Evidence map›Paper›PMID 35590049›Full record

ArticleEye (London, England)2022

Rationale for integration of services for diabetes mellitus and diabetic retinopathy in Kenya.

Nyawira Mwangi, Covadonga Bascaran, Stephen Gichuhi, Mathew Kipturgo, Lucy Manyara, David Macleod, Consuela Moorman, Allen Foster

Open access · hybridAbstract read
In one paragraph

Article in Eye (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Screening and evaluation of diabetic retinopathyWorld journal of diabetes · 2024
    Article
  2. Article
  3. 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 4 institutions in 2 countries.

Nyawira MwangiKenya Medical Training College, Nairobi, Kenya. nyawiramwangi@yahoo.com.
Covadonga BascaranLondon School of Hygiene & Tropical Medicine, London, United Kingdom.
Stephen GichuhiDepartment of Ophthalmology, University of Nairobi, Nairobi, Kenya.
Mathew KipturgoKenya Medical Training College, Nairobi, Kenya.
Lucy ManyaraKenya Medical Training College, Nairobi, Kenya.
David MacleodLondon School of Hygiene & Tropical Medicine, London, United Kingdom.
Consuela MoormanOxford University Hospitals NHS Trust, Oxford, UK.
Allen FosterLondon School of Hygiene & Tropical Medicine, London, United Kingdom.
Kenya Medical Training College · KELondon School of Hygiene & Tropical Medicine · GBOxford University Hospitals NHS Trust · GBUniversity of Nairobi · KE

Funding

Medical Research Council MR/R010161/1
6 · The paper itself

Abstract

backgroundGood diabetes mellitus (diabetes) and diabetic retinopathy (DR) management depends on the strength of the health system, prompting us to conduct a health system assessment for diabetes and DR in Kenya. We used diabetes and DR as tracer conditions to assess the strengths and weaknesses in the health system, and potential interventions to strengthen the health system. In this paper, we report on the need and relevance of integration to strengthen diabetes and DR care. This theme emerged from the health system assessment.

methodsUsing a mixed methods study design, we collected data from service providers in diabetes clinics and eye clinics in three counties, from key informants at national and county level, and from documents review.

resultsThere is interest in integration of diabetes and DR services to address discontinuity of care. We report the findings describing the context of integration, why integration is a goal and how these services can be integrated. We use the results to develop a conceptual framework for implementation.

conclusionsThe principal rationale for integrated service provision is to address service gaps and to prevent complications of diabetes and DR. The stakeholder interest and the existing infrastructure can be leveraged to improve these health outcomes.

Indexed as

Diabetes MellitusDiabetic RetinopathyHumansKenya

Identifiers

PMID35590049
PMCPMC9159025
OpenAlexW4280586677

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.