Evidence map›Paper›PMID 26217492›Full record

ArticleBMJ open diabetes research & care2015

The relationship of individual comorbid chronic conditions to diabetes care quality.

Elizabeth M Magnan, Mari Palta, Jane E Mahoney, Nancy Pandhi, Daniel M Bolt, Jennifer Fink, Robert T Greenlee, Maureen A Smith

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open diabetes research & care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Article
  11. Blood Pressure Control and Other Quality of Care Metrics for Patients with Obesity and Diabetes: A Population-Based Cohort Study.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2018
    Observational
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Diagnosed but Not Undiagnosed Diabetes Is Associated with Depression in Rural Areas.International journal of environmental research and public health · 2016
    Article
  19. Article
  20. 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

8 authors.

Elizabeth M MagnanDepartment of Family and Community Medicine , University of California, Davis , Sacramento, California , USA ; Health Innovation Program , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA.
Mari PaltaDepartment of Biostatistics and Medical Informatics , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA ; Department of Population Health Sciences , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA.
Jane E MahoneyDepartment of Medicine , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA.
Nancy PandhiHealth Innovation Program , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA ; Department of Family Medicine , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA.
Daniel M BoltDepartment of Educational Psychology , University of Wisconsin-Madison , Madison, Wisconsin , USA.
Jennifer FinkDepartment of Health Informatics and Administration , College of Health Sciences , University Wisconsin Milwaukee , Milwaukee, Wisconsin , USA ; Center for Urban Population Health , Milwaukee, Wisconsin , USA ; Aurora Research Institute, Aurora Health Care , Milwaukee, Wisconsin , USA.
Robert T GreenleeCenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Foundation , Marshfield, WI , USA.
Maureen A SmithHealth Innovation Program , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA ; Department of Population Health Sciences , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA ; Department of Family Medicine , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA ; Department of Surgery , University of Wisconsin School of Medicine and Public Health , Madison, Wisconsin , USA.

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Guideline Adherence and Short/Long-term Health Outcomes in Patients with DiabetesR01HS018368 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI SMITH, MAUREEN A · 2009 to 2013
$2.3M
Improving Diabetes Quality Reports for Persons with Multiple Chronic ConditionsR21HS021899 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI SMITH, MAUREEN A · 2012 to 2014
$957k
Continuity of Care and the Health of Older AdultsK08AG029527 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI PANDHI, NANCY · 2009 to 2013
$669k
AHRQ HHS R01 HS018368AHRQ HHS R21 HS021899NCATS NIH HHS UL1 TR000427NIA NIH HHS K08 AG029527
6 · The paper itself

Abstract

objectiveMultimorbidity affects 26 million persons with diabetes, and care for comorbid chronic conditions may impact diabetes care quality. The aim of this study was to determine which chronic conditions were related to lack of achievement or achievement of diabetes care quality goals to determine potential targets for future interventions. RESEARCH DESIGN AND

methodsThis is an exploratory retrospective analysis of electronic health record data for 23 430 adults, aged 18-75, with diabetes who were seen at seven Midwestern US health systems. The main outcome measures were achievement of six diabetes quality metrics in the reporting year, 2011 (glycated haemoglobin (HbA1c) control and testing, low-density lipoprotein control and testing, blood pressure control, kidney testing). Explanatory variables were 62 chronic condition indicators. Analyses were adjusted for baseline patient sociodemographic and healthcare utilization factors.

resultsThe 62 chronic conditions varied in their relationships to diabetes care goal achievement for specific care goals. Congestive heart failure was related to lack of achievement of cholesterol management goals. Obesity was related to lack of HbA1c and BP control. Mental health conditions were related to both lack of achievement and achievement of different care goals. Three conditions were related to lack of cholesterol testing, including congestive heart failure and substance-use disorders. Of 17 conditions related to achieving control goals, 16 were related to achieving HbA1c control. One-half of the comorbid conditions did not predict diabetes care quality.

conclusionsFuture interventions could target patients at risk for not achieving diabetes care for specific care goals based on their individual comorbidities.

Indexed as

Comorbid Condition(s)Health Sciences ResearchOutcomesQuality of Care

Identifiers

PMID26217492
PMCPMC4513351

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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.