Evidence map›Paper›PMID 33233954›Full record

ArticleJournal of diabetes science and technology2021

The Impact of Point-of-Care Hemoglobin A1c Testing on Population Health-Based Onsite Testing Adherence: A Primary-Care Quality Improvement Study.

Joseph Benjamin Crocker, Stephen H Lynch, Anthony J Guarino, Kent Lewandrowski

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Assessment of Patient Satisfaction with On-Site Point-of-Care Hemoglobin A1c Testing: An Observational Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021
    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

4 authors at 2 institutions in 1 country.

Joseph Benjamin CrockerDepartment of Medicine, Division of General Internal Medicine, Massachusetts General Hospital/Ambulatory Practice of the Future, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-3024-0489
Stephen H LynchDepartment of Medicine, Division of General Internal Medicine, Massachusetts General Hospital/Ambulatory Practice of the Future, Boston, MA, USA.
Anthony J GuarinoFulbright Specialist Program, U.S. Department of State, Washington, DC, USA.
Kent LewandrowskiDepartment of Pathology, Division of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe hemoglobin A1c (HbA1c) is a gold-standard test to diagnose and monitor diabetes mellitus and has been incorporated into population health performance metrics for quality care. However, patients and practices remain challenged in completing timely HbA1c tests. Point-of-care testing (POCT) for HbA1c provides a quick, easy, reliable method for monitoring diabetes in the primary care office setting. The objectives of this quality improvement study were to evaluate the impact of HbA1c POCT on onsite HbA1c testing frequency as a component of population health performance, as well as to measure the utility of HbA1c POCT in identifying clinically meaningful change in disease.

methodProspective quality improvement cohort study among sequentially scheduled adult patients with diabetes due for HbA1c testing across three primary care practices.

resultsPractices with HbA1c POCT were 3.7 times less likely to miss HbA1c testing at the time of the visit compared with practices in which HbA1c POCT was not available (

conclusionsHbA1c POCT can improve population health-driven HbA1c testing adherence at office visits in primary care and may enable more timely intervention of diabetes management for patients with worsening disease.

Indexed as

Point-of-Care SystemsPopulation HealthAdultCohort StudiesGlycated HemoglobinHumansPoint-of-Care TestingPrimary Health CareProspective StudiesQuality ImprovementGlycated Hemoglobindiabeteshemoglobin A1cpoint-of-care testingpopulation health performanceprimary carestaff satisfaction

Identifiers

PMID33233954
PMCPMC8120050
OpenAlexW3108114682

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.