Evidence map›Paper›PMID 37756533›Full record

ArticleDiabetes care2023

Association of Unmet Social Needs With Metformin Use Among Patients With Type 2 Diabetes.

Connor Drake, Jorge Morales Alfaro, Dan V Blalock, Kristin Ito, Bryan C Batch, Hayden B Bosworth, Seth A Berkowitz, Leah L Zullig

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 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
0.4field-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

5 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Association of Social Needs with Diabetes Outcomes in an Older Population.Journal of the American Board of Family Medicine : JABFM · 2025
    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 3 institutions in 1 country.

Connor DrakeDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC.ORCID 0000-0002-5393-6246
Jorge Morales AlfaroDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC.
Dan V BlalockCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC.
Kristin ItoLincoln Community Health Center, Durham, NC.
Bryan C BatchDepartment of Medicine, Duke University School of Medicine, Durham, NC.
Hayden B BosworthDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC.
Seth A BerkowitzDivision of General Internal Medicine and Clinical Epidemiology, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.ORCID 0000-0003-1030-4297
Leah L ZulligDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC.
Duke University · USCommunity Health Center · USUniversity of North Carolina at Chapel Hill · US

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Dissemination and Implementation Science in Cardiovascular Outcomes (DISCO)K12HL138030 · NHLBI · DUKE UNIVERSITY · PI BOSWORTH, HAYDEN B · 2017 to 2021
$3.9M
HSRD VA IK2 HX003085NHLBI NIH HHS K12 HL138030NHLBI NIH HHS K12HL138030NIDDK NIH HHS P30 DK092926VA IK2HX003085
6 · The paper itself

Abstract

objectiveTo evaluate the relationship between social needs and metformin use among adults with type 2 diabetes (T2D). RESEARCH DESIGN AND

methodsIn a prospective cohort study of adults with T2D (n = 722), we linked electronic health record (EHR) and Surescripts (Surescripts, LLC) prescription network data to abstract data on patient-reported social needs and to calculate metformin adherence based on expected refill frequency using a proportion of days covered methodology.

resultsAfter adjusting for demographics and clinical complexity, two or more social needs (-0.046; 95% CI -0.089, 0.003), being uninsured (-0.052; 95% CI -0.095, -0.009) and while adjusting for other needs, being without housing (-0.069; 95% CI -0.121, -0.018) and lack of access to medicine/health care (-0.058; 95% CI -0.115, -0.000) were associated with lower use.

conclusionsWe found that overall social need burden and specific needs, particularly housing and health care access, were associated with clinically significant reductions in metformin adherence among patients with T2D.

Indexed as

Diabetes Mellitus, Type 2MetforminAdultHealth Services AccessibilityHousingHumansProspective StudiesMetformin

Identifiers

PMID37756533
PMCPMC10620532
OpenAlexW4387089395

What OpenQuestion holds

Texttitle and abstract
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.