Evidence map›Paper›PMID 22156837›Full record

ArticleMedical care research and review : MCRR2012

Do doctors contribute to the social patterning of disease? The case of race/ethnic disparities in diabetes mellitus.

John B McKinlay, Lisa D Marceau, Rebecca J Piccolo

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Social disparities in patient safety in primary care: a systematic review.International journal for equity in health · 2018
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Cohort profile: the Boston Area Community Health (BACH) survey.International journal of epidemiology · 2014
    Article
  6. Article
  7. Article
  8. 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

3 authors.

John B McKinlayNew England Research Institutes, Inc., Watertown, MA 02472, USA. jmckinlay@neriscience.com
Lisa D Marceau
Rebecca J Piccolo

Funding

Trajectories of Urologic Disease: Follow-up of BACHU01DK056842 · NIDDK · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, JOHN B · 2001 to 2011
$15.7M
Race/Ethnic Disparities in Diabetes: An ExperimentR01DK066425 · NIDDK · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, JOHN B · 2004 to 2008
$2.3M
Trajectories of Urologic Disease: Follow-up of BACHR01DK056842 · NIDDK · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, JOHN B · 2007 to 2007
$1.2M
NIDDK NIH HHS DK056842NIDDK NIH HHS DK66425NIDDK NIH HHS R01 DK056842NIDDK NIH HHS R01 DK066425NIDDK NIH HHS U01 DK056842
6 · The paper itself

Abstract

Data from the Boston Area Community Health Survey show that both undiagnosed signs and symptoms and diagnosed type 2 diabetes mellitus (T2DM) are patterned by socioeconomic status (SES). Such patterning is corroborated by National Health and Nutrition Examination Survey data for diagnosed T2DM. Complementary data from an experiment concerning clinical decision making show T2DM is patterned by race/ethnicity, following diagnosis by a physician. Undiagnosed signs and symptoms of T2DM in the community are patterned by SES (rather than race/ethnicity), but following diagnosis by primary care physicians they are patterned more by race/ethnicity (rather than by SES). Race/ethnicity and SES in the United States are almost totally confounded, such that measuring one is essentially also measuring the other. Physician patterning of T2DM by race/ethnicity, however, motivates the search for genetic and biophysiologic explanations and distracts attention from the more important contribution of SES circumstances to the prevalence of diabetes mellitus.

Indexed as

Attitude of Health PersonnelHealth Status DisparitiesPhysicians, Primary CareSocial ClassAdultAgedBostonDiabetes Mellitus, Type 2Diagnostic ErrorsFemaleHumansMaleMiddle AgedNutrition Surveys

Identifiers

PMID22156837
PMCPMC3706097

What OpenQuestion holds

Textmetadata
LicenceTDM
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.