of Medicine2007
Diabetes prevalence, process of care and outcomes in relation to practice size, caseload and deprivation: national cross-sectional study in primary care.
Article in Journal of the Royal Society of Medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 5 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Inequalities in health care among patients with type 2 diabetes by individual socio-economic status (SES) and regional deprivation: a systematic literature review.International journal for equity in health · 2014Pooled it
- The equity dimension in evaluations of the quality and outcomes framework: a systematic review.BMC health services research · 2011Pooled it
- Quality of type 2 diabetes management in the states of the Co-operation Council for the Arab States of the Gulf: a systematic review.PloS one · 2011Pooled it
- Systematic review: Effects, design choices, and context of pay-for-performance in health care.BMC health services research · 2010Pooled it
- Impact of pay for performance on prescribing of long-acting reversible contraception in primary care: an interrupted time series study.PloS one · 2014Trial
- General practice characteristics associated with pay-for-performance in the UK: a systematic review.BJGP open · 2025Article
- Impact of Social Vulnerability on Diabetes-Related Cardiovascular Mortality in the United States.Journal of the American Heart Association · 2023Article
- Article
- Timings for HbADiabetic medicine : a journal of the British Diabetic Association · 2019Article
- Article
- Chronic morbidity, deprivation and primary medical care spending in England in 2015-16: a cross-sectional spatial analysis.BMC medicine · 2018Article
- Factors influencing variation in participation in the National Diabetes Audit and the impact on the Quality and Outcomes Framework indicators of diabetes care management.BMJ open diabetes research & care · 2018Article
- General practice variation when initiating long-term prescribing of proton pump inhibitors: a nationwide cohort study.BMC family practice · 2016Article
- Population characteristics, mechanisms of primary care and premature mortality in England: a cross-sectional study.BMJ open · 2016Article
- Hospital and patient influencing factors of treatment schemes given to type 2 diabetes mellitus inpatients in Inner Mongolia, China.F1000Research · 2016Article
- Impact of the Prevalence of Concordant and Discordant Conditions on the Quality of Diabetes Care in Family Practices in England.Annals of family medicine · 2015Article
- The future of life expectancy and life expectancy inequalities in England and Wales: Bayesian spatiotemporal forecasting.Lancet (London, England) · 2015Article
- Islet transplantation from a nationally funded UK centre reaches socially deprived groups and improves metabolic outcomes.Diabetologia · 2015Article
- Metabolic parameters and blood pressures achieved by diabetic patients at two health care facilities in south Trinidad.Journal of epidemiology and global health · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the association between practice list size, deprivation and the quality of care of patients with diabetes.
designPopulation-based cross-sectional study using Quality and Outcomes Framework data.
settingEngland and Scotland.
participants55,522,778 patients and 8970 general practices with 1,852,762 people with diabetes.
interventionsNone.
main outcome measuresSeventeen process and surrogate outcome measures of diabetes care.
resultsThe prevalence of diabetes was 3.3%. Prevalence differed with practice list size and deprivation: smaller and more deprived practices had a higher mean prevalence than larger and more affluent practices (3.8% versus 2.8%). Practices with large patient list sizes had the highest quality of care scores, even after stratifying for deprivation. However, with the exception of retinal screening, peripheral pulses and neuropathy testing, differences in achievement between small and large practices were modest (<5%). Small practices performed nearly as well as the largest practices in achievement of intermediate outcome targets for HbA1c, blood pressure and cholesterol (smallest versus largest practices: 57.4% versus 58.7%; 70.7% versus 70.7%; and 69.5% versus 72.7%, respectively). Deprivation had a negative effect on the achieved scores and this was more pronounced for smaller practices.
conclusionOur study provides some evidence of a volume-outcome association in the management of diabetes in primary care; this appears most pronounced in deprived areas.
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