Evidence map›Paper›PMID 30108089›Full record

ArticleCanadian family physician Medecin de famille canadien2018

Team-based comanagement of diabetes in rural primary care.

R Ryan Reyes, Gavin Parker, Stephanie Garies, Cheryl Dolan, Susan Gerber, Beverly Burton, Tracy Burton, Jeff Brockmann, Rebecca Miyagishima, Neil Drummond

Abstract readMulticenter Study
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Diabetes On Track: Redesigning Diabetes Management in Rural Primary Care.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  2. Article
  3. Article
  4. A rural physician relates.Canadian family physician Medecin de famille canadien · 2018
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

R Ryan ReyesResearch assistant in the Department of Family Medicine at the University of Calgary in Alberta at the time of the study.
Gavin ParkerClinical Assistant Professor in the Cumming School of Medicine at the University of Calgary and a family physician at the Associate Clinic in Pincher Creek, Alta. gparker@pinchermedical.ca.
Stephanie GariesAssistant Network Director for the Canadian Primary Care Sentinel Surveillance Network in southern Alberta in the Department of Family Medicine at the University of Calgary.
Cheryl DolanRegistered nurse and Clinical Care Coordinator at the Associate Clinic.
Susan GerberRegistered social worker and Mental Health and Wellness Coordinator at the Associate Clinic.
Beverly BurtonFamily physician, at the Associate Clinic.
Tracy BurtonFamily physician, at the Associate Clinic.
Jeff BrockmannExecutive Director, at the Associate Clinic.
Rebecca MiyagishimaResearch assistant in the Department of Family Medicine at the University of Alberta in Edmonton.
Neil DrummondProfessor and holds the Capital Health Chair in Primary Care Research in the Department of Family Medicine at the University of Alberta.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore clinical indicators among patients with diabetes in southern Alberta and assess changes over time, and to compare patients with diabetes attending a reference clinic (RC), which had adapted its service model to address the specific needs of the patient population, with patients with diabetes attending comparison clinics (CCs) in the same region.

designAnalysis of longitudinal data from the Canadian Primary Care Sentinel Surveillance Network (CPCSSN).

settingRural southern Alberta.

participantsA community-based family medicine clinic and the 6 other CPCSSN clinics in the same region at the time of the study.

main outcome measuresA range of data elements from patients with diabetes within the RC, as well as from patients with diabetes from the CCs, were analyzed by CPCSSN to compare rates of comorbidity and mean body mass index, hemoglobin A

resultsThe RC had higher proportions of patients with comorbid conditions and a consistently higher mean body mass index. Mean HbA

conclusionThis study describes a team-based comanagement organizational model and might provide useful commentary about organizational effectiveness in primary care. Although improvement in health outcomes cannot be directly attributed to any specific change in clinic organization, some statistically and likely clinically significant benefit was found associated with the service model of the RC in a relatively medically and socially challenged patient population and in a conservative evaluative design.

Indexed as

Models, OrganizationalAlbertaBlood PressureBody Mass IndexComorbidityDiabetes Mellitus, Type 2Disease ManagementFemaleGlycated HemoglobinHumansMaleMiddle AgedPopulation SurveillancePrimary Health CareRural Health ServicesRural PopulationGlycated Hemoglobin

Identifiers

PMID30108089
PMCPMC6189896

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.