SynthesisBMC health services research2012
Care management for Type 2 diabetes in the United States: a systematic review and meta-analysis.
Synthesis in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effectiveness of the chronic care model for adults with type 2 diabetes in primary care: a systematic review and meta-analysis.Systematic reviews · 2022Pooled it
- Effectiveness of chronic care models for the management of type 2 diabetes mellitus in Europe: a systematic review and meta-analysis.BMJ open · 2017Pooled it
- Chronic disease management programmes for adults with asthma.The Cochrane database of systematic reviews · 2015Pooled it
- Disease management programs for type 2 diabetes in Germany: a systematic literature review evaluating effectiveness.Deutsches Arzteblatt international · 2014Pooled it
- Trial
- Redesigning ambulatory care management for uncontrolled type 2 diabetes: a prospective cohort study of the impact of a Boot Camp model on outcomes.BMJ open diabetes research & care · 2019Trial
- Trial
- Tailored Case Management for Diabetes and Hypertension (TEACH-DM) in a community population: study design and baseline sample characteristics.Contemporary clinical trials · 2013Trial
- Implementation of self management support for long term conditions in routine primary care settings: cluster randomised controlled trial.BMJ (Clinical research ed.) · 2013Trial
- Pilot feasibility and efficacy of a strategy to sustain A1C improvement among diverse adults with type 2 diabetes completing a diabetes care management program.BMJ open diabetes research & care · 2024Article
- A 5-structured visits multidisciplinary clinical care approach to optimize the care of patients with type 2 diabetes: a pilot study.Cardiovascular endocrinology & metabolism · 2023Article
- Using Social Network Analysis to Examine the Effect of Care Management Structure on Chronic Disease Management Communication Within Primary Care.Journal of general internal medicine · 2018Article
- Implementation of Care Management: An Analysis of Recent AHRQ Research.Medical care research and review : MCRR · 2018Article
- Time preference, outcome expectancy, and self-management in patients with type 2 diabetes.Patient preference and adherence · 2018Article
- Impact of Disease Management Programs on HbA1c Values in Type 2 Diabetes Patients in Germany.Journal of diabetes science and technology · 2017Article
- Effect of care management program structure on implementation: a normalization process theory analysis.BMC health services research · 2016Article
- A Comparison of Health Plan- and Provider-Delivered Chronic Care Management Models on Patient Clinical Outcomes.Journal of general internal medicine · 2016Article
- Understanding effective care management implementation in primary care: a macrocognition perspective analysis.Implementation science : IS · 2015Article
- Relationship between glycemic control and gastric emptying in poorly controlled type 2 diabetes.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2015Article
- Health outcomes in diabetics measured with Minnesota Community Measurement quality metrics.Diabetes, metabolic syndrome and obesity : targets and therapy · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis systematic review and meta-analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes.
methodsA comprehensive literature search of electronic bibliographic databases was performed to identify care management trials in type 2 diabetes. Random effects meta-analysis was used when feasible to pool outcome measures.
resultsFifty-two studies were eligible. Most commonly reported were surrogate outcomes (such as HbA1c and LDL), followed by process measures (clinic visit or testing frequency). Less frequently reported were quality of life, patient satisfaction, self-care, and healthcare utilization. Most care management modalities were carved out from primary care. Meta-analysis demonstrated a statistically significant but trivial reduction of HbA1c (weighted difference in means -0.21%, 95% confidence interval -0.40 to -0.03, p < .03) and LDL-cholesterol (weighted difference in means -3.38 mg/dL, 95% confidence interval -6.27 to -0.49, p < .02).
conclusionsMost care management programs for patients with type 2 diabetes are 'carved-out', accomplish limited effects on metabolic outcomes, and have unknown effects on patient important outcomes. Comparative effectiveness research of different models of care management is needed to inform the design of medical homes for patients with chronic conditions.
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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.