Evidence map›Paper›PMID 29934016›Full record

ArticleAmerican journal of preventive medicine2018

Primary Care Providers' Prediabetes Screening, Testing, and Referral Behaviors.

Kunthea Nhim, Tamkeen Khan, Stephanie M Gruss, Gregory Wozniak, Kate Kirley, Patricia Schumacher, Elizabeth T Luman, Ann Albright

Open access · hybridAbstract read
In one paragraph

Article in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

37 citing papers in PubMed, 55 citations in OpenAlex.

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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

8 authors at 2 institutions in 2 countries.

Kunthea NhimDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: knhim@cdc.gov.
Tamkeen KhanAmerican Medical Association, Chicago, Illinois.
Stephanie M GrussDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia.
Gregory WozniakAmerican Medical Association, Chicago, Illinois.
Kate KirleyAmerican Medical Association, Chicago, Illinois.
Patricia SchumacherDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia.
Elizabeth T LumanDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ann AlbrightDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USAmerican Medical Association · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionIntensive behavioral counseling is effective in preventing type 2 diabetes, and insurance coverage for such interventions is increasing. Although primary care provider referrals are not required for entry to the Centers for Disease Control and Prevention (CDC)-recognized National Diabetes Prevention Program lifestyle change program, referral rates remain suboptimal. This study aims to assess the association between primary care provider behaviors regarding prediabetes screening, testing, and referral and awareness of the CDC-recognized lifestyle change program and the Prevent Diabetes STAT: Screen, Test, and Act Today

methodsResponses from primary care providers (n=1,256) who completed the 2016 DocStyles cross-sectional web-based survey were analyzed in 2017 to measure self-reported prediabetes screening, testing, and referral behaviors. Multivariate logistic regression was used to estimate the effects of primary care provider awareness and practice characteristics on these behaviors, controlling for provider characteristics.

resultsOverall, 38% of primary care providers were aware of the CDC-recognized lifestyle change program, and 19% were aware of the STAT toolkit; 27% screened patients for prediabetes using a risk test; 97% ordered recommended blood tests; and 23% made referrals. Awareness of the lifestyle change program and the STAT toolkit was positively associated with screening and referring patients. Primary care providers who used electronic health records were more likely to screen, test, and refer. Referring was more likely in areas with more lifestyle change program classes.

conclusionsThis study highlights the importance of increasing primary care provider awareness of and referrals to the CDC-recognized lifestyle change program.

Indexed as

Life StyleAttitude of Health PersonnelAwarenessDiabetes Mellitus, Type 2Electronic Health RecordsFemaleHumansInternetMaleMass ScreeningMiddle AgedPhysicians, Primary CarePrediabetic StatePrimary Health CareReferral and ConsultationSurveys and Questionnaires

Identifiers

PMID29934016
PMCPMC6241213
OpenAlexW2809407188

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.