Evidence map›Paper›PMID 29216790›Full record

ArticleJournal of primary care & community health2017

Dual Therapy Appears Superior to Monotherapy for Low-Income Individuals With Newly Diagnosed Type 2 Diabetes.

Elizabeth M Vaughan, Craig A Johnston, David J Hyman, Daphne C Hernandez, Vagish Hemmige, John P Foreyt

Open access · goldAbstract read
In one paragraph

Article in Journal of primary care & community health, 2017. 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
0.2field-weighted citation impact, top 40% 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, 22 citations in OpenAlex.

  1. Review
  2. Review
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

6 authors at 2 institutions in 1 country.

Elizabeth M Vaughan1 Baylor College of Medicine, Houston, TX, USA.
Craig A Johnston2 University of Houston, Houston, TX, USA.
David J Hyman1 Baylor College of Medicine, Houston, TX, USA.
Daphne C Hernandez2 University of Houston, Houston, TX, USA.ORCID https://orcid.org/0000-0002-5232-749X
Vagish Hemmige1 Baylor College of Medicine, Houston, TX, USA.
John P Foreyt1 Baylor College of Medicine, Houston, TX, USA.
Baylor College of Medicine · USUniversity of Houston · US

Funding

Technology to improve the health of resource-poor Hispanics with diabetesK23DK110341 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI VAUGHAN, ELIZABETH M · 2017 to 2021
$857k
NIDDK NIH HHS K23 DK110341
6 · The paper itself

Abstract

backgroundThere are variable recommendations regarding initiating monotherapy or dual therapy in patients with newly diagnosed type 2 diabetes (T2D). Clear initial strategies are of particular importance in underserved settings where access to care and financial burdens are significant barriers.

objectivesTo provide descriptive data of metabolic outcomes to therapy regimens for low-income individuals with newly diagnosed T2D placed on oral hypoglycemic agents (OAs).

methodsWe conducted a retrospective chart review of low-income individuals with newly diagnosed T2D initiated on OAs. We provided descriptive data and then evaluated the effects of OA regimens (ie, mono-, dual-, transition [from mono to dual or vice versa] therapy) on hemoglobin A1c (A1c) (baseline to 12 months).

resultsA total of 309 patients were included in the study. At 12 months, the mean decrease in A1c for the entire sample was -2.36% (9.37% to 7.01%). Patients prescribed dual therapy had a greater change of A1c compared to those taking monotherapy with metformin (-1.11%, P < .01). Patients who transitioned therapies did not differ in change of A1c compared to monotherapy.

conclusionInitiation of dual therapy was superior to metformin monotherapy or transitioning therapies and may be preferred for low-income individuals with newly diagnosed T2D.

Indexed as

AdultDiabetes Mellitus, Type 2Drug Therapy, CombinationFemaleGlycated HemoglobinHumansHypoglycemic AgentsMaleMetforminMiddle AgedMultivariate AnalysisPovertyRegression AnalysisRetrospective StudiesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsMetforminchronic diseasecommunity health centersdiabeteslow-income settingsmedicationsnewly diagnosedoral hypoglycemic agentunderserved

Identifiers

PMID29216790
PMCPMC5748290
OpenAlexW2775131796

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
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.