Evidence map›Paper›PMID 37936776›Full record

ArticlePakistan journal of medical sciences

Enhancing Diabetes Care in LMICs: Insights from a Multinational Consensus.

Jose Carlos Miranda, S Abbas Raza, Babatope Kolawole, Jahanzeb Kamal Khan, Atiba Alvi, Fariha Sadiq Ali, Ejim Emmanuel Chukwudi, Nanik Ram, Amira Oluwatoyin

Open access · goldAbstract read
In one paragraph

Article in Pakistan journal of medical sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

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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

9 authors at 9 institutions in 3 countries.

Jose Carlos MirandaDr. Jose Carlos Miranda President, CEO Southeast Asian Medical Center, Philippines. Email: jcendoc20@gmail.com.
S Abbas RazaDr. S. Abbas Raza Shaukat Khanum Cancer Hospital & Research Center and National Hospital, Lahore, Pakistan. Email: sabbasraza@hotmail.com.
Babatope KolawoleDr. Babatope Kolawole Obafemi Awolowo University and Teaching Hospital (OAUTH) Ile-Ife, Nigeria. Email: bakolawole@gmail.com.
Jahanzeb Kamal KhanDr. Jahanzeb Kamal Khan College of Physicians & Surgeons of Pakistan, Karachi, Pakistan. Email: jahanzebkk@yahoo.com.
Atiba AlviDr. Atiba Alvi Institute of Business Management, Karachi, Pakistan. Email: ateeba.shah@gmail.com.
Fariha Sadiq AliDr. Fariha Sadiq Ali Tabba Heart Institute, Karachi, Pakistan. Email: docham77@hotmail.com.
Ejim Emmanuel ChukwudiDr. Ejim Emmanuel Chukwudi University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria. Email: emmanuel.ejim@unn.edu.ng.
Nanik RamDr. Nanik Ram The Aga Khan University Hospital, Karachi, Pakistan. Email: nanik.ram@aku.edu.
Amira OluwatoyinDr. Amira Oluwatoyin Lagos University Teaching Hospital Idi-Araba, Nigeria. Email: toyinamira@yahoo.com.
Aga Khan University Hospital · PKCollege of Physicians and Surgeons Pakistan · PKInstitute of Business Management · PKKarachi Institute of Heart Diseases · PKLagos University Teaching Hospital · NGObafemi Awolowo University Teaching Hospitals Complex · NGShaukat Khanum Memorial Cancer Hospital and Research Center · PKSoutheastern Medical Oncology Center · USUniversity of Nigeria Teaching Hospital · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The International Cardio-Metabolic Forum held a plenary session to establish a multinational consensus on the challenges faced in diabetes management within lower-middle-income countries (LMICs) and their potential solutions. Stakeholders, including patients, family/caretakers, healthcare professionals, and healthcare policymakers & organizations, participated in discussions. The audience of 280 doctors from 15 different countries (Pakistan, Qatar, Sri Lanka, Kenya, Myanmar, Georgia, Nigeria, Philippines, Uzbekistan, Iraq, Tanzania, Cambodia, Kazakhstan, South Sudan and Libya) was divided into 4 groups led by Group Leaders to represent each stakeholder group. Questionnaires addressing key challenges and solutions specific to each group were used to facilitate consensus development. Participants voted on relevant options based on their clinical experience. SLIDO software was used for polling, generating separate results for each group. The insights shared by healthcare professionals highlighted the importance of improving medication accessibility and cost-effectiveness for patients, emphasizing the need for adherence to treatment plans and lifestyle modifications. The significance of balanced nutrition with low glycemic index food for enhancing quality of life was recognized. Caregivers of diabetic patients with comorbidities face increasing demands for care, particularly in relation to age-related milestones. Healthcare professionals emphasized the challenges posed by cultural beliefs and health awareness, underscoring the importance of teamwork and early referral for managing comorbidities. Healthcare policymakers need to focus on disease education, awareness programs, screening guidelines, and advocacy for community and clinical screening. By addressing these challenges, a more comprehensive and effective approach to diabetes management can be achieved in LMICs, ultimately improving outcomes for individuals with diabetes.

Indexed as

ConsensusDiabetes CareDisease ManagementInternational CollaborationLMICS

Identifiers

PMID37936776
PMCPMC10626083
OpenAlexW4387735410

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.