Evidence map›Paper›PMID 23106025›Full record

ArticleThe primary care companion for CNS disorders2012

Effect of comorbid depression on outcomes in diabetes and its relationship to quality of care and patient adherence: a statewide primary care ambulatory research and resources consortium study.

David Katerndahl, Walter L Calmbach, Johanna Becho

Open access · greenAbstract read
In one paragraph

Article in The primary care companion for CNS disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

3 authors at 1 institution in 1 country.

David KaterndahlFamily and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Walter L Calmbach
Johanna Becho
The University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether current depression was associated with poorer quality of care and poorer patient adherence to treatment regimens and whether current depression was associated with patient diabetes outcomes independent of its relationships to quality of care and patient adherence among patients with diabetes.

methodThis study was conducted in the offices of family physicians who belong to the Statewide Primary Care Ambulatory Research and Resources Consortium from March 2006 to March 2011. Seven primary care physicians enrolled 10 to 20 English- or Spanish-speaking patients with diabetes presenting for routine follow-up visits. Subjects included 106 patients who completed a questionnaire documenting their depressive symptoms, compliance with diabetes therapy, diabetes-related quality of life, and patient satisfaction. The physicians completed a 4-item questionnaire concerning whether the patient had depression and any depression treatments that they ordered. All questions were answered either "yes" or "no." A practice research coordinator evaluated the quality of diabetes care provided and ordered hemoglobin A(1c) (HbA(1c)) testing for the patient.

resultsDepression was associated with poorer compliance, quality of care, diabetes-related quality of life, and patient satisfaction; only HbA(1c) levels did not correlate with depression. When adjusting for compliance and quality of care, depression was still associated with poorer quality of life and satisfaction (P ≤ .001). While physician recognition and treatment of depression were less than optimal, depression severity was a significant predictor of receiving some form of mental health intervention (P ≤ .05) except for the provision of mental health counseling. Poor diabetes control was associated with the provision of counseling (P ≤ .10), while poor quality of life was associated with recognition of depression (P ≤ .10).

conclusionDepression was independently associated with satisfaction and quality of life but not diabetes control. Although depression severity was an important predictor of depression recognition and treatment, poor quality of life was a predictor of recognition, and poor diabetes control was a predictor of receiving mental health counseling.

Identifiers

PMID23106025
PMCPMC3466034
OpenAlexW2018321432

What OpenQuestion holds

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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.