Evidence map›Paper›PMID 32611609›Full record

Observational studyDiabetes care2020

The Affordable Care Act: Effects of Insurance on Diabetes Biomarkers.

Miguel Marino, Heather Angier, Rachel Springer, Steele Valenzuela, Megan Hoopes, Jean O'Malley, Andrew Suchocki, John Heintzman, Jennifer DeVoe, Nathalie Huguet

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Diabetes care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02685384 (Post ACA Reform), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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.

NCT02685384 completednot on this map

Post ACA Reform: Evaluation of Community Health Center Care of Diabetes

TypeobservationalSponsorOregon Health and Science UniversityRan2012 to 2021Enrolled1,938,375ConditionsDiabetes Mellitus (DM)ArmsMedicaid Expansion
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Diabetes Control During Massachusetts Insurance Reform.Journal of racial and ethnic health disparities · 2022
    Article
  16. Article
  17. Article
  18. Determinants of Diabetes Disease Management, 2011-2019.Healthcare (Basel, Switzerland) · 2021
    Article
  19. Article
  20. 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

10 authors.

Miguel MarinoDepartment of Family Medicine, Oregon Health & Science University, Portland, OR marinom@ohsu.edu.ORCID 0000-0002-0066-4478
Heather AngierDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.ORCID 0000-0002-6313-1927
Rachel SpringerDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.
Steele ValenzuelaDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.
Megan HoopesOCHIN, Portland, OR.
Jean O'MalleyDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.
Andrew SuchockiClackamas Health Centers, Oregon City, OR.
John HeintzmanDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.
Jennifer DeVoeDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.
Nathalie HuguetDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.

Funding

Evaluating Control of Hypertension - Effect of Social Determinants (ECHOES)R01HL136575 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DEVOE, JENNIFER E · 2018 to 2021
$2.5M
PREVENT-D: Post ACA Reform: Evaluate Community Health Center Care for DiabetesU18DP006116 · DP · OREGON HEALTH & SCIENCE UNIVERSITY · PI HUGUET, NATHALIE · 2015 to 2019
$2.2M
ACL HHS U18DP006116NCCDPHP CDC HHS U18 DP006116NHLBI NIH HHS R01 HL136575
6 · The paper itself

Abstract

objectiveWe sought to understand how Affordable Care Act (ACA) Medicaid expansion insurance coverage gains are associated with changes in diabetes-related biomarkers. RESEARCH DESIGN AND

methodsThis was a retrospective observational cohort study using electronic health record data from 178 community health centers (CHCs) in the ADVANCE (Accelerating Data Value Across a National Community Health Center Network) network. We assessed changes in diabetes-related biomarkers among adult patients with diabetes in 10 Medicaid expansion states (

resultsNewly insured patients exhibited a reduction in adjusted mean HbA

conclusionsPost-ACA, newly insured patients had greater improvements in diabetes-related biomarkers than continuously uninsured, discontinuously insured, or continuously insured patients. Findings suggest that health insurance gain via ACA facilitates access to appropriate diabetes care, leading to improvements in diabetes-related biomarkers.

Indexed as

Patient Protection and Affordable Care ActAdultAgedAged, 80 and overBiomarkersCohort StudiesCommunity Health CentersDiabetes MellitusElectronic Health RecordsFemaleGlycated HemoglobinHumansInsurance CoverageInsurance, HealthLongitudinal StudiesMaleBiomarkersGlycated Hemoglobin

Identifiers

PMID32611609
PMCPMC7440906

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.