Evidence map›Paper›PMID 22851534›Full record

ArticleCirculation. Cardiovascular quality and outcomes2012

Simultaneous control of diabetes mellitus, hypertension, and hyperlipidemia in 2 health systems.

Emily B Schroeder, Rebecca Hanratty, Brenda L Beaty, Elizabeth A Bayliss, Edward P Havranek, John F Steiner

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% 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, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  17. Achieving triple treatment goals in multi-ethnic Asian patients with type 2 diabetes mellitus in primary care.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2018
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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

6 authors at 2 institutions in 1 country.

Emily B SchroederInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO 80237-8066, USA. emily.x.schroeder@kp.org
Rebecca Hanratty
Brenda L Beaty
Elizabeth A Bayliss
Edward P Havranek
John F Steiner
University of Colorado Denver · USDenver Health Medical Center · US

Funding

TRAINING PROGRAM IN DIABETES, ENDOCRINOLOGY &METABOLISMT32DK007446 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI BESSESEN, DANIEL HOLLAND · 1986 to 2017
$5.6M
Latinos Using Cardio Health Actions to Reduce RiskU01HL079208 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BULL, SHEANA S · 2004 to 2008
$2.9M
The effect of incident comorbidities on guideline-concordant chronic disease careR21HS017627 · AHRQ · KAISER FOUNDATION RESEARCH INSTITUTE · PI BAYLISS, ELIZABETH A · 2008 to 2009
$307k
AHRQ HHS 1 R21 HS017627-01AHRQ HHS R21 HS017627NCRR NIH HHS 1 U54 RR025217NHLBI NIH HHS 1 U01 HL079208NHLBI NIH HHS U01 HL079208NIDDK NIH HHS 5 T32 DK007446NIDDK NIH HHS T32 DK007446
6 · The paper itself

Abstract

backgroundMany individuals with diabetes mellitus, hypertension, and hyperlipidemia have difficulty achieving control of all 3 conditions. We assessed the incidence and duration of simultaneous control of hyperglycemia, blood pressure, and low-density lipoprotein cholesterol in patients from 2 health care systems in Colorado. METHODS AND

resultsWe performed a retrospective cohort study of adults at Denver Health and Kaiser Permanente Colorado with diabetes mellitus, hypertension, and hyperlipidemia from 2000 through 2008. Over a median of 4.0 and 4.4 years, 16% and 30% of individuals at Denver Health and Kaiser Permanente achieved the primary outcome (simultaneous control with a glycosylated hemoglobin (HbA(1c)) <7.0%, blood pressure <130/80 mm Hg, and low-density lipoprotein cholesterol <100 mg/dL), respectively. With less strict goals (HbA(1c) <8.0%, blood pressure <140/90 mm Hg, and low-density lipoprotein cholesterol <130 mg/dL), 44% and 70% of individuals at Denver Health and Kaiser Permanente achieved simultaneous control. Sociodemographic characteristics (increasing age, white ethnicity), and the presence of cardiovascular disease or other comorbidities were significantly but not strongly predictive of achieving simultaneous control in multivariable models. Simultaneous control was less likely as severity of the underlying conditions increased, and more likely as medication adherence increased.

conclusionsSimultaneous control of diabetes mellitus, hypertension, and hyperlipidemia was uncommon and generally transient. Less stringent goals had a relatively large effect on the proportion achieving simultaneous control. Individuals who simultaneously achieve multiple treatment goals may provide insight into self-care strategies for individuals with comorbid health conditions.

Indexed as

AgedAnticholesteremic AgentsAntihypertensive AgentsBiomarkersBlood PressureChi-Square DistributionCholesterol, LDLColoradoComorbidityDelivery of Health CareDiabetes MellitusFemaleGlycated HemoglobinHealth Maintenance OrganizationsHumansHyperlipidemiasAnticholesteremic AgentsAntihypertensive AgentsBiomarkersCholesterol, LDLGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic Agents

Identifiers

PMID22851534
PMCPMC3590111
OpenAlexW2156761757

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.