Evidence map›Paper›PMID 25452877›Full record

ArticleBMJ open diabetes research & care2014

Diabetes care and outcomes for American Indians and Alaska natives in commercial integrated delivery systems: a SUrveillance, PREvention, and ManagEment of Diabetes Mellitus (SUPREME-DM) Study.

Julie A Schmittdiel, John F Steiner, Alyce S Adams, Wendy Dyer, Janette Beals, William G Henderson, Jay Desai, Leo S Morales, Gregory A Nichols, Jean M Lawrence and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open diabetes research & care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.7field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Medication Adherence in American Indians With Type 2 Diabetes: An Integrative Review.Diabetes spectrum : a publication of the American Diabetes Association · 2023
    Article
  9. Article
  10. Article
  11. The Mediating Role of Diabetes Distress and Depressive Symptoms in Type 2 Diabetes Medication Adherence Gender Differences.Health education & behavior : the official publication of the Society for Public Health Education · 2020
    Article
  12. Article
  13. Article
  14. Patient-Centered Care, Diabetes Empowerment, and Type 2 Diabetes Medication Adherence Among American Indian Patients.Clinical diabetes : a publication of the American Diabetes Association · 2017
    Article
  15. 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

15 authors at 6 institutions in 1 country.

Julie A SchmittdielDivision of Research , Kaiser Permanente Northern California , Oakland, California , USA.
John F SteinerInstitute for Health Research, Kaiser Permanente Colorado , Denver, Colorado , USA.
Alyce S AdamsDivision of Research , Kaiser Permanente Northern California , Oakland, California , USA.
Wendy DyerDivision of Research , Kaiser Permanente Northern California , Oakland, California , USA.
Janette BealsCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Denver , Denver, Colorado , USA.
William G HendersonCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Denver , Denver, Colorado , USA.
Jay DesaiHealthPartners Institute for Education and Research , Minneapolis, Minnesota , USA.
Leo S MoralesGroup Health Research Institute , Seattle, Washington , USA.
Gregory A NicholsKaiser Permanente Center for Health Research , Portland, Oregon , USA.
Jean M LawrenceDepartment of Research & Evaluation , Kaiser Permanente Southern California , Pasadena, California , USA.
Beth WaitzfelderKaiser Permanente Hawaii , Honolulu, Hawaii , USA.
Melissa G ButlerKaiser Permanente Georgia Center for Health Research-Southeast , Atlanta , Georgia , USA.
Ram D PathakMarshfield Clinic.
Richard F HammanCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Denver , Denver, Colorado , USA.
Spero M MansonCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Denver , Denver, Colorado , USA.
Kaiser Permanente · USUniversity of Colorado Denver · USColorado School of Public Health · USHealthPartners · USKaiser Permanente Center for Health Research · USKaiser Permanente Washington Health Research Institute · US

Funding

TRANSLATIONAL RESEARCH COREP30DK092923 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Angela Gwen Brega · 2011 to 2026
$10.2M
Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
AHRQ HHS R01 HS019859NIDDK NIH HHS P30 DK092923NIDDK NIH HHS P30 DK092924
6 · The paper itself

Abstract

objectiveTo compare cardiovascular disease risk factor testing rates and intermediate outcomes of care between American Indian/Alaska Native (AI/AN) patients with diabetes and non-Hispanic Caucasians enrolled in nine commercial integrated delivery systems in the USA. RESEARCH DESIGN AND

methodsWe used modified Poisson regression models to compare the annual testing rates and risk factor control levels for glycated haemoglobin (HbA1c), low-density lipoprotein cholesterol (LDL-C), and systolic blood pressure (SBP); number of unique diabetes drug classes; insulin use; and oral diabetes drug medication adherence between insured AI/AN and non-Hispanic white adults with diabetes aged ≥18 in 2011.

results5831 AI/AN patients (1.8% of the cohort) met inclusion criteria. After adjusting for age, gender, comorbidities, insulin use, and geocoded socioeconomic status, AI/AN patients had similar rates of annual HbA1c, LDL-C, and SBP testing, and LDL-C and SBP control, compared with non-Hispanic Caucasians. However, AI/AN patients were significantly more likely to have HbA1c >9% (>74.9 mmol/mol; RR=1.47, 95% CI 1.38 to 1.58), and significantly less likely to adhere to their oral diabetes medications (RR=0.90, 95% CI 0.88 to 0.93) compared with non-Hispanic Caucasians.

conclusionsAI/AN patients in commercial integrated delivery systems have similar blood pressure and cholesterol testing and control, but significantly lower rates of HbA1c control and diabetes medication adherence, compared with non-Hispanic Caucasians. As more AI/ANs move to urban and suburban settings, clinicians and health plans should focus on addressing disparities in diabetes care and outcomes in this population.

Indexed as

American Indian(s)Health Care Delivery

Identifiers

PMID25452877
PMCPMC4246918
OpenAlexW2114831156

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.