Evidence map›Paper›PMID 21166853›Full record

Trial reportDiabetic medicine : a journal of the British Diabetic Association2011

Self management and patient understanding of diabetes in the older person.

J Hewitt, L Smeeth, N Chaturvedi, C J Bulpitt, A E Fletcher

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetic medicine : a journal of the British Diabetic Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
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  16. Evaluating the Association between Diabetes, Cognitive Decline and Dementia.International journal of environmental research and public health · 2015
    Review
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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 at 3 institutions in 1 country.

J HewittLondon School of Hygiene and Tropical Medicine and Portsmouth Hospitals Trust, Queen Alexandra Hospital, Portsmouth, UK. hewitt@porthosp.nhs.uk
L Smeeth
N Chaturvedi
C J Bulpitt
A E Fletcher
Imperial College London · GBLondon School of Hygiene & Tropical Medicine · GBQueen Alexandra Hospital · GB

Funding

Wellcome Trust 082178
6 · The paper itself

Abstract

aimTo examine knowledge and management of diabetes by older people.

methodsA representative sample of 1047 people with Type 2 diabetes, aged 75 years and over, were asked a series of questions relating to their diabetes management and their understanding of self management. The impact of cognitive impairment and socio-economic status were assessed.

resultsThe majority of people, 1015 (96.9%), were under the care of a health professional and 1018 (97.2%) were taking insulin, tablets, controlling their diet or a combination. Cognitive impairment (Mini-Mental State Examination ≤ 23) was found in 235 (22.5%) people. Recent eye, foot and dietician assessment was reported by 813 (77.7%), 836 (79.7%) and 326 (31.1%) people, respectively. A quarter overall and 70% of those taking insulin tested their blood glucose. In the insulin group, 78 (54.2%) reported hypoglycaemia and those with cognitive impairment gave more incorrect responses when asked about diabetes management. Socio-economic status made very little difference to any of these outcomes.

conclusionsMost older people with diabetes, regardless of their socio-economic status, are under the care of a healthcare professional and use medication or diet to manage their disease. Large numbers also attend foot and eye examinations. However, over one fifth of older people with diabetes have cognitive impairment. Older people had a reasonable understanding of their diabetes management but this was worse in those people with cognitive impairment.

Indexed as

AgedAged, 80 and overCognition DisordersCommunicationDiabetes Mellitus, Type 2FemaleHealth Care SurveysHumansHypoglycemiaInsulinMalePatient Education as TopicPhysician-Patient RelationsSelf CareSocioeconomic FactorsSurveys and QuestionnairesInsulin

Identifiers

PMID21166853
PMCPMC3588140
OpenAlexW2160077865

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.