Evidence map›Paper›PMID 36125114›Full record

ArticleThe science of diabetes self-management and care2022

Diabetes Care Network: A Novel Model to Disseminate Team-Based Diabetes Specialty Care in a Rural Population.

Margaret F Zupa, Janice Beattie, Monique Boudreaux-Kelly, Meg Larson, Brandi Lumley, Stacey Lutz-McCain, Ashley Summerville, Archana Bandi

Open access · greenAbstract read
In one paragraph

Article in The science of diabetes self-management and care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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 1 country.

Margaret F ZupaDivision of Endocrinology and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.ORCID 0000-0002-8244-9295
Janice BeattieDivision of Endocrinology, Diabetes & Metabolism, VA Pittsburgh Health System, Pittsburgh, Pennsylvania.
Monique Boudreaux-KellyVA Pittsburgh Health System Research Office, StatCore, Pittsburgh, Pennsylvania.
Meg LarsonErie VA Medical Center, Erie, Pennsylvania.
Brandi LumleyButler VA Medical Center, Butler, Pennsylvania.
Stacey Lutz-McCainDivision of Endocrinology, Diabetes & Metabolism, VA Pittsburgh Health System, Pittsburgh, Pennsylvania.
Ashley SummervilleButler VA Medical Center, Butler, Pennsylvania.
Archana BandiDivision of Endocrinology and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
VA Pittsburgh Healthcare System · USUniversity of Pittsburgh · USVA Butler Healthcare · USErie VA Medical Center · US

Funding

Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
NCATS NIH HHS KL2 TR001856
6 · The paper itself

Abstract

purposeThe purpose of the study was to examine the impact of a novel approach to provide diabetes specialty team care to rural patients with type 2 diabetes (T2DM) on clinical outcomes and processes of care.

methodsDiabetes Care Network (DCN) provides Veterans with T2DM and elevated A1C an initial 6-week period of remote self-management education and support and medication management by a centrally located team of diabetes specialists. Participants are then comanaged by remote liaisons embedded in rural primary care facilities for the remainder of the 12-month intervention. In this pre-post intervention study, 87 Veterans enrolled in DCN from 2 different clinical sites had baseline and 12-month postenrollment A1C, systolic blood pressure, weight, and LDL cholesterol levels collected and compared using paired

resultsParticipants were mostly male and White with elevated baseline A1C. Participants from both sites had significant improvement in A1C over the 12-month intervention period compared to an increase in the 12 months prior to enrollment. There were also significant improvements in LDL and systolic blood pressure at 1 site, with no significant change in weight at either site.

conclusionsDCN participants had significant improvement in A1C after not meeting similar goals previously in a robust primary care setting. A technology-enabled collaborative partnership between centrally located diabetes care teams and local liaisons is a feasible approach to enhance access to diabetes specialty care for rural populations.

Indexed as

Diabetes Mellitus, Type 2VeteransBlood PressureFemaleGlycated HemoglobinHumansMaleRural PopulationGlycated Hemoglobin

Identifiers

PMID36125114
PMCPMC9691529
OpenAlexW4296784204

What OpenQuestion holds

Textmetadata
LicenceTDM
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.