Evidence map›Paper›PMID 32060207›Full record

ArticleCanadian family physician Medecin de famille canadien2020

Relationship between GP visits and time spent in-hospital among insulin-dependent Canadians with type 2 diabetes.

Maeve E Wickham, Corinne M Hohl

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2020. 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
0.1field-weighted citation impact, top 51% of its field
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, 2 citations in OpenAlex.

  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

2 authors at 2 institutions in 1 country.

Maeve E WickhamDoctoral candidate in the School of Population and Public Health at the University of British Columbia and a researcher at the Centre for Clinical Epidemiology and Evaluation at the Vancouver Coastal Research Institute. maeve.wickham@ubc.ca.
Corinne M HohlAssociate Professor in the Department of Emergency Medicine at the University of British Columbia and a scientist in the Centre for Clinical Epidemiology and Evaluation.
Centre for Advancing Health Outcomes · CAVancouver Coastal Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether higher frequency of GP visits among insulin-dependent patients with type 2 diabetes is associated with reduced hospitalizations.

designNationally representative study using data from the 2013-2014 cycle of the Canadian Community Health Survey.

settingCanada.

participantsA study sample comprising 2203 insulin-dependent Canadians with type 2 diabetes.

main outcome measuresThe relationship between GP visits (no visits, 1-5 visits, ≥ 6 visits) in the past year and the number of nights spent in-hospital. Zero-inflated negative binomial Poisson regression models were used to account for overdispersion and excess zeros.

resultsHigher numbers of GP visits were associated with spending fewer nights in-hospital. Patients with 1 to 5 GP visits had a significantly lower number of nights spent in-hospital (rate ratio of 0.38, 95% CI 0.25 to 0.56), as did those with 6 or more GP visits (rate ratio of 0.57, 95% CI 0.38 to 0.84) despite having reduced odds of not being hospitalized (odds ratio of 0.62, 95% CI 0.39 to 0.95), compared with those who did not see a GP in the past year, after adjusting for confounders.

conclusionWe found that insulin-dependent patients with diabetes who saw GPs more frequently were hospitalized less commonly compared with those who did not see a GP in the past year. Further research is needed to examine relationships with other types of follow-up, ideally using a longitudinal design.

Indexed as

AdultAgedAged, 80 and overCanadaCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleGeneral PracticeHealth SurveysHospitalizationHumansHypoglycemic AgentsInsulinMaleMiddle AgedOffice VisitsHypoglycemic AgentsInsulin

Identifiers

PMID32060207
PMCPMC7021352
OpenAlexW3005552847

What OpenQuestion holds

Textmetadata
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.