Evidence map›Paper›PMID 37975086›Full record

ArticleJournal of diabetes and metabolic disorders2023

Associations between Outpatient Laboratory Test Age and Healthcare Utilization in Type 2 Diabetes Care.

Kevin Wiley, Justin Blackburn, Eneida Mendonca, Nir Menachemi, Mary De Groot, Joshua R Vest

Open access · greenAbstract read
In one paragraph

Article in Journal of diabetes and metabolic disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 84% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 4 institutions in 1 country.

Kevin WileyDepartment of Healthcare Leadership and Management, Medical University of South Carolina (MUSC), 151-B Rutledge Avenue, Charleston, SC USA.ORCID 0000-0003-0334-1006
Justin BlackburnDepartment of Health Policy and Management Richard M. Fairbanks School of Public Health, Indiana University Indianapolis, Indianapolis, IN USA.
Eneida MendoncaUniversity of Cincinnati, Cincinnati, OH USA.
Nir MenachemiDepartment of Health Policy and Management Richard M. Fairbanks School of Public Health, Indiana University Indianapolis, Indianapolis, IN USA.
Mary De GrootDiabetes Translational Research Center, School of Medicine, Indiana University, Bloomington, United States.
Joshua R VestDepartment of Health Policy and Management Richard M. Fairbanks School of Public Health, Indiana University Indianapolis, Indianapolis, IN USA.
Richard M. Fairbanks Foundation · USIndiana University Bloomington · USMedical University of South Carolina · USUniversity of Cincinnati · US

Funding

The Indiana Training Program in Public & Population Health InformaticsT15LM012502 · NLM · INDIANA UNIVERSITY INDIANAPOLIS · PI Brian E. Dixon, William F Fadel · 2017 to 2026
$4.7M
NLM NIH HHS T15 LM012502
6 · The paper itself

Abstract

Purpose: To examine the longitudinal relationship between the age or shelf-life of common type 2 diabetes laboratory tests for serum creatinine, cholesterol, and glycated hemoglobin A1c conducted in outpatient settings and subsequent inpatient hospitalizations and emergency department visits. Methods: This study analyzes panel data from two healthcare delivery systems' electronic health records (EHR) for patients aged 18 years and older managing type 2 diabetes. We used EHR data to quantify the age of three laboratory tests: serum creatinine, cholesterol, and glycated hemoglobin A1c. Encounter data were used to determine the frequency of inpatient hospitalizations and emergency department visits. Negative binomial regressions with fixed effects were performed to compute marginal effects, levels of statistical significance, and 95% confidence intervals. Results: The average age for serum creatinine laboratory tests was 1.51 months (95%CI: 1.49-1.53). We computed older average ages for hemoglobin A1c (mean:6.17 months; 95%CI: 6.11-6.23) and serum creatinine tests (mean: 8.73; 95%CI: 8.65-8.81). Older laboratory tests were associated with an increase in the total expected counts of subsequent inpatient hospitalizations (ME = 0.047; p < 0.001) and ED visits (ME = 0.034; p < 0.001). Conclusion: Findings from this study indicate that older type 2 diabetes laboratory tests are associated with increases in the total expected count of subsequent inpatient hospitalizations and emergency department visits. Future research should examine the actionability of laboratory test values to determine associations with healthcare outcomes. Supplementary Information: The online version contains supplementary material available at 10.1007/s40200-023-01250-0.

Indexed as

Data qualityDiabetes mellitusElectronic health record (EHR)Health services research

Identifiers

PMID37975086
PMCPMC10638224
OpenAlexW4382798661

What OpenQuestion holds

Textmetadata
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.