ArticleDiabetes care2008
The missed patient with diabetes: how access to health care affects the detection of diabetes.
Article in Diabetes care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.
What it found
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Who cites it
54 citing papers in PubMed, 89 citations in OpenAlex.
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- Racial and Ethnic Differences in Peripheral Neuropathy Risk Factors Among United States Adults.Neurology · 2025Article
- Pre-Type 1 Diabetes in Adolescents and Teens: Screening, Nutritional Interventions, Beta-Cell Preservation, and Psychosocial Impacts.Journal of clinical medicine · 2025Review
- Availability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complications.BMC health services research · 2024Article
- Disability-related disparities in health outcomes among newly diagnosed diabetic patients: A retrospective cohort.BMC public health · 2024Article
- Determinants of Diabetes Awareness Among Hispanic/Latino Adults in the U.S., 2005-2018.Diabetes care · 2024Article
- Article
- Racial and Ethnic Disparities in Glycemic Control Among Insured US Adults.JAMA network open · 2023Article
- Expanding Diabetes Screening to Identify Undiagnosed Cases Among Emergency Department Patients.The western journal of emergency medicine · 2023Article
- Neighborhood-Level Risk Factors for Severe Hyperglycemia among Emergency Department Patients without a Prior Diabetes Diagnosis.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Article
- Access to diabetes diagnosis in Brazil based on recent testing and consultation: The Brazilian national health survey, 2013 and 2019.Frontiers in endocrinology · 2023Article
- Diabetes And The Fragmented State Of US Health Care And Policy.Health affairs (Project Hope) · 2022Article
- Modernizing Diabetes Care Quality Measures.Health affairs (Project Hope) · 2022Article
- Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study.BMC geriatrics · 2021Article
- Impact of Expanded Medicaid Eligibility on the Diabetes Continuum of Care Among Low-Income Adults: A Difference-in-Differences Analysis.American journal of preventive medicine · 2021Article
- Identifying optimal survey-based algorithms to distinguish diabetes type among adults with diabetes.Journal of clinical & translational endocrinology · 2020Article
- Disparities in Biomarkers for Patients With Diabetes After the Affordable Care Act.Medical care · 2020Article
- Health Care Expenditures Among Adults With Diabetes After Oregon's Medicaid Expansion.Diabetes care · 2020Article
- African and Asian Mitochondrial DNA Haplogroups Confer Resistance Against Diabetic Stresses on Retinal Pigment Epithelial Cybrid Cells In Vitro.Molecular neurobiology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study examined the association between access to health care and three classifications of diabetes status: diagnosed, undiagnosed, and no diabetes. RESEARCH DESIGN AND
methodsUsing data from the 1999-2004 National Health and Nutrition Examination Survey, we identified 110 "missed patients" (fasting plasma glucose >125 mg/dl but without diagnoses of diabetes), 704 patients with diagnosed diabetes, and 4,782 people without diabetes among adults aged 18-64 years. The population percentage undetected among adults with diabetes and the odds ratio of being undetected among adults who reported not having diabetes were compared between groups based on their access to health care.
resultsAmong those with diabetes, the percentages having undetected diabetes were 42.2% (95% CI 36.7-47.7) among the uninsured, 25.9% (22.9-28.9) among the insured, 49.3% (43.0-55.6) for those uninsured >1 year, 38.7% (29.2-48.2) for those uninsured <or=1 year, and 24.5% (21.7-27.3) for those continuously insured over the past year. Type of insurance, number of times receiving health care in the past year, and routine patterns of health care utilization were also associated with undetected diabetes. Multivariate adjustment indicated that having undetected diabetes was associated with being uninsured (odds ratio 1.7 [95% CI 1.0-2.9]) and with being uninsured >1 year (2.6 [1.4-5.0]).
conclusionsLimited access to health care, especially being uninsured and going without insurance for a long period, was significantly associated with being a "missed patient" with diabetes. Efforts to increase detection of diabetes may need to address issues of access to care.
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What OpenQuestion holds
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.