Evidence map›Paper›PMID 26133895›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2016

Impact of electronic diabetes registry 'Meaningful Use' on quality of care and hospital utilization.

Wencui Han, Raj Sharman, Arvela Heider, Nancy Maloney, Min Yang, Ranjit Singh

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  7. Observational
  8. Observational
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  10. Review
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  12. Article
  13. Improving the quality of EHR recording in primary care: a data quality feedback tool.Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
  14. Review
  15. Article
  16. Harnessing the power of longitudinal data.Canadian family physician Medecin de famille canadien · 2016
    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

6 authors.

Wencui HanDepartment of Business Administration, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
Raj SharmanManagement Science and Systems, University at Buffalo, Buffalo, NY, USA.
Arvela HeiderHEALTHeLINK, Buffalo, NY, USA.
Nancy MaloneyHEALTHeLINK, Buffalo, NY, USA.
Min YangFamily Medicine, University at Buffalo, Buffalo, NY, USA.
Ranjit SinghFamily Medicine, University at Buffalo, Buffalo, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether the use of diabetes registries meeting Meaningful Use core objectives in primary care practices is associated with differences in quality of care and hospital utilization rates. MATERIALS AND

methodsA practice assessment survey was conducted to identify whether and how practices were using diabetes registries. Insurance claims data from 2010 were used to compare the health outcomes of patients from practices that used diabetes registries meeting Meaningful Use-related objectives to the outcomes of patients from other practices. Logistic hierarchical linear modeling was used to analyze the data.

resultsRecords from 12,514 diabetic patients (including 10,809 with type 2 diabetes) from 50 urban practices were included in the analysis. The results suggest that patients with type 2 diabetes who were treated in practices using registries for patient reminders were more likely to have completed the recommended laboratory testing (odds ratio [OR] 1.26, p < 0.01) and dilated retinal examinations (OR 1.14, p < 0.01). Patients in practices using registries for quality improvement were less likely to have 'avoidable hospitalization' (OR 0.83, p < 0.01) and emergency room visits (OR 0.76, p < 0.01). The use of a diabetes registry did not have a significant impact on the quality of care or hospital utilization for patients with type 1 diabetes.

conclusionUse of diabetes registries meeting Meaningful Use core objectives is associated with higher completion or recommended lab tests and a lower hospital utilization rate for patients with type 2 diabetes.

Indexed as

Diabetes MellitusMeaningful UseRegistriesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleHealth PromotionHospitalizationHumansMaleMiddle AgedQuality of Health CareReminder SystemsSex Factorsdiabeteshospital utilizationmeaningful usequality of careregistry

Identifiers

PMID26133895
PMCPMC11740534

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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.