Evidence map›Paper›PMID 35279754›Full record

ArticleActa diabetologica2022

Employment status and diabetic outpatient appointment non-attendance in middle to senior working generation with type 2 diabetes: the Japan diabetes outcome intervention trial-2 large‑scale trial 005 (J-DOIT2-LT005).

Izumi Nakayama, Atsushi Goto, Yasuaki Hayashino, Hikari Suzuki, Katsuya Yamazaki, Kazuo Izumi, Mitsuhiko Noda

Open access · hybridAbstract read
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In one paragraph

Article in Acta diabetologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

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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

7 authors at 5 institutions in 1 country.

Izumi NakayamaDepartment of Health Data Science, Graduate School of Data Science, Yokohama City University, 22-2, Seto, Kanazawa-ku, Yokohama, Kanagawa, 236-0027, Japan.
Atsushi GotoDepartment of Health Data Science, Graduate School of Data Science, Yokohama City University, 22-2, Seto, Kanazawa-ku, Yokohama, Kanagawa, 236-0027, Japan. agoto@yokohama-cu.ac.jp.ORCID http://orcid.org/0000-0003-0669-654X
Yasuaki HayashinoDepartment of Endocrinology, Tenri Hospital, 200 Mishimacho, Nara, Tenri, Japan.
Hikari SuzukiJapan Community Health Care Organization Takaoka Fushiki Hospital, 8-5 Fushiki Kofumotomachi, Takaoka, Toyama, Japan.
Katsuya YamazakiKawai Clinic, 715-1 Higashihiratsuka, Tsukuba, Ibaraki, Japan.
Kazuo IzumiCenter for Clinical Sciences, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan.
Mitsuhiko NodaDepartment of Diabetes, Metabolism and Endocrinology, Ichikawa Hospital, International University of Health and Welfare, Ichikawa, Chiba, Japan.
Yokohama City University · JPInternational University of Health and Welfare · JPKouseiren Takaoka Hospital · JPNational Center for Global Health and Medicine · JPTenri Hospital · JP

Funding

Japan Agency for Medical Research and Development DiabetesJapan Agency for Medical Research and Development Practical Research Project for Life-Style related Diseases including CVDMinistry of Health, Labour and Welfare H25-016
6 · The paper itself

Abstract

aimsWorkplace demands, support, and relationships differ according to employment status (e.g., employment that is full-time, part-time, or self-employed) and may lead to unequal opportunities to keep diabetic appointments. We investigated the association between employment status and outpatient diabetic appointment non-attendance among working-age adults with type 2 diabetes.

methodsThis was a secondary analysis of a cluster-randomized trial (the Japan diabetes outcome intervention trial 2 large-scale trial). The analysis included 2010 trial participants (40-65 years old) with type 2 diabetes who were regularly followed by primary care physicians (PCPs). The outcome measure was the first non-attendance (defined as a failure to visit a PCP within 2 months of the original appointment) during the one-year follow-up. The association between baseline employment status and non-attendance was examined using Cox proportional hazard model in men and women.

resultsDuring the 1279 and 789 person-year follow-up periods, 90 men and 34 women, respectively, experienced their first appointment non-attendance. Among men, self-employed participants had a higher risk of non-attendance compared with full-time employees (adjusted HR, 1.84; 95% CI, 1.15, 2.95). The trial intervention (attendance promotion) was associated with a significantly reduced risk of non-attendance among self-employed participants (HR, 0.51; 95% CI, 0.26, 0.99). Among women, a significant association between employment status and non-attendance was not observed.

conclusionsSelf-employed men with type 2 diabetes had a twofold increased risk of non-attendance than did full-time employees. Our study suggests that self-employed men with type 2 diabetes should be targeted for interventions promoting appointment adherence.

Indexed as

Diabetes Mellitus, Type 2AdultAgedAppointments and SchedulesEmploymentFemaleHumansJapanMaleMiddle AgedOutpatientsEmployment statusNon-attendancePrimary careType 2 diabetes mellitus

Identifiers

PMID35279754
PMCPMC9085697
OpenAlexW4221015035

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Registered trials

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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.