ArticleBMJ open2018
Is the Rule of Halves framework relevant for diabetes care in Copenhagen today? A register-based cross-sectional study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Review
- Men and type 2 diabetes: how everyday knowledge remains unshared in gendered medical encounters.International journal of qualitative studies on health and well-being · 2025Article
- Risk factors for diabetes in recently arrived migrants in Scania, Sweden compared to the general population.Frontiers in public health · 2025Article
- Knowledge about diabetes in Malmö prior to initiation of "Cities Changing Diabetes".Frontiers in public health · 2024Review
- Guideline-level monitoring, biomarker levels and pharmacological treatment in migrants and native Danes with type 2 diabetes: Population-wide analyses.PLOS global public health · 2023Article
- Observational
- Need for improved diabetes support among people with psychiatric disorders and diabetes treated in psychiatric outpatient clinics: results from a Danish cross-sectional study.BMJ open diabetes research & care · 2022Article
- Article
- Adjusting health care: practicing care for socially vulnerable type 2 diabetes patients.BMC health services research · 2021Article
- Understanding the mechanisms generating outcomes in a Danish peer support intervention for socially vulnerable people with type 2-diabetes: a realist evaluation.Archives of public health = Archives belges de sante publique · 2021Article
- Diabetic Retinopathy Screening and Registration in Europe-Narrative Review.Healthcare (Basel, Switzerland) · 2021Review
- Education and incident type 2 diabetes: quantifying the impact of differential exposure and susceptibility to being overweight or obese.Diabetologia · 2020Article
- Management of Patients with Type 2 Diabetes with Once-Weekly Semaglutide Versus Dulaglutide, Exenatide ER, Liraglutide and Lixisenatide: A Cost-Effectiveness Analysis in the Danish Setting.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019Article
- Is the "Rule of Halves" Applicable for Diabetes Mellitus? A Cross-Sectional Study in a Coastal Area of Karnataka, India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe study aimed at analysing whether the 'Rule of Halves' framework applies for diabetes care in the Danish healthcare system with high levels of accessibility and equity. The Rule of Halves states that only one-half of people with a particular chronic condition are diagnosed; one-half of those diagnosed get treatment, and one-half of treated achieve desired therapeutic goals.
designThe analysis is cross sectional based on available surveys, register data and clinical databases covering the adult population in Copenhagen. We analysed five levels of prevention and care including behavioural risk factors and biomarkers, prevalence of diagnosed and undiagnosed diabetes as well as how many received care according to guidelines and achieved relevant outcomes.
settingThe study population is Copenhagen City with a population of 550 000 with 21 500 prevalent cases of diabetes. While the registers used cover the whole population, the surveys include 750 cases and the biobank data 365 cases. OUTCOME MEASURES: Outcome measures are for each level of analysis: the prevalence of high-risk individuals, prevalence of undiagnosed and diagnosed diabetes, proportion receiving treatment and proportion achieving quality and treatment targets.
resultsWe found that the 'Rule of Halves' framework raises relevant questions on how diabetes care works in a specific population, but the actual proportions found in Copenhagen are far from halves. Our analyses showed that 74% are diagnosed and among those who are 90% are receiving care. 40%-60% have achieved target levels of treatment in terms of HbA1c level and lipid levels. 80% have received eye and foot examinations in the last 2 years. 11% have retinopathy and 25% have macrovascular complications.
conclusionCopenhagen is doing much better than halves, when it comes to diagnosis and providing treatment, whereas the Rule of Halves still prevails when it comes to treatment targets. There is thus still room for improvement.
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