Evidence map›Paper›PMID 22774998›Full record

ArticleThe American journal of managed care2012

Racial disparities in lipid control in patients with diabetes.

Darcy Saffar, Keoki Williams, Jennifer Elston Lafata, George Divine, Manel Pladevall

Abstract read
In one paragraph

Article in The American journal of managed care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Interventions to Reduce Ethnic and Racial Disparities in Dyslipidemia Management.Current treatment options in cardiovascular medicine · 2019
    Review
  6. Examining Factors Associated With Nonadherence And Identifying Providers Caring For Nonadherent Subgroups.Journal of pharmaceutical health services research : an official journal of the Royal Pharmaceutical Society of Great Britain · 2017
    Article
  7. Article
  8. Article
  9. Review
  10. 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

5 authors.

Darcy SaffarInstitute on Multicultural Health, Henry Ford Health System, Detroit, MI, USA. darcy.saffar@va.gov
Keoki Williams
Jennifer Elston Lafata
George Divine
Manel Pladevall

Funding

VALIDATION OF ADHERENCE DATA--USE IN CLINICAL PRACTICER01DK064695 · NIDDK · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2003 to 2010
$2.7M
USING INFORMATION TECHNOLOGY TO IMPROVE ASTHMA ADHERENCER01HL079055 · NHLBI · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2005 to 2008
$1.4M
NHLBI NIH HHS R01 HL079055NHLBI NIH HHS R01HL079055NIDDK NIH HHS R01 DK064695NIDDK NIH HHS R01DK064695
6 · The paper itself

Abstract

objectivesTo describe lipid management over time in a cohort of insured patients with diabetes and evaluate differences between African American and white patients. STUDY

designAutomated claims data were used to identify a cohort of 11,411 patients with diabetes in 1997 to 1998. Patients were followed through 2007.

methodsRates of hypercholesterolemia testing, treatment, and goal attainment were measured annually. Treatment was determined by a claim for lipid-lowering agents, and goal attainment was defined as a low-density lipoprotein cholesterol (LDL-C) level <100 mg/dL.

resultsDuring the study period, LDL-C testing increased from 48% to 70% among African American patients and from 61% to 77% among white patients. Treatment with lipid-lowering drugs increased from 23% to 56% among African American patients and 33% to 61% among white patients. The proportion at goal increased from 35% to 76% and from 24% to 59% among white and African American patients, respectively. African American patients were less likely to be tested for LDL-C (odds ratio [OR] 0.79; 95% confidence interval [CI] 0.73-0.86), treated with lipidlowering agents (OR 0.72; 95% CI 0.65-0.80), have their medication dosage altered (OR 0.65; 95% CI 0.59-0.73), or attain LDL-C goal (OR 0.59; 95% CI 0.56-0.63) compared with white patients.

conclusionsAlthough rates of LDL-C testing, treatment, and goal attainment improved over time, racial disparities in dyslipidemia management continued to exist. Further studies to determine the causes of differences in management by race are warranted.

Indexed as

Health Status DisparitiesBlack or African AmericanCholesterol, LDLConfidence IntervalsDiabetes Mellitus, Type 2Disease ManagementHumansHyperlipidemiasHypoglycemic AgentsHypolipidemic AgentsInsurance Claim ReviewLipidsMedication AdherenceMultivariate AnalysisOdds RatioUnited StatesCholesterol, LDLHypoglycemic AgentsHypolipidemic AgentsLipids

Identifiers

PMID22774998
PMCPMC3766626

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Registered trials

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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.