Evidence map›Paper›PMID 33615858›Full record

ArticleJournal of diabetes science and technology2021

Effects of a Dedicated Inpatient Diabetes Management Service on Glycemic Control in a Community Hospital Setting.

Andrew P Demidowich, Kristine Batty, Teresa Love, Sam Sokolinsky, Lisa Grubb, Catherine Miller, Larry Raymond, Jeanette Nazarian, M Shafeeq Ahmed, Leo Rotello and 1 more

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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Digital Technology for Diabetes.The New England journal of medicine · 2023
    Review
  9. Hospital Diabetes Meeting 2022.Journal of diabetes science and technology · 2022
    Article
  10. Diabetes-related Bias in Electronic Health Records and International Classification of Diseases.Journal of community hospital internal medicine perspectives · 2022
    Article
  11. Article
  12. Inpatient Diabetes Management: Preface: Inpatient Diabetes Management: Should We Make It Simpler?Diabetes spectrum : a publication of the American Diabetes Association · 2022
    Article
  13. Instituting a Successful Discharge Plan for Patients With Type 2 Diabetes: Challenges and Solutions.Diabetes spectrum : a publication of the American Diabetes Association · 2022
    Article
  14. Article
  15. The Endocrine Hospitalist: Enhancing the Quality of Diabetes Care.Journal of diabetes science and technology · 2021
    Article
  16. 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

11 authors at 1 institution in 1 country.

Andrew P DemidowichJohns Hopkins Community Physicians at Howard County General Hospital (HCGH), Division of Hospital Medicine, Johns Hopkins Medicine, Columbia, MD, USA.ORCID 0000-0002-5925-1117
Kristine BattyJohns Hopkins Community Physicians at Howard County General Hospital (HCGH), Division of Hospital Medicine, Johns Hopkins Medicine, Columbia, MD, USA.
Teresa LoveRehab Services, Diabetes Management & The Center for Wound Healing, HCGH, Johns Hopkins Medicine, Columbia, MD, USA.
Sam SokolinskyJHHS Quality and Clinical Analytics, Johns Hopkins Hospital, Johns Hopkins Medicine, Baltimore, MD, USA.
Lisa GrubbJohns Hopkins Armstrong Institute at HCGH, Johns Hopkins Medicine, Columbia, MD, USA.
Catherine MillerDivision of Nursing - Critical Care, HCGH, Johns Hopkins Medicine, Columbia, MD, USA.
Larry RaymondRehab Services, Diabetes Management & The Center for Wound Healing, HCGH, Johns Hopkins Medicine, Columbia, MD, USA.
Jeanette NazarianJohns Hopkins Community Physicians at Howard County General Hospital (HCGH), Division of Hospital Medicine, Johns Hopkins Medicine, Columbia, MD, USA.
M Shafeeq AhmedJohns Hopkins Armstrong Institute at HCGH, Johns Hopkins Medicine, Columbia, MD, USA.
Leo RotelloJohns Hopkins Community Physicians at Suburban Hospital, Division of Hospital Medicine, Johns Hopkins Medicine, Bethesda, MD, USA.
Mihail ZilbermintDivision of Endocrinology, Diabetes and Metabolism, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-4047-7260
Johns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity hospitals account for over 84% of all hospitals and over 94% of hospital admissions in the United States. In academic settings, implementation of an Inpatient Diabetes Management Service (IDMS) model of care has been shown to reduce rates of hyper- and hypoglycemia, hospital length of stay (LOS), and associated hospital costs. However, few studies to date have evaluated the implementation of a dedicated IDMS in a community hospital setting.

methodsThis retrospective study examined the effects of changing the model of inpatient diabetes consultations from a local, private endocrine practice to a full-time endocrine hospitalist on glycemic control, LOS, and 30-day readmission rates in a 267-bed community hospital.

resultsOverall diabetes patient days for the hospital were similar pre- and post-intervention (20,191 vs 20,262); however, the volume of patients seen by IDMS increased significantly after changing models. Rates of hyperglycemia decreased both among patients seen by IDMS (53.8% to 42.5%,

conclusionsImplementation of an endocrine hospitalist-based IDMS at a community hospital was associated with significantly decreased hyperglycemia, while avoiding concurrent increases in hypoglycemia. Further studies are needed to investigate whether these effects are associated with improvements in clinical outcomes, patient or staff satisfaction scores, or total cost of care.

Indexed as

Diabetes MellitusHospitals, CommunityGlycemic ControlHumansInpatientsPatient ReadmissionRetrospective StudiesUnited Statesdiabeteshospitalisthyperglycemiainpatientlength of stayreadmissions

Identifiers

PMID33615858
PMCPMC8120056
OpenAlexW3131270017

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.