Evidence map›Paper›PMID 32690631›Full record

ReviewBMJ open diabetes research & care2020

Preparedness cycle to address transitions in diabetes care during the COVID-19 pandemic and future outbreaks.

Unjali P Gujral, Leslie Johnson, Jannie Nielsen, Priyathama Vellanki, J Sonya Haw, Georgia M Davis, Mary Beth Weber, Francisco J Pasquel

Open access · goldAbstract readReview
In one paragraph

Review in BMJ open diabetes research & care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. Observational
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  13. Assessing the Disruption Impact on Healthcare Delivery.Journal of primary care & community health
    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

8 authors at 1 institution in 1 country.

Unjali P GujralRollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-0352-813X
Leslie JohnsonDepartment of Family Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0003-4574-847X
Jannie NielsenRollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Priyathama VellankiDivision of Endocrinology, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-6544-015X
J Sonya HawDivision of Endocrinology, Emory University School of Medicine, Atlanta, Georgia, USA.
Georgia M DavisDivision of Endocrinology, Emory University School of Medicine, Atlanta, Georgia, USA.
Mary Beth WeberRollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Francisco J PasquelDivision of Endocrinology, Emory University School of Medicine, Atlanta, Georgia, USA fpasque@emory.edu.ORCID 0000-0002-3845-6703
Emory University · US

Funding

Translational Research Core - Engagement and Behavior ChangeP30DK111024 · NIDDK · EMORY UNIVERSITY · PI Mohammed Kumail Ali · 2016 to 2026
$13.4M
Metabolic Phenotyping During Stress Hyperglycemia in Cardiac Surgery PatientsK23GM128221 · NIGMS · EMORY UNIVERSITY · PI PASQUEL, FRANCISCO J · 2018 to 2022
$957k
Epigenetic Markers of Short- and Long- Term Near-Normoglycemia Remission in Patients with Ketosis-Prone DiabetesK23DK113241 · NIDDK · EMORY UNIVERSITY · PI VELLANKI, PRIYATHAMA · 2019 to 2021
$646k
NIDDK NIH HHS K23 DK113241NIDDK NIH HHS P30 DK111024NIGMS NIH HHS K23 GM128221
6 · The paper itself

Abstract

The COVID-19 pandemic is considered a mass casualty incident of the most severe nature leading to unearthed uncertainties around management, prevention, and care. As of July 2020, more than twelve million people have tested positive for COVID-19 globally and more than 500 000 people have died. Patients with diabetes are among the most severely affected during this pandemic. Healthcare systems have made emergent changes to adapt to this public health crisis, including changes in diabetes care. Adaptations in diabetes care in the hospital (ie, changes in treatment protocols according to clinical status, diabetes technology implementation) and outpatient setting (telemedicine, mail delivery, patient education, risk stratification, monitoring) have been improvised to address this challenge. We describe how to respond to the current public health crisis focused on diabetes care in the USA. We present strategies to address and evaluate transitions in diabetes care occurring in the immediate short-term (ie, response and mitigation), as well as phases to adapt and enhance diabetes care during the months and years to come while also preparing for future pandemics (ie, recovery, surveillance, and preparedness). Implementing multidimensional frameworks may help identify gaps in care, alleviate initial demands, mitigate potential harms, and improve implementation strategies and outcomes in the future.

Indexed as

BetacoronavirusCoronavirus InfectionsCOVID-19Delivery of Health CareDiabetes MellitusDisease OutbreaksHumansInfection ControlPandemicsPneumonia, ViralPublic HealthSARS-CoV-2Telemedicinedelivery of health carediabetes complicationsdiabetes mellitus, type 2

Identifiers

PMID32690631
PMCPMC7385737
OpenAlexW3042478574

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.