Evidence map›Paper›PMID 36941640›Full record

Trial reportBMC health services research2023

The state of diabetes care and obstacles to better care in Aceh, Indonesia: a mixed-methods study.

Hizir Sofyan, Farah Diba, Suryane S Susanti, Marthoenis Marthoenis, Ichsan Ichsan, Novi Reandy Sasmita, Till Seuring, Sebastian Vollmer

Open access · goldFull text readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

5 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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 3 countries.

Hizir SofyanUniversitas Syiah Kuala, Banda Aceh, Indonesia.
Farah DibaUniversitas Syiah Kuala, Banda Aceh, Indonesia.
Suryane S SusantiUniversitas Indonesia, Depok, Indonesia.
Marthoenis MarthoenisUniversitas Syiah Kuala, Banda Aceh, Indonesia.
Ichsan IchsanUniversitas Syiah Kuala, Banda Aceh, Indonesia.
Novi Reandy SasmitaUniversitas Syiah Kuala, Banda Aceh, Indonesia.
Till SeuringLuxembourg Institute of Socio-Economic Research (LISER), Esch-Sur-Alzette, Luxembourg.
Sebastian VollmerUniversity of Goettingen, Göttingen, Germany. svollmer@uni-goettingen.de.
Syiah Kuala University · IDLuxembourg Institute of Socio-Economic Research · LUUniversity of Göttingen · DEUniversity of Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardio-metabolic diseases are a major cause of death worldwide, including in Indonesia, where diabetes is one of the most critical diseases for the health system to manage.

methodsWe describe the characteristics, levels of control, health behavior, and diabetes-related complications of diabetes patients in Aceh, Indonesia. We use baseline data and blood testing from a randomized-controlled trial. We conducted semi-structured interviews with eight health providers from Posbindu and Prolanis programs that target diabetes and other non-communicable diseases (NCDs). We also conducted three focus group discussions with 24 diabetes patients about their experiences of living with diabetes and the existing support programs.

resultsThe blood tests revealed average HbA1c levels indicative of poor glycemic control in 75.8 percent of patients and only 20.3 percent were free from any symptoms. Our qualitative findings suggest that patients are diagnosed after diabetes-related symptoms manifest, and that they find it hard to comply with treatment recommendations and lifestyle advice. The existing programs related to NCDs are not tailored to their needs.

conclusionWe identify the need to improve diabetes screening to enable earlier treatment and achieve better control of the disease. Among diagnosed patients, there are widespread beliefs about diabetes medication and alternative forms of treatment that need to be addressed in a respectful dialogue between healthcare professionals and patients. Current diabetes screening, treatment and management programs should be revised to meet the needs of the affected population and to better respond to the increasing burden of this disease.

Indexed as

Diabetes MellitusHyperglycemiaHumansIndonesiaMass ScreeningPalliative CareDiabetesHealth systemsIndonesia

Identifiers

PMID36941640
PMCPMC10026477
OpenAlexW4327974649

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read4
measurements read76
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.