Evidence map›Paper›PMID 36085381›Full record

ArticleDiabetologia2022

Urban-rural disparities in diabetes-related mortality in the USA 1999-2019.

Ofer Kobo, Harriette G C Van Spall, Mamas A Mamas

Abstract read
In one paragraph

Article in Diabetologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
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

38 citing papers in PubMed.

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  20. Rural-Urban Disparities in the Uptake of New Diabetes Medications.Diabetes spectrum : a publication of the American Diabetes Association · 2025
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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

3 authors.

Ofer KoboDepartment of Cardiology, Hillel Yaffe Medical Centre, Hadera, Israel.ORCID 0000-0001-7418-498X
Harriette G C Van SpallDepartment of Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-8370-4569
Mamas A MamasKeele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences, Keele University, Keele, UK. mamasmamas1@yahoo.co.uk.ORCID 0000-0001-9241-8890

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisOur study aimed to examine the trends in diabetes-related mortality in urban and rural areas in the USA over the past two decades.

methodsWe examined the trends in diabetes-related mortality (as the underlying or a contributing cause of death) in urban and rural areas in the USA between 1999 and 2019, using the CDC WONDER Multiple Cause of Death database. We estimated the 20 year trends of the age-adjusted mortality rate (AAMR) per 100,000 population in urban vs rural counties.

resultsThe AAMR of diabetes was higher in rural than urban areas across all subgroups. In urban areas, there was a significant decrease in the AAMR of diabetes as the underlying (-16.7%) and contributing (-13.5%) cause of death (p CONCLUSIONS/

interpretationThe temporal decrease in diabetes-related mortality in the USA has been observed only in urban areas, and mainly among female and older patients. A synchronised effort is needed to improve cardiovascular health indices and healthcare access in rural areas and to decrease diabetes-related mortality.

Indexed as

Diabetes MellitusRural PopulationDatabases, FactualFemaleHumansMaleMiddle AgedUnited StatesUrban PopulationDiabetes-related mortalityDisparitiesEpidemiologyPrognosisRural–urban mortality gap

Identifiers

PMID36085381
PMCPMC9630196

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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.