Evidence map›Paper›PMID 21922154›Full record

ArticleJournal of general internal medicine2012

Provision of contraceptive services to women with diabetes mellitus.

Eleanor Bimla Schwarz, Debbie Postlethwaite, Yun-Yi Hung, Eric Lantzman, Mary Anne Armstrong, Michael A Horberg

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of general internal medicine, 2012. 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
5.0field-weighted citation impact, top 5% 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, 55 citations in OpenAlex.

  1. Pooled it
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  15. Use of the Levonorgestrel Intrauterine Device in Women With Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2018
    Article
  16. Article
  17. Article
  18. Contraception for women with diabetes: challenges and solutions.Open access journal of contraception · 2016
    Review
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  20. Observational
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

6 authors at 3 institutions in 1 country.

Eleanor Bimla SchwarzDepartments of Medicine, Epidemiology, Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Center for Research on Health Care, 230 McKee Place, Suite 600, Pittsburgh, PA 15213, USA. Schwarzeb@upmc.edu
Debbie Postlethwaite
Yun-Yi Hung
Eric Lantzman
Mary Anne Armstrong
Michael A Horberg
Kaiser Permanente · USSouthcentral Foundation · USUniversity of Pittsburgh · US

Funding

Contraceptive Services/Primary Care to Prevent Birth DefectsK23HD051585 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCHWARZ, ELEANOR BIMLA · 2006 to 2010
$631k
NICHD NIH HHS K23 HD051585
6 · The paper itself

Abstract

backgroundWomen with diabetes mellitus who delay pregnancy until glycemic control is achieved experience lower rates of adverse pregnancy outcomes.

objectiveTo compare rates of provision of contraceptive services among women with diabetes mellitus and women without chronic medical conditions.

designA retrospective cohort study of 459,181 women aged 15-44 who had continuous membership and pharmacy benefits in a managed care organization in Northern California between January 2006 and June 2007. Rates of documented provision of contraceptive counseling, prescriptions, and services were compared between women with diabetes and women without chronic medical conditions.

resultsAmong 8,182 women with diabetes and 122,921 women without any chronic conditions, women with diabetes were less likely than women without a chronic condition to have documented receipt of any contraceptive counseling, prescriptions, or services (47.8% vs 62.0%, p < 0.001). After controlling for age and race, women with diabetes were more likely to have undergone tubal sterilization compared to women without a chronic condition (OR = 1.41, 95% CI 1.30-1.54), but less likely to have received highly effective, reversible methods of contraception such as intrauterine contraception (OR = 0.68, 95% CI 0.61-0.75). In addition, more women with diabetes had undergone hysterectomy, which is rarely performed solely for contraceptive purposes.

conclusionsWomen with diabetes were less likely to receive highly effective reversible contraception and more likely to undergo sterilization procedures. Increasing the use of highly effective reversible contraceptives may help diabetic women who want to retain their fertility to delay pregnancy until glycemic control is achieved.

Indexed as

AdolescentAdultCohort StudiesContraceptionDiabetes ComplicationsDiabetes MellitusFemaleHumansPregnancyPregnancy ComplicationsPregnancy in DiabeticsRetrospective StudiesYoung Adult

Identifiers

PMID21922154
PMCPMC3270235
OpenAlexW2059975820

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.