Evidence map›Paper›PMID 28070913›Full record

ArticleHealth services research2018

Does Identification of Previously Undiagnosed Conditions Change Care-Seeking Behavior?

Rebecca M Myerson, Lisandro D Colantonio, Monika M Safford, Elbert S Huang

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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.

Rebecca M MyersonDepartment of Pharmaceutical and Health Economics, Leonard D. Schaeffer Center for Health Policy and Economics, The University of Southern California, Verna & Peter Dauterive Hall, Office 414E, 635 DowneyWay, Los Angeles, CA, 90089.
Lisandro D ColantonioDepartment of Epidemiology, School of Public Health, The University of Alabama at Birmingham, Birmingham, AL.
Monika M SaffordJoan and Sanford I. Weill Department of Medicine, Weill Cornell Medical College, New York, NY.
Elbert S HuangSection of General Internal Medicine, The University of Chicago, Chicago, IL.

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
REGARDS - MI StudyR01HL080477 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEVITAN, EMILY B, SAFFORD, MONIKA M · 2006 to 2020
$11.6M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI MONICA E PEEK · 2011 to 2026
$10.0M
REasons for Geographic And Racial Differences in Stroke-Myocardial Infarction-4 (REGARDS-MI-4)R01HL165452 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEVITAN, EMILY B, SAFFORD, MONIKA M · 2022 to 2025
$8.3M
The University of Chicago and Northwestern University Predoctoral Health Services Research Program-RenewalT32HS000084 · AHRQ · UNIVERSITY OF CHICAGO · PI KONETZKA, RITA TAMARA, MELTZER, DAVID O · 1998 to 2024
$7.6M
Research and Mentorship in Medical Decision Making in DiabetesK24DK105340 · NIDDK · UNIVERSITY OF CHICAGO · PI HUANG, ELBERT S. · 2015 to 2019
$884k
Building Capacity for Cardiometabolic Outcomes ResearchK24HL111154 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI SAFFORD, MONIKA M · 2012 to 2015
$556k
The Impact of State-Varying Components of the Affordable Care Act on Prescription Fills for Diabetes and HypertensionR36HS023964 · AHRQ · UNIVERSITY OF CHICAGO · PI MYERSON, REBECCA · 2015 to 2015
$22k
AHRQ HHS R36 HS023964AHRQ HHS T32 HS000084NHLBI NIH HHS K24 HL111154NHLBI NIH HHS R01 HL080477NHLBI NIH HHS R01 HL165452NIDDK NIH HHS K24 DK105340NIDDK NIH HHS P30 DK092949NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

objectiveTo determine whether identification of previously undiagnosed high cholesterol, hypertension, and/or diabetes during an in-home assessment impacts care seeking among Medicare beneficiaries. DATA SOURCES/STUDY

settingData from the REasons for Geographic And Racial Differences in Stroke (REGARDS) study, which recruited African American and white participants across the continental United States from 2003-2007, were linked to Medicare claims. STUDY

designWe used panel data models to analyze changes in doctor visits for evaluation and management of conditions after participants were assessed, utilizing the study's rolling recruitment to control for secular trends. DATA EXTRACTION

methodsWe extracted Medicare claims for the 24 months before through 24 months after assessment via REGARDS for 5,884 participants. PRINCIPAL

findingsSemi-annual doctor visits for previously undiagnosed conditions increased by 22 percentage points (95 percent confidence interval: 16-28) 2 years following assessment. The effect was similar by gender, race, region, and Medicaid, but it may have been lower among participants who lacked a usual health care provider.

conclusionsIn-home assessment of cholesterol, blood pressure, and blood glucose can increase doctor visits for individuals with previously undiagnosed conditions. However, biomarker assessment may have more limited impact among individuals with low access to care.

Indexed as

AgedAged, 80 and overAge FactorsBlack or African AmericanDiabetes MellitusFemaleHealth Services ResearchHome Care ServicesHumansHypercholesterolemiaHypertensionMaleMedicaidMedicareOffice VisitsPatient Acceptance of Health Carediabeteshigh cholesterolhypertensionMedicarescreening

Identifiers

PMID28070913
PMCPMC5980362

What OpenQuestion holds

Textmetadata
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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.