Evidence map›Paper›PMID 22859997›Full record

ArticlePloS one2012

Diabetes care provision in UK primary care practices.

Gillian Hawthorne, Susan Hrisos, Elaine Stamp, Marko Elovainio, Jill J Francis, Jeremy M Grimshaw, Margaret Hunter, Marie Johnston, Justin Presseau, Nick Steen and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
5.4field-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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Gillian HawthorneThe Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom. gillian.hawthorne@newcastle-pct.nhs.uk
Susan Hrisos
Elaine Stamp
Marko Elovainio
Jill J Francis
Jeremy M Grimshaw
Margaret Hunter
Marie Johnston
Justin Presseau
Nick Steen
Martin P Eccles
Newcastle University · GBUniversity of Aberdeen · GBFinnish Institute for Health and Welfare · FINewcastle upon Tyne Hospitals NHS Foundation Trust · GBOttawa Hospital · CA

Funding

Chief Scientist Office HSRU2Medical Research Council MC_U122792691
6 · The paper itself

Abstract

backgroundAlthough most people with Type 2 diabetes receive their diabetes care in primary care, only a limited amount is known about the quality of diabetes care in this setting. We investigated the provision and receipt of diabetes care delivered in UK primary care.

methodsPostal surveys with all healthcare professionals and a random sample of 100 patients with Type 2 diabetes from 99 UK primary care practices.

results326/361 (90.3%) doctors, 163/186 (87.6%) nurses and 3591 patients (41.8%) returned a questionnaire. Clinicians reported giving advice about lifestyle behaviours (e.g. 88% would routinely advise about calorie restriction; 99.6% about increasing exercise) more often than patients reported having received it (43% and 42%) and correlations between clinician and patient report were low. Patients' reported levels of confidence about managing their diabetes were moderately high; a median (range) of 21% (3% to 39%) of patients reporting being not confident about various areas of diabetes self-management.

conclusionsPrimary care practices have organisational structures in place and are, as judged by routine quality indicators, delivering high quality care. There remain evidence-practice gaps in the care provided and in the self confidence that patients have for key aspects of self management and further research is needed to address these issues. Future research should use robust designs and appropriately designed studies to investigate how best to improve this situation.

Indexed as

AgedDiabetes Mellitus, Type 2Disease ManagementHealth Care SurveysHumansPatient Education as TopicPatient Medication KnowledgePhysician-Patient RelationsPrimary Health CareQuality Assurance, Health CareQuality Indicators, Health CareSelf CareSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID22859997
PMCPMC3408463
OpenAlexW2032868327

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.