Evidence map›Paper›PMID 36074017›Full record

Observational studyEuropean journal of public health2022

DM management in HIV patients: the adoption of population health management to transform the chronic management of HIV.

Guglielmo Pacileo, Verdiana Morando, Helen Banks, Lucia Ferrara, Annamaria Cattelan, Roberto Luzzati, Vinicio Manfrin, Valeria Domenica Tozzi

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in European journal of public health, 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
0.5field-weighted citation impact, top 33% 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, 2 citations in OpenAlex.

  1. 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 6 institutions in 2 countries.

Guglielmo PacileoCentre for Research on Health and Social Care Management, SDA Bocconi School of Management, Bocconi University, Milan, Italy.
Verdiana MorandoCentre for Research on Health and Social Care Management, SDA Bocconi School of Management, Bocconi University, Milan, Italy.
Helen BanksCentre for Research on Health and Social Care Management, SDA Bocconi School of Management, Bocconi University, Milan, Italy.ORCID 0000-0003-0337-1715
Lucia FerraraCentre for Research on Health and Social Care Management, SDA Bocconi School of Management, Bocconi University, Milan, Italy.ORCID 0000-0001-6955-8983
Annamaria CattelanDepartment of Internal Medicine, Unit of Infectious Diseases, Azienda Ospedaliera- Universitaria di Padova, Padua, Italy.
Roberto LuzzatiDepartment of Hematology, Oncology and Infectious Diseases, Unit of Infectious Diseases, Azienda Sanitaria universitaria Giuliano Isontina, Trieste, Italy.ORCID 0000-0001-5546-0715
Vinicio ManfrinUnit of Infectious Diseases, S. Bortolo Hospital, Vicenza, Italy.
Valeria Domenica TozziCentre for Research on Health and Social Care Management, SDA Bocconi School of Management, Bocconi University, Milan, Italy.
Bocconi University · ITAzienda Ospedale - Università Padova · ITAzienda Sanitaria Locale Alessandria · ITAzienda Sanitaria Universitaria Integrata di Trieste · ITGulf Medical University · AEOspedale San Bortolo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe success of antiretroviral therapies has made human immunodeficiency virus (HIV) a chronic disease, changing the care scenario dramatically. This study aimed to measure adherence to diabetes mellitus standards of care provided for people living with HIV (PLWH). Diabetes represents a paradigmatic case for tackling chronic care management in this target group.

methodsThis retrospective observational study was performed on administrative health data retrieved from 2014 to 2016, with a validated algorithm to identify patients with HIV using: (i) hospital discharge records (ICD9-CM codes); (ii) drug dispensing records (with ATC codes); and (iii) disease-specific exemptions from co-payments for healthcare services. HIV-related treatments, comorbidities and health service utilization were measured, as was adherence to clinical guidelines-recommended standards of care for diabetes.

resultsA population of 738 cases were identified in two Local Health Authorities in Italy, representing a prevalence of 0.14% of the general population, in line with the expected prevalence. Thirty-one cases of HIV patients diagnosed with diabetes were identified, a prevalence ratio of 4.2% compared to the 8% in the overall population. Adherence to diabetes standards of care tested within the same population was low, with the exception of those tests commonly administered for standard HIV follow-up care.

conclusionsThe use of administrative data, combined with a Population Health Management approach represents a powerful tool for evaluating system capacity to manage HIV comorbidities. Study findings prove that it is time to design new care models for PLWH, affected by one or more chronic conditions, both to prevent their onset and to manage their comorbidities.

Indexed as

Diabetes MellitusHIV InfectionsPopulation Health ManagementChronic DiseaseComorbidityHumansPrevalence

Identifiers

PMID36074017
PMCPMC9713392
OpenAlexW4294991656

What OpenQuestion holds

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LicenceCC BY-NC
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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.