Evidence map›Paper›PMID 37217319›Full record

ArticleAnnals of family medicine

Disparities in Diabetes Care: Differences Between Rural and Urban Patients Within a Large Health System.

Randy Foss, Karen Fischer, Michelle A Lampman, Susan Laabs, Michael Halasy, Summer V Allen, Gregory M Garrison, Gerald Sobolik, Matthew Bernard, Jessica Sosso and 1 more

Abstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Article
  6. Article
  7. Beyond Rurality: Individual Socioeconomic Status and Chronic Disease Prevalence.medRxiv : the preprint server for health sciences · 2026
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  8. Review
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  13. Article
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  19. Facilitators and barriers to implementing the Diabetes Prevention Program in rural church settings: A qualitative study using the Consolidated Framework for Implementation Research.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  20. 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

11 authors.

Randy FossDepartment of Family Medicine, Mayo Clinic Health System, Lake City, Minnesota foss.randy@mayo.edu.
Karen FischerDepartment of Quantitative Health Sciences, Rochester, Minnesota.
Michelle A LampmanRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.
Susan LaabsDepartment of Family Medicine, Mayo Clinic Health System, Mankato, Minnesota.
Michael HalasyKER unit affiliate, Spine Center, Mayo Clinic, Rochester, Minnesota.
Summer V AllenDepartment of Family Medicine, Mayo Clinic, Rochester, Minnesota.
Gregory M GarrisonDepartment of Family Medicine, Mayo Clinic, Rochester, Minnesota.
Gerald SobolikPrimary Care Analytics, Mayo Clinic, Rochester, Minnesota.
Matthew BernardDepartment of Family Medicine, Mayo Clinic, Rochester, Minnesota.
Jessica SossoDepartment of Family Medicine, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, Wisconsin.
Tom D ThacherDepartment of Family Medicine, Mayo Clinic, Rochester, Minnesota.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe sought to ascertain factors associated with the quality of diabetes care, comparing rural vs urban diabetic patients in a large health care system.

methodsWe conducted a retrospective cohort study assessing patients' attainment of the D5 metric, a diabetes care metric having 5 components (no tobacco use, glycated hemoglobin [A

resultsThe study cohort consisted of 45,279 patients with diabetes, 54.4% of whom resided in rural locations. The D5 composite metric was met in 39.9% of rural patients and 43.2% of urban patients (

conclusionsRural patients had worse diabetes quality outcomes than their urban counterparts, even after adjustment for other contributing factors and despite being part of the same integrated health system. Lower visit frequency and less specialty involvement in the rural setting are possible contributing factors.

Indexed as

Diabetes MellitusGlycated HemoglobinHumansRetrospective StudiesGlycated Hemoglobindiabetes controlhealth care deliveryhealth care disparitieshealth metricshealth serviceshealth services accessibilitypopulation healthprimary carequality of carerural healthrural health disparitiesvulnerable populations

Identifiers

PMID37217319
PMCPMC10202509

What OpenQuestion holds

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Registered trials

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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.