Evidence map›Paper›PMID 18810557›Full record

ArticleJournal of general internal medicine2008

Patients with multiple chronic conditions do not receive lower quality of preventive care.

SeungJin Bae, Meredith B Rosenthal

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Complex Patients and Quality of Care in Medicare Advantage.Journal of the American Geriatrics Society · 2020
    Article
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  12. The impact of concordant and discordant comorbidities on patient-assessed quality of diabetes care.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  13. Article
  14. Observational
  15. Article
  16. Article
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  19. Rural Residents' Perspectives on Multiple Morbidity Management and Disease Prevention.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2011
    Article
  20. Article
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

2 authors at 1 institution in 1 country.

SeungJin BaeDepartment of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA. genice@hiramail.net
Meredith B Rosenthal
Department of Health · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe implications of measuring and rewarding performance for patients with multiple chronic conditions have not been explored empirically.

objectiveTo examine whether the number of chronic conditions was associated with patient's receipt of recommended preventive care.

methodsWe evaluated the association between the likelihood of receiving recommended preventive care and the number of chronic conditions in the diabetic population by analyzing the 2003 Medical Expenditure Panel Survey using logistic regression. Demographic characteristics and the number of chronic conditions were compared using chi(2) tests. OUTCOME MEASURES: Hemoglobin A1C test and diabetic eye exam.

resultsIn 2003, approximately 14.2 million non-institutionalized Americans had diabetes and 23% of them had five or more chronic conditions besides diabetes. Those patients were 67% (p < 0.05) and 50% (p < 0.001) more likely to receive hemoglobin A1C test and eye exams compared with diabetic patients with no additional chronic conditions. After adjusting for the number of office-based physician visits, a larger number of chronic conditions did not significantly affect the likelihood of receiving recommended care. Diabetic patients with more chronic conditions had more frequent office-based physician visits (p < 0.0001), and patients with 11 or more annual office-based physician visits were 43% (p < 0.05) and 40% (p < 0.01) more likely to receive hemoglobin A1C test and eye exam, respectively, compared with diabetic patients who had less than two office-based physician visits.

conclusionsDiabetic patients with more chronic conditions may receive better quality of preventive care, partly due to their higher number of office-based physician visits.

Indexed as

AdolescentAdultAgedAmbulatory CareChronic DiseaseCross-Sectional StudiesDiabetes ComplicationsFemaleHumansMaleMiddle AgedOffice VisitsPreventive Health ServicesQuality of Health CareYoung Adult

Identifiers

PMID18810557
PMCPMC2596498
OpenAlexW2042233299

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.