Observational studyDiabetes & metabolism journal2019
Impact of Continuous Care on Health Outcomes and Cost for Type 2 Diabetes Mellitus: Analysis Using National Health Insurance Cohort Database.
Observational study in Diabetes & metabolism journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of continuity of care on health outcomes among patients with diabetes mellitus and/or hypertension: a systematic review.BMC family practice · 2021Pooled it
- Long-term effectiveness of a primary care chronic disease management program in Korea.Epidemiology and health · 2026Article
- Article
- Is avoidable diabetes-related hospitalization in older patients with type 2 diabetes mellitus associated with increased health expenditure?: A nationwide retrospective cohort study in South Korea.Preventive medicine reports · 2025Article
- RETRACTED: Application of continuing nursing intervention on wound infection and ulcers in patients with diabetic foot: A meta-analysis.International wound journal · 2024Article
- Continuity of primary care for type 2 diabetes and hypertension and its association with health outcomes and disease control: insights from Central Vietnam.BMC public health · 2024Article
- The associations of continuity of care with inpatient, outpatient, and total medical care costs among older adults with urinary incontinence.BMC health services research · 2023Article
- Impact of the family doctor system on the continuity of care for diabetics in urban China: a difference-in-difference analysis.BMJ open · 2023Article
- Relationship between continuity of care and clinical outcomes in patients with dyslipidemia in Korea: a real world claims database study.Scientific reports · 2022Article
- Personal continuity of GP care and outpatient specialist visits in people with type 2 diabetes: A cross-sectional survey.PloS one · 2022Article
- Duration of diabetes mellitus and risk of kidney and bladder cancer: a longitudinal nationwide cohort study.American journal of cancer research · 2022Article
- Effects of continuous nursing on rehabilitation compliance, living quality and daily living ability of patients with acute ischemic stroke.American journal of translational research · 2022Article
- Young-onset type 2 diabetes in South Korea: a review of the current status and unmet need.The Korean journal of internal medicine · 2021Review
- Clinical Study Using Healthcare Claims Database.Journal of rheumatic diseases · 2021Review
- Cumulative obesity exposure increases the risk of kidney cancer: a longitudinal nationwide cohort study.American journal of cancer research · 2021Article
- Comparing Health Outcomes in Patients with Hypertension Receiving Continuity of Care From Regular Family Physician With Care From Multiple Physicians: A Retrospective Cohort Study.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of the study was to determine the impact of continuous care on health outcomes and cost of type 2 diabetes mellitus (T2DM) in Korea.
methodsA nationwide retrospective, observational case-control study was conducted. Continuity of treatment was measured using Continuity of Care (COC) score. Information of all patients newly diagnosed with T2DM in 2004 was retrieved from the National Health Insurance database for the period of 2002 to 2013. The study examined 2,373 patients after applying exclusion criteria, such as for patients who died from conditions not related to T2DM. Statistical analyses were performed using frequency distribution, simple analysis (t-test and chi-squared test), and multi-method analysis (simple linear regression, logistic regression, and survival analysis).
resultsThe overall COC score was 0.8±0.24. The average incidence of diabetic complications was 0.39 per patient with a higher COC score, whereas it was 0.49 per patient with a lower COC score. In both survival and logistic analyses, patients who had high COC score were significantly less likely to have diabetic complications (hazard ratio, 0.69; 95% confidence interval, 0.54 to 0.88). The average medical cost was approximately 3,496 United States dollar (USD) per patient for patients with a higher COC score, whereas it was 3,973 USD per patient for patients with a lower COC score during the 2006 to 2013 period, with a difference of around 477 USD, which is statistically significant after adjusting for other factors (β=-0.152).
conclusionContinuity of care for diabetes significantly reduced health complications and medical costs from patients with T2DM.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.