Evidence map›Paper›PMID 27079346›Full record

ArticleThe American journal of the medical sciences2016

Contested Ownership of Disease and Ambulatory-Sensitive Emergency Department Visits for Type 2 Diabetes.

Jennifer E Shearer, Carolyn H Jenkins, Gayenell S Magwood, Charlene A Pope

Registry-linked trialAbstract read
In one paragraph

Article in The American journal of the medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05456906 (Avoidable Hospitalizations/ Emergency Department Visits- Meta-synthesis of Qualitative Research), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

NCT05456906 unknown statusnot on this mapstarted 2022, after this paper: background citation

Avoidable Hospitalizations/ Emergency Department Visits- Meta-synthesis of Qualitative Research

TypeobservationalSponsorKaohsiung Medical UniversityRan2022 to 2022Enrolled30ConditionsDiabetes, Heart Failure, Chronic Obstructive Pulmonary Disease, AsthmaArmsNo intervention
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Seeking Care for Hyperglycemia in the Emergency Department: Through the Eyes of the Patient.Diabetes spectrum : a publication of the American Diabetes Association · 2021
    Article
  3. Article
  4. 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

4 authors.

Jennifer E ShearerCollege of Nursing, Charleston Southern University, Charleston, South Carolina.
Carolyn H JenkinsCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina. Electronic address: Jenkins@musc.edu.
Gayenell S MagwoodCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina.
Charlene A PopeCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina; Ralph H. Johnson VA Medical Center, Charleston, South Carolina.

Funding

Emergency Department Use-African American with DiabetesR15NR009486 · NINR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI JENKINS, CAROLYN M · 2006 to 2006
$219k
NINR NIH HHS R15 NR009486
6 · The paper itself

Abstract

backgroundApproximately 21 million persons have diabetes and account for 11.9% of all emergency department (ED) visits for a total cost of $14.1 billion. Nonemergent visits for ambulatory-sensitive conditions that could be managed by the primary care provider make up almost one-third of the ED visits. African Americans comprise approximately 30% of South Carolina's population but make up approximately 50% of the ED visits for diabetes. The purpose of the research was to explore the experiences of 20 African-American adults with diabetes with ambulatory-sensitive ED use. RESEARCH DESIGN AND

methodsThe research design for this study is grounded theory with dimensional analysis methods. Following ethics approval and informed consent, interviews were conducted, recorded and transcribed verbatim, and themes were analyzed to form the explanatory framework or matrix for ED use. The framework of context, conditions, processes and consequences provides a key for understanding the themes of the story embedded in the descriptive narratives.

resultsThe contested ownership of diabetes was the overarching perspective--"doing what I got to do," "it's always on mind… wishing not to be a diabetic" and "it's a constant burden." And handling diabetes involved taking decisions "into your hands." The context of perceived urgency of symptoms included all the reasons that precipitated ED visit--personal experience, primary care access and services and social network support for decisions--influenced ownership of these decisions.

Indexed as

Grounded TheoryAdultAgedAged, 80 and overAmbulatory CareDecision MakingDiabetes Mellitus, Type 2Emergency Service, HospitalFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAmbulatory-sensitive conditionsEmergency department useGrounded theory with dimensional analysisQualitative researchType 2 diabetes

Identifiers

PMID27079346
PMCPMC4836170

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.