Evidence map›Paper›PMID 30943537›Full record

ArticleSouthern medical journal2019

Outcomes in an Interdisciplinary Diabetes Clinic in Rural Primary Care.

Dana E King, Ashley B Petrone, Frederick M Alcantara, Megan M Elavsky, Michelle O Prestoza, Judy Siebart, Greg Castelli

Abstract read
In one paragraph

Article in Southern medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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. Article
  5. Article
  6. The Impact of Integrated Behavioral Healthcare on Glycemic Control.Journal of clinical psychology in medical settings · 2022
    Article
  7. Article
  8. Article
  9. 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

7 authors.

Dana E KingFrom the Department of Family Medicine, West Virginia University, Morgantown, West Virginia, and University of Pittsburgh Medical Center (UPMC), St. Margaret, Pittsburgh, Pennsylvania.
Ashley B PetroneFrom the Department of Family Medicine, West Virginia University, Morgantown, West Virginia, and University of Pittsburgh Medical Center (UPMC), St. Margaret, Pittsburgh, Pennsylvania.
Frederick M AlcantaraFrom the Department of Family Medicine, West Virginia University, Morgantown, West Virginia, and University of Pittsburgh Medical Center (UPMC), St. Margaret, Pittsburgh, Pennsylvania.
Megan M ElavskyFrom the Department of Family Medicine, West Virginia University, Morgantown, West Virginia, and University of Pittsburgh Medical Center (UPMC), St. Margaret, Pittsburgh, Pennsylvania.
Michelle O PrestozaFrom the Department of Family Medicine, West Virginia University, Morgantown, West Virginia, and University of Pittsburgh Medical Center (UPMC), St. Margaret, Pittsburgh, Pennsylvania.
Judy SiebartFrom the Department of Family Medicine, West Virginia University, Morgantown, West Virginia, and University of Pittsburgh Medical Center (UPMC), St. Margaret, Pittsburgh, Pennsylvania.
Greg CastelliFrom the Department of Family Medicine, West Virginia University, Morgantown, West Virginia, and University of Pittsburgh Medical Center (UPMC), St. Margaret, Pittsburgh, Pennsylvania.

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI JUDITH FEINBERG · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

objectiveThe purpose of this study was to evaluate the effectiveness of an interdisciplinary diabetes team model of care in assisting patients to achieve improved glucose control in a primary care rural setting.

methodsA family medicine clinic at a rural university medical center developed an interdisciplinary diabetes team clinic composed of a certified diabetes educator/dietitian, a case manager, a pharmacist, nursing staff, a family medicine resident, a psychologist, and a board-certified family medicine attending physician. Patients were referred if their hemoglobin A1c (HbA1c) was ≥9% (75 mmol/mol); patients were seen for an initial consultation and for additional visits as needed.

resultsA total of 94 patients attended an initial visit and at least 1 follow-up within 6 months. Mean age was 57 ± 13 years, and 54% were female. Median time from the initial intensive diabetes clinic visit to a follow-up visit was 2.8 months. There was a significant reduction in median HbA1c percentage from 10.25% (88.5 mmol/mol) ± 1.4% (range 73-104 mmol/mol) at the initial intensive diabetes clinic visit to 8.7% (72 mmol/mol) ± 1.8% (range 52-92 mmol/mol) at a 1- to 6-month follow-up (

conclusionsAn interdisciplinary team approach to glycemic control can achieve significant reductions in HbA1c in the rural primary care setting.

Indexed as

Patient Care TeamPrimary Health CareAdultAgedBlood Glucose Self-MonitoringCase ManagersDelivery of Health CareDiabetes Mellitus, Type 2Disease ManagementFamily PracticeFemaleGlycated HemoglobinHealth EducatorsHumansHypoglycemic AgentsInternship and ResidencyGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic Agents

Identifiers

PMID30943537
PMCPMC6450414

What OpenQuestion holds

Textmetadata
LicenceTDM
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.