Evidence map›Paper›PMID 27404014›Full record

ArticleScandinavian journal of primary health care2016

Contacting dropouts from type 2 diabetes care in public primary health care: description of the patient population.

Timo Kauppila, Merja K Laine, Mikko Honkasalo, Marko Raina, Johan G Eriksson

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

Article in Scandinavian journal of primary health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
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.

Timo Kauppilaa Department of General Practice and Primary Healthcare , HUS Institute of Clinical Medicine, University of Helsinki , Helsinki , Finland ;
Merja K Lainea Department of General Practice and Primary Healthcare , HUS Institute of Clinical Medicine, University of Helsinki , Helsinki , Finland ;
Mikko Honkasaloa Department of General Practice and Primary Healthcare , HUS Institute of Clinical Medicine, University of Helsinki , Helsinki , Finland ;
Marko Rainab Social and Health Bureau of the City of Vantaa, Health Centre of the City of Vantaa , Vantaa , Finland ;
Johan G Erikssond Department of General Practice and Primary Healthcare , University of Helsinki, Helsinki University Hospital , Helsinki , Finland.
University of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo characterize dropouts from type-2 diabetes (T2D) care in communal primary health care.

designAn observational study.

settingIn a Finnish city, patients with T2D who had not contacted the public primary health care system during the past 12 months were identified with a computer based search and contacted by a trained diabetes nurse. SUBJECTS: Dropouts from T2D treatment.

main outcome measuresDemographic factors, laboratory parameters, examinations, medications, and comorbidities.

resultsOf the patients with T2D, 10% (n = 356) were dropouts and 60% of them were men. Median HbA1c was 6.5 (QR for 25% and 75%: 6.0, 7.7) %, (45 [42,61] mmol/mol). Of the dropouts, 14% had HbA1c ≥ 9.0% (75 mmol/mol), and these patients were younger than the other dropouts (mean age 54.4 [SD 10.8] years vs. 60.6 [9.4] years, p < 0.001). Median low-density lipoprotein (LDL) cholesterol level was 2.8 (QR 2.1, 3.4) mmol/l. Median systolic blood pressure (BP) was 142 (QR 130, 160) mm Hg. Median diastolic BP was 86 (78, 94) mm Hg. Of the dropouts, 83% had comorbidities and 62% were prescribed metformin as a treatment.

conclusionsTen percent of T2D patients were dropouts of whom those with a poor glycaemic control were younger than the other dropouts. BP and LDL cholesterol concentrations were non-optimal among the majority of the dropouts. Metformin was prescribed less frequently to the dropouts than is usual for T2D patients. The comorbidities were equally common among the dropouts as among the other T2D patients. KEY POINTS   Which kinds of patients are dropouts from type-2 diabetes care is not known. • One-tenth of the patients with T2D were dropouts and they generally had good glycaemic control. • Blood pressure and LDL cholesterol concentrations were non-optimal among the majority of the dropouts. • Fourteen percent of these dropouts had HbA1c > 9% (75 mmol/mol) and they were more often younger than the other dropouts.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsAnalysis of VarianceComorbidityDiabetes Mellitus, Type 2FemaleFinlandGlycated HemoglobinHumansHypoglycemic AgentsInsulinMaleMedical RecordsGlycated HemoglobinHypoglycemic AgentsInsulinCharacteristicscomorbiditiesdropoutFinlandgeneral practicetype 2 diabetes

Identifiers

PMID27404014
PMCPMC5036016
OpenAlexW2462135111

What OpenQuestion holds

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LicenceCC BY-NC
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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.