Outcomes associated with a pediatric clinical diabetes network in Ontario: a population-based time-trend analysis.

Meranda Nakhla, Elham Rahme, Marc Simard, Astrid Guttmann

Registry-linked trialOpen access · diamondAbstract read

In one paragraph

Article in CMAJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03703440 (Evaluation of a Group Education Program to Improve the Transition From Pediatric to Adult Care for Emerging Adults With Type 1 Diabetes), which is not on this map. Cited by 6 papers.

0numbers the graph read from it

0cells of the map it votes in

6citing papers in PubMed

0.7field-weighted citation impact, top 24% 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.

NCT03703440 nacompletednot on this mapstarted 2019, after this paper: background citation

Evaluation of a Group Education Program to Improve the Transition From Pediatric to Adult Care for Emerging Adults With Type 1 Diabetes

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2019 to 2024Enrolled212ConditionsDiabetes Mellitus, Type 1, Type1diabetes, Insulin Dependent DiabetesArmsActive arm, Control arm

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

Socioeconomic representativeness of Australian, Canadian and British cohorts from the paediatric diabetes AdDIT study: comparisons to regional and national data.BMC medicine · 2023
Article
Shifting Health Care Use from Hospitalisations and Surgeries to Outpatient Visits in Children with Inflammatory Bowel Disease: A Population-based Cohort Study from Ontario, Canada.Journal of Crohn's & colitis · 2021
Article
Population-level management of type 1 diabetes via continuous glucose monitoring and algorithm-enabled patient prioritization: Precision health meets population health.Pediatric diabetes · 2021
Article
Risk of ketoacidosis in children at the time of diabetes mellitus diagnosis by primary caregiver status: a population-based retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018
Article
Increasing prevalence of diabetic ketoacidosis at diabetes diagnosis among children in Quebec: a population-based retrospective cohort study.CMAJ open
Article
Bladder and Bowel Dysfunction Network: Improving the Management of Pediatric Bladder and Bowel Dysfunction.Pediatric quality & safety
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 at 4 institutions in 1 country.

Meranda NakhlaAffiliations: Department of Pediatrics (Nakhla), The Montreal Children's Hospital, McGill University; Research Institute of the McGill University Health Centre (Nakhla, Rahme), Montréal, Que.; Institut national de santé publique du Québec (Simard), Québec, Que.; Department of Pediatrics (Guttmann), The Hospital for Sick Children, University of Toronto; Institute of Health Policy, Management and Evaluation (Guttmann), University of Toronto; Institute for Clinical Evaluative Sciences (Guttmann), Toronto, Ont.

Elham RahmeAffiliations: Department of Pediatrics (Nakhla), The Montreal Children's Hospital, McGill University; Research Institute of the McGill University Health Centre (Nakhla, Rahme), Montréal, Que.; Institut national de santé publique du Québec (Simard), Québec, Que.; Department of Pediatrics (Guttmann), The Hospital for Sick Children, University of Toronto; Institute of Health Policy, Management and Evaluation (Guttmann), University of Toronto; Institute for Clinical Evaluative Sciences (Guttmann), Toronto, Ont.

Marc SimardAffiliations: Department of Pediatrics (Nakhla), The Montreal Children's Hospital, McGill University; Research Institute of the McGill University Health Centre (Nakhla, Rahme), Montréal, Que.; Institut national de santé publique du Québec (Simard), Québec, Que.; Department of Pediatrics (Guttmann), The Hospital for Sick Children, University of Toronto; Institute of Health Policy, Management and Evaluation (Guttmann), University of Toronto; Institute for Clinical Evaluative Sciences (Guttmann), Toronto, Ont.

Astrid GuttmannAffiliations: Department of Pediatrics (Nakhla), The Montreal Children's Hospital, McGill University; Research Institute of the McGill University Health Centre (Nakhla, Rahme), Montréal, Que.; Institut national de santé publique du Québec (Simard), Québec, Que.; Department of Pediatrics (Guttmann), The Hospital for Sick Children, University of Toronto; Institute of Health Policy, Management and Evaluation (Guttmann), University of Toronto; Institute for Clinical Evaluative Sciences (Guttmann), Toronto, Ont.

Institute of Health Economics · CAMcGill University · CAMontreal Children's Hospital · CASickKids Foundation · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Network of Ontario Pediatric Diabetes Programs was implemented in 2001. The objective of this study was to determine whether implementation of the network was associated with a decrease in the risk of acute diabetes-related complications and a reduction in the socioeconomic and geographic disparities in these outcomes.

methodsWe conducted a population-based time trend analysis of children (< 18 yr) with diabetes using health administrative databases in Ontario from 1996 to 2011. We determined the relation between network implementation and diabetes-related emergency department visits and hospital admissions using linear mixed-effects models with a Poisson link function.

resultsData for 13 806 children with established diabetes were analyzed. After the network was implemented, there was a significant decrease in the rate per 100 children of emergency department visits (17.0 in 2001 v. 10.00 in 2011,

interpretationThe establishment of a pediatric diabetes network was associated with better health outcomes, particularly for patients of lower socioeconomic status. Further work is needed to address the health care needs of those in rural areas.

Identifiers

PMID28747349

DOI10.9778/cmajo.20170022

PMCPMC5621957

OpenAlexW2736822496

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

NCT03703440ClinicalTrials.gov

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.