Evidence map›Paper›PMID 30641164›Full record

ArticleDiabetes research and clinical practice2019

Evaluation of a program to improve intermediate diabetes outcomes in rural communities in the Dominican Republic.

Henry J Dethlefs, Elizabeth A Walker, Clyde B Schechter, Rachel Dowd, Linda Filipi, Juan Francisco Garcia, Charles Filipi

Abstract read
In one paragraph

Article in Diabetes research and clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Interventions and policies aimed at improving nutrition in Small Island Developing States: a rapid review.Revista panamericana de salud publica = Pan American journal of public health · 2022
    Review
  4. Article
  5. Article
  6. Article
  7. Review
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.

Henry J DethlefsOne World Community Health Centers, Inc, 4920 S 30th St. Suite 103, Omaha, NE 68107, USA.
Elizabeth A WalkerAlbert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA. Electronic address: elizabeth.walker@einstein.yu.edu.
Clyde B SchechterAlbert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA.
Rachel DowdCHI Creighton University Medical Center, 7500 Mercy Rd., Omaha, NE 68124, USA.
Linda FilipiChronic Care International, 12370 Rose Lane, Omaha, NE 68154, USA.
Juan Francisco GarciaChronic Care International, Centro de ILAC, Licey, Dominican Republic.
Charles FilipiCreighton University, School of Medicine, Education Building, Suite 105, 7710 Mercy Road, Omaha, NE 68124, USA.

Funding

New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

aimsTo describe implementation of diabetes and hypertension program in rural Dominican Republic (DR), and report six years of quality improvement process and health outcomes.

methodsDominican teams at two clinics are supported by Chronic Care International with: supervision and continuing education, electronic database, diabetes and hypertension protocols, medications, self-management education materials, behavior change techniques, and equipment and testing supplies (e.g., HbA1c, lipids, blood pressure, BMI). A monthly dashboard for care processes and health outcomes guides problem solving and goal setting. Results were analyzed for quality improvement reports and by fitting the clinical data to random-effects linear models.

results1191 adults were enrolled in the program at two clinics (44% men, baseline means: 56.4 years, BMI 27.4 kg/m

conclusionsImprovements in process and health outcomes are attainable in rural DR when medical teams have support and access to data. Scalability and sustainability are continuing goals.

Indexed as

Quality ImprovementRural Health ServicesAdultAgedBlood PressureBlood Pressure DeterminationDiabetes Mellitus, Type 2Dominican RepublicFemaleHumansHypertensionLong-Term CareMaleMiddle AgedPatient Reported Outcome MeasuresProgram Evaluation

Identifiers

PMID30641164
PMCPMC6394404

What OpenQuestion holds

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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.