Evidence map›Paper›PMID 29433960›Full record

ArticleJournal of diabetes and its complications2018

Identifying the causes of the changes in the prevalence patterns of diabetes in older U.S. adults: A new trend partitioning approach.

Igor Akushevich, Arseniy P Yashkin, Julia Kravchenko, Fang Fang, Konstantin Arbeev, Frank Sloan, Anatoliy I Yashin

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes and its complications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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 1 institution in 1 country.

Igor AkushevichBiodemography of Aging Research Unit, Center for Population Health and Aging, Duke University, Durham, NC, United States.
Arseniy P YashkinBiodemography of Aging Research Unit, Center for Population Health and Aging, Duke University, Durham, NC, United States. Electronic address: apy4@duke.edu.
Julia KravchenkoDepartment of Surgery, Duke University School of Medicine, Durham, NC, United States.
Fang FangBiodemography of Aging Research Unit, Center for Population Health and Aging, Duke University, Durham, NC, United States.
Konstantin ArbeevBiodemography of Aging Research Unit, Center for Population Health and Aging, Duke University, Durham, NC, United States.
Frank SloanDepartment of Economics, Duke University, Durham, NC, United States.
Anatoliy I YashinBiodemography of Aging Research Unit, Center for Population Health and Aging, Duke University, Durham, NC, United States.
Duke University · US

Funding

Relationships among Genetic Regulators of Aging Health and LifespanP01AG043352 · NIA · DUKE UNIVERSITY · PI YASHIN, ANATOLIY I · 2014 to 2018
$8.7M
Genetics of changes in population pyramids: Implications for health forecasting with a focus on Alzheimer's Disease and related dementiasRF1AG046860 · NIA · DUKE UNIVERSITY · PI YASHIN, ANATOLIY I · 2019 to 2019
$3.1M
YASHIN Admin Supp: Time Trends in Alzheimer's Disease: Addressing the Changing Role of Risk Factors and Instrument ValidityR01AG046860 · NIA · DUKE UNIVERSITY · PI YASHIN, ANATOLIY I · 2014 to 2018
$3.1M
VISUAL IMPAIRMENT, TREATMENT, AND EFFECTS ON THE ELDERLYR01AG017473 · NIA · DUKE UNIVERSITY · PI SLOAN, FRANK A · 2001 to 2012
$1.7M
NIA NIH HHS P01 AG043352NIA NIH HHS R01 AG017473NIA NIH HHS R01 AG046860NIA NIH HHS RF1 AG046860
6 · The paper itself

Abstract

aimsTo identify how efforts to control the diabetes epidemic and the resulting changes in diabetes mellitus, type II (T2D) incidence and survival have affected the time-trend of T2D prevalence.

methodsA newly developed method of trend decomposition was applied to a 5% sample of Medicare administrative claims filed between 1991 and 2012.

resultsAge-adjusted prevalence of T2D for adults age 65+ increased at an average annual percentage change of 2.31% between 1992 and 2012. Primary contributors to this trend were (in order of magnitude): improved survival at all ages, increased prevalence of T2D prior to age of Medicare eligibility, decreased incidence of T2D after age of Medicare eligibility.

conclusionsHealth services supported by the Medicare system, coupled with improvements in medical technology and T2D awareness efforts provide effective care for individuals age 65 and older. However, policy maker attention should be shifted to the prevention of T2D in younger age groups to control the increase in prevalence observed prior to Medicare eligibility.

Indexed as

AgedDatabases, FactualDiabetes Mellitus, Type 2EpidemicsHumansIncidenceMedicareModels, StatisticalPrevalenceUnited StatesDiabetesElderlyMedicarePrevalenceSurvivalTime trend

Identifiers

PMID29433960
PMCPMC5849520
OpenAlexW2782352400

What OpenQuestion holds

Textmetadata
LicenceTDM
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.