Evidence map›Paper›PMID 29256089›Full record

SynthesisJournal of general internal medicine2018

Diabetes Mellitus Management Among Patients with Limited English Proficiency: A Systematic Review and Meta-Analysis.

Jane W Njeru, Mark L Wieland, Gracia Kwete, Eugene M Tan, Carmen Radecki Breitkopf, Amenah A Agunwamba, Larry J Prokop, M Hassan Murad

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Systematic Review of Pain Research Among Limited English Proficiency Patient Populations in Health care.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2024
    Pooled it
  2. Article
  3. Knowledge of Interpreter Rights and Medication Delays in Diabetes Care.Journal of immigrant and minority health · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Ethnic Disparities in Diabetes.Endocrinology and metabolism clinics of North America · 2021
    Review
  11. Article
  12. An overview of reviews on strategies to reduce health inequalities.International journal for equity in health · 2020
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Jane W NjeruDivision of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA. njeru.jane@mayo.edu.
Mark L WielandDivision of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Gracia KweteMayo Clinic School of Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Eugene M TanDivision of Infectious Diseases, Mayo Clinic, Rochester, MN, USA.
Carmen Radecki BreitkopfDivision of Health Care Policy and Research, Mayo Clinic, Rochester, MN, USA.
Amenah A AgunwambaRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
Larry J ProkopMayo Medical Library, Mayo Clinic, Rochester, MN, USA.
M Hassan MuradRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USMassachusetts General Hospital · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with limited English proficiency (LEP) and type 2 diabetes mellitus (T2DM) have several health disparities, including suboptimal patient-provider interactions, poorer glycemic control, and T2DM complications. Understanding existing interventions for improving T2DM outcomes in this population is critical for reducing disparities.

methodsWe performed a systematic review of randomized controlled trials (RCTs) and observational studies examining the effectiveness of interventions in improving T2DM outcomes among patients with LEP in North America. Quality was assessed using the Cochrane risk of bias tool for RCTs and the Newcastle-Ottawa Scale for non-RCT studies. Meta-analysis was conducted using the random-effects model.

resultsFifty-four studies, 39 of which reported sufficient data for meta-analysis of glycemic control, were included. The interventions were associated with a statistically significant reduction in hemoglobin A DISCUSSION: Multiple types of interventions are available for T2DM management in patients with LEP. Multicomponent interventions delivered face-to-face seem most effective for glycemic control. More research is needed to better understand other aspects of multicomponent interventions that are critical for improving important outcomes among patients with T2DM and LEP.

Indexed as

Communication BarriersDisease ManagementDiabetes Mellitus, Type 2HumansObservational Studies as TopicRandomized Controlled Trials as TopicSelf Carechronic diseasediabetesdisease managementhealth communicationlanguage barrierslimited English proficiency

Identifiers

PMID29256089
PMCPMC5880756
OpenAlexW2777640060

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.