Evidence map›Paper›PMID 28018888›Full record

ArticleCMAJ open

Health care for children with diabetes mellitus from low-income families in Ontario and California: a population-based cohort study.

Sunitha V Kaiser, Vandana Sundaram, Eyal Cohen, Rayzel Shulman, Jun Guan, Lee Sanders, Astrid Guttmann

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

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 81% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 2 institutions in 1 country.

Sunitha V KaiserDepartment of Paediatrics (Kaiser), University of California San Francisco, San Francisco, CA; Centre for Policy, Outcomes and Prevention (Sundaram, Sanders), Stanford University, Palo Alto, CA; Division of Paediatric Medicine, Department of Paediatrics (Cohen, Guttmann), Hospital for Sick Children and University of Toronto, Toronto, Ont.; Institute for Clinical Evaluative Sciences (Cohen, Shulman, Guan, Guttmann), Toronto, Ont.; Division of Endocrinology, Department of Paediatrics (Shulman), Hospital for Sick Children and the University of Toronto, Toronto, Ont.; Division of General Pediatrics (Sanders), Stanford University, Palo Alto, CA.
Vandana SundaramDepartment of Paediatrics (Kaiser), University of California San Francisco, San Francisco, CA; Centre for Policy, Outcomes and Prevention (Sundaram, Sanders), Stanford University, Palo Alto, CA; Division of Paediatric Medicine, Department of Paediatrics (Cohen, Guttmann), Hospital for Sick Children and University of Toronto, Toronto, Ont.; Institute for Clinical Evaluative Sciences (Cohen, Shulman, Guan, Guttmann), Toronto, Ont.; Division of Endocrinology, Department of Paediatrics (Shulman), Hospital for Sick Children and the University of Toronto, Toronto, Ont.; Division of General Pediatrics (Sanders), Stanford University, Palo Alto, CA.
Eyal CohenDepartment of Paediatrics (Kaiser), University of California San Francisco, San Francisco, CA; Centre for Policy, Outcomes and Prevention (Sundaram, Sanders), Stanford University, Palo Alto, CA; Division of Paediatric Medicine, Department of Paediatrics (Cohen, Guttmann), Hospital for Sick Children and University of Toronto, Toronto, Ont.; Institute for Clinical Evaluative Sciences (Cohen, Shulman, Guan, Guttmann), Toronto, Ont.; Division of Endocrinology, Department of Paediatrics (Shulman), Hospital for Sick Children and the University of Toronto, Toronto, Ont.; Division of General Pediatrics (Sanders), Stanford University, Palo Alto, CA.
Rayzel ShulmanDepartment of Paediatrics (Kaiser), University of California San Francisco, San Francisco, CA; Centre for Policy, Outcomes and Prevention (Sundaram, Sanders), Stanford University, Palo Alto, CA; Division of Paediatric Medicine, Department of Paediatrics (Cohen, Guttmann), Hospital for Sick Children and University of Toronto, Toronto, Ont.; Institute for Clinical Evaluative Sciences (Cohen, Shulman, Guan, Guttmann), Toronto, Ont.; Division of Endocrinology, Department of Paediatrics (Shulman), Hospital for Sick Children and the University of Toronto, Toronto, Ont.; Division of General Pediatrics (Sanders), Stanford University, Palo Alto, CA.
Jun GuanDepartment of Paediatrics (Kaiser), University of California San Francisco, San Francisco, CA; Centre for Policy, Outcomes and Prevention (Sundaram, Sanders), Stanford University, Palo Alto, CA; Division of Paediatric Medicine, Department of Paediatrics (Cohen, Guttmann), Hospital for Sick Children and University of Toronto, Toronto, Ont.; Institute for Clinical Evaluative Sciences (Cohen, Shulman, Guan, Guttmann), Toronto, Ont.; Division of Endocrinology, Department of Paediatrics (Shulman), Hospital for Sick Children and the University of Toronto, Toronto, Ont.; Division of General Pediatrics (Sanders), Stanford University, Palo Alto, CA.
Lee SandersDepartment of Paediatrics (Kaiser), University of California San Francisco, San Francisco, CA; Centre for Policy, Outcomes and Prevention (Sundaram, Sanders), Stanford University, Palo Alto, CA; Division of Paediatric Medicine, Department of Paediatrics (Cohen, Guttmann), Hospital for Sick Children and University of Toronto, Toronto, Ont.; Institute for Clinical Evaluative Sciences (Cohen, Shulman, Guan, Guttmann), Toronto, Ont.; Division of Endocrinology, Department of Paediatrics (Shulman), Hospital for Sick Children and the University of Toronto, Toronto, Ont.; Division of General Pediatrics (Sanders), Stanford University, Palo Alto, CA.
Astrid GuttmannDepartment of Paediatrics (Kaiser), University of California San Francisco, San Francisco, CA; Centre for Policy, Outcomes and Prevention (Sundaram, Sanders), Stanford University, Palo Alto, CA; Division of Paediatric Medicine, Department of Paediatrics (Cohen, Guttmann), Hospital for Sick Children and University of Toronto, Toronto, Ont.; Institute for Clinical Evaluative Sciences (Cohen, Shulman, Guan, Guttmann), Toronto, Ont.; Division of Endocrinology, Department of Paediatrics (Shulman), Hospital for Sick Children and the University of Toronto, Toronto, Ont.; Division of General Pediatrics (Sanders), Stanford University, Palo Alto, CA.
Stanford University · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren with diabetes mellitus in low-income families have poor outcomes, but little is known as to how this relates to healthcare system structure. Our objective was to gain insight into how best to structure health systems to serve these children by describing their health care use in 2 health system models: a Canadian model, with an organized diabetes care network that includes generalists, and an American model, with targeted support services for children from low-income families.

methodsWe performed a population-based retrospective cohort study involving children aged 1-17 years with type 1 diabetes mellitus. We used administrative data from between 2009 and 2012 from the California Children's Services program and Ontario. We used Ontario Drug Benefit Program enrolment to identify children from low-income families. Proportions of children receiving 2 or more routine diabetes visits per year were compared using χ2 tests, and diabetes-complication hospital admission rates were compared using direct standardization.

resultsMore California children from low-income families (

interpretationOntario children from low-income families received more routine diabetes care than did California children from low-income families. Both groups of children had clinically comparable rates of hospital admission for diabetes complications. Diabetes care networks that integrate generalists may play a role in improving access and outcomes for the growing population of children with diabetes.

Identifiers

PMID28018888
PMCPMC5173459
OpenAlexW2560235013

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.