Evidence map›Paper›PMID 30756197›Full record

ArticleJournal of medical systems2019

Detecting Secular Trends in Clinical Treatment through Temporal Analysis.

Douglas Redd, Yijun Shao, Yan Cheng, Qing Zeng-Treitler

Abstract read
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In one paragraph

Article in Journal of medical systems, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Douglas ReddWashington DC Veterans Affairs Medical Center, 50 Irving St NW, Washington, DC, 20422, USA.
Yijun ShaoBiomedical Informatics Center, George Washington University School of Medicine and Health Sciences, 800 22nd St NW, Washington, DC, 20052, USA.
Yan ChengBiomedical Informatics Center, George Washington University School of Medicine and Health Sciences, 800 22nd St NW, Washington, DC, 20052, USA.
Qing Zeng-TreitlerWashington DC Veterans Affairs Medical Center, 50 Irving St NW, Washington, DC, 20422, USA. zengq@gwu.edu.

Funding

Health Services Research and Development CRE 12-315Health Services Research and Development HIR 08-204Health Services Research and Development HIR 08-374National Center for Advancing Translational Sciences UL1TR001876
6 · The paper itself

Abstract

Medical treatments change over time for multiple reasons, including introduction of new treatments, availability of new scientific evidence, change in institutional guidelines, and market efforts by pharmaceutical and medical device companies. Monitoring and analyzing these secular trends will also inform the evaluation of evidence based practice as well as outcome research. Using a large national clinical dataset from the United States Veterans Health Administration (VHA), we measured the change in prevalence of all diseases, medications, and procedures by year from 2001 to 2014. To assess statistical significance, we used a generalized linear model. Among the large number of changes that were observed, multiple significant changes were related to diabetes mellitus type II (DM2). Prevalence of DM2 in the VHA increased after 2001 but plateaued by 2008; blood sugar testing by glycosylated hemoglobin increased consistently while glucose testing decreased; and the trend of insulin and metformin use was consistent with the trend in DM2 prevalence, while glyburide and rosiglitazone use dropped sharply.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 2Diagnostic Techniques and ProceduresGlycated HemoglobinHumansHypoglycemic AgentsInternational Classification of DiseasesPractice Guidelines as TopicPractice Patterns, Physicians'Prescription DrugsUnited StatesUnited States Department of Veterans AffairsVaccinationBlood GlucoseGlycated HemoglobinHypoglycemic AgentsPrescription DrugsData miningDiabetes mellitus type IIPractice guidelinesPractice patterns

Identifiers

What OpenQuestion holds

Textmetadata
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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.