ArticleMedical care2013
Patient complexity and risk factor control among multimorbid patients with type 2 diabetes: results from the R2D2C2 study.
Article in Medical care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01123239 (Reducing Racial Disparities in Diabetes Care - The Coached Care Study), which is not on this map. Cited by 11 papers.
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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.
Reducing Racial Disparities in Diabetes Care - The Coached Care Study
Who cites it
11 citing papers in PubMed.
- Global research trends and hotspots evolution in type 2 diabetes mellitus complicated with coronary heart disease: a bibliometric analysis from 2016 to 2026.Frontiers in endocrinology · 2026Review
- Definition of patient complexity in adults: A narrative review.Journal of multimorbidity and comorbidity · 2022Review
- Risk factor control across the spectrum of cardiovascular risk: Findings from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).American journal of preventive cardiology · 2021Article
- Knowledge of chronic complications of diabetes among persons living with type 2 diabetes mellitus in northern Ghana.PloS one · 2020Article
- The role of concordant and discordant comorbidities on performance of self-care behaviors in adults with type 2 diabetes: a systematic review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2019Article
- Exploring the experiences of older Chinese adults with comorbidities including diabetes: surmounting these challenges in order to live a normal life.Patient preference and adherence · 2018Article
- Improving Medication Adherence in Coronary Heart Disease.Current cardiology reports · 2017Review
- Concordance between two methods in measuring treatment adherence in patients with type 2 diabetes.Patient preference and adherence · 2016Article
- Designing and evaluating an interprofessional shared decision-making and goal-setting decision aid for patients with diabetes in clinical care--systematic decision aid development and study protocol.Implementation science : IS · 2014Article
- Exercise electrocardiogram testing in two brothers with different outcome - a case study exercise testing in master cyclists.International journal of general medicine · 2013Article
- Understanding disparities in lipid management among patients with type 2 diabetes: gender differences in medication nonadherence after treatment intensification.Women's health issues : official publication of the Jacobs Institute of Women's HealthObservational
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAmong patients with type 2 diabetes, it is not known whether risk factor control is better or worse for those who also have heart disease, depression, multiple other comorbidities, and associated management challenges.
objectiveTo examine the relationship between this complex constellation of multimorbidities, adherence to treatment and risk factor control among patients with type 2 diabetes, independent of regimen intensity. RESEARCH
designObservational cross-sectional study. SUBJECTS: A total of 1314 patients with diabetes from the Reducing Racial Disparities in Diabetes Coached Care (R2D2C2) Study. MEASURES: A composite cardiometabolic risk factor profile was the dependent variable. Independent variables included a composite measure of patient complexity, patient-reported adherence to treatment, history of coronary heart disease (CHD), and intensity of medication regimen.
resultsA higher proportion of the most complex patient-reported problems with adherence compared with the least complex patients (83.5% vs. 43.3%, P<0.001). Compared with those without a history of CHD, fewer patients with CHD-reported problems with medication adherence (59.3% vs. 69.3%, P<0.01) and had better risk factor control, independent of complexity and regimen intensity. Better risk factor control was independently associated with less patient complexity (P=0.003) and to history of CHD (P=0.01).
conclusionsThe presence of a complex illness profile was associated with poorer control of risk factors. Those with CHD were more adherent to treatment and had better risk factor control. The occurrence of CHD may present an opportunity for physicians to emphasize risk factor management. Diabetes patients with a complex illness profile may be at highest risk for cardiovascular events and in greatest need of prevention of cardiac disease.
trial registrationClinicaltrial.gov identifier: NCT01123239.
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