Evidence map›Paper›PMID 32345697›Full record

Observational studyBMJ open2020

Association between GP participation in a primary care group and monitoring of biomedical and lifestyle target indicators in people with type 2 diabetes: a cohort study (ELZHA cohort-1).

Sytske van Bruggen, Simone P Rauh, Tobias N Bonten, Niels H Chavannes, Mattijs E Numans, Marise J Kasteleyn

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
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

6 authors at 2 institutions in 1 country.

Sytske van BruggenPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands s.van_bruggen@lumc.nl.ORCID 0000-0003-1717-2338
Simone P RauhDepartment of Epidemiology and Biostatistics, Amsterdam Public Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-3627-6925
Tobias N BontenPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Niels H ChavannesPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Mattijs E NumansPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Marise J KasteleynPublic Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-7751-7516
Leiden University Medical Center · NLAmsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWhether care group participation by general practitioners improves delivery of diabetes care is unknown. Using 'monitoring of biomedical and lifestyle target indicators as recommended by professional guidelines' as an operationalisation for quality of care, we explored whether (1) in new practices monitoring as recommended improved a year after initial care group participation (aim 1); (2) new practices and experienced practices differed regarding monitoring (aim 2).

designObservational, real-life cohort study.

settingPrimary care registry data from Eerstelijns Zorggroep Haaglanden (ELZHA) care group.

participantsEXPOSURE: Care group participation includes support by staff nurses on protocolised diabetes care implementation and availability of a system providing individual monitoring information. 'Monitoring as recommended' represented minimally one annual registration of each biomedical (HbA1c, systolic blood pressure, low-density lipoprotein) and lifestyle-related target indicator (body mass index, smoking behaviour, physical exercise). PRIMARY OUTCOME MEASURES:

results

conclusionsWe observed a sharp increase concerning biomedical and lifestyle monitoring as recommended after 1-year care group participation, and subsequently no significant difference between new and experienced practices-indicating that providing diabetes care within a collective approach rapidly improves registration of care.

Indexed as

Life StyleAgedCohort StudiesDecision Support Systems, ClinicalDiabetes Mellitus, Type 2FemaleGeneral PractitionersHumansMaleMiddle AgedNetherlandsNurse PractitionersOdds RatioPatient Care TeamPractice Guidelines as TopicPrimary Health Caregeneral diabetesorganisation of health servicesprimary careprotocols & guidelinesquality in health care

Identifiers

PMID32345697
PMCPMC7213889
OpenAlexW3018723330

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.