Evidence map›Paper›PMID 25992371›Full record

ArticleAnnals of translational medicine2015

Diabetes management before and after cancer diagnosis: missed opportunity.

Nengliang Yao, Fabian T Camacho, Askar S Chukmaitov, Steven T Fleming, Roger T Anderson

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

Article in Annals of translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

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  7. Review
  8. Eliciting primary care and oncology provider perspectives on diabetes management during active cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  9. Article
  10. Article
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  12. The impact of cancer on diabetes outcomes.BMC endocrine disorders · 2019
    Article
  13. Prostate cancer and subsequent nutritional outcomes: the role of diagnosis and treatment.Journal of cancer survivorship : research and practice · 2019
    Article
  14. 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

5 authors at 1 institution in 1 country.

Nengliang Yao1 Department of Healthcare Policy and Research, Virginia Commonwealth University, College of Medicine, Richmond, VA 23298, USA ; 2 College of Medicine, University of Virginia, Charlottesville, VA, USA ; 3 College of Public Health, University of Kentucky, Lexington, KY 40506, USA.
Fabian T Camacho1 Department of Healthcare Policy and Research, Virginia Commonwealth University, College of Medicine, Richmond, VA 23298, USA ; 2 College of Medicine, University of Virginia, Charlottesville, VA, USA ; 3 College of Public Health, University of Kentucky, Lexington, KY 40506, USA.
Askar S Chukmaitov1 Department of Healthcare Policy and Research, Virginia Commonwealth University, College of Medicine, Richmond, VA 23298, USA ; 2 College of Medicine, University of Virginia, Charlottesville, VA, USA ; 3 College of Public Health, University of Kentucky, Lexington, KY 40506, USA.
Steven T Fleming1 Department of Healthcare Policy and Research, Virginia Commonwealth University, College of Medicine, Richmond, VA 23298, USA ; 2 College of Medicine, University of Virginia, Charlottesville, VA, USA ; 3 College of Public Health, University of Kentucky, Lexington, KY 40506, USA.
Roger T Anderson1 Department of Healthcare Policy and Research, Virginia Commonwealth University, College of Medicine, Richmond, VA 23298, USA ; 2 College of Medicine, University of Virginia, Charlottesville, VA, USA ; 3 College of Public Health, University of Kentucky, Lexington, KY 40506, USA.
Virginia Commonwealth University · US

Funding

Training Program in Behavioral and Health Services Cancer Control ResearchR25CA093423 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI BROWN, RICHARD FREDERICK · 2002 to 2015
$2.9M
Patterns of Patient Care in AppalachiaR01CA140335 · NCI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI ANDERSON, ROGER T. · 2010 to 2012
$1.3M
NCI NIH HHS R01 CA140335NCI NIH HHS R25 CA093423
6 · The paper itself

Abstract

backgroundFew studies have examined the management of comorbidities in cancer patients. This study used population-based data to estimate the guideline concordance rates for diabetes management before and after cancer diagnosis and examined if diabetes management services among cancer patients was associated with characteristics of the hospital where the patient was treated.

methodsWe linked 2005-2009 Medicare claims data to information on 2,707 breast and colorectal cancers patients in state cancer registry files. Multivariate logistic regression models examined hospital characteristics associated with receipt of diabetes management care after cancer diagnosis.

resultsThe rates of HbAlc testing, LDL-C testing, and retinal eye exam decreased from 72.7%, 79.6%, and 57.9% before cancer diagnosis to 58.3%, 69.5%, and 55.8% after diagnosis. The pre- and post-diagnosis diabetes management care was not significantly different by hospital characteristics in the bivariate analysis except for that the distance between residence and hospital was negatively related to retinal eye exam after diagnosis (P<0.05). The multivariate analysis did not identify any significant differences in diabetes management care after cancer diagnosis by hospital characteristics.

conclusionsCancer patients received fewer diabetes management care after diagnosis than prior to diagnosis, even for those who were treated in large comprehensive centers. This may reflect a missed opportunity to connect diabetic cancer patients to diabetes care. This study provides benchmarks to measure improvements in comorbidity management among cancer patients.

Indexed as

Cancercare coordinationcomorbidity

Identifiers

PMID25992371
PMCPMC4402604
OpenAlexW2236526998

What OpenQuestion holds

Textmetadata
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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.