Evidence map›Paper›PMID 38100007›Full record

ArticleJournal of general internal medicine2024

Checkup Visits in Adult Federally Qualified Health Center Patients: a Retrospective Cohort Study.

David T Liss, Ta-Yun Yang, Magdalena Hamielec, Kathleen McAuliff, Laura K Rusie, Nivedita Mohanty

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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 2 institutions in 1 country.

David T LissHealth Services Research Scientist, AllianceChicago, 225 W. Illinois Street, 5Th Floor, Chicago, IL, 60654, USA. dliss@alliancechicago.org.
Ta-Yun YangHealth Services Research Scientist, AllianceChicago, 225 W. Illinois Street, 5Th Floor, Chicago, IL, 60654, USA.
Magdalena HamielecHealth Services Research Scientist, AllianceChicago, 225 W. Illinois Street, 5Th Floor, Chicago, IL, 60654, USA.
Kathleen McAuliffFriend Family Health Center, Chicago, IL, USA.
Laura K RusieHoward Brown Health, Chicago, IL, USA.
Nivedita MohantyHealth Services Research Scientist, AllianceChicago, 225 W. Illinois Street, 5Th Floor, Chicago, IL, 60654, USA.
Northwestern University · USHoward Brown Health Center · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI MILDA Renne SAUNDERS · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundCheckup visits (i.e., general health checks) can increase preventive service completion and lead to improved treatment of new chronic illnesses. After the onset of the COVID-19 pandemic, preventive service completion decreased in many groups that receive care in safety net settings.

objectiveTo examine potential benefits associated with checkups in federally qualified health center (FQHC) patients.

designRetrospective cohort study, from March 2018 to February 2022. PATIENTS: Adults at seven FQHCs in Illinois.

interventionsCheckups during a two-year Baseline (i.e., pre-COVID-19) period and two-year COVID-19 period. MAIN MEASURES: The primary outcome was COVID-19 period checkup completion. Secondary outcomes were: mammography completion; new diagnoses of four common chronic illnesses (hypertension, diabetes, depression, or high cholesterol), and; initiation of chronic illness medications. KEY

resultsAmong 106,114 included patients, race/ethnicity was most commonly Latino/Hispanic (42.1%) or non-Hispanic Black (30.2%). Most patients had Medicaid coverage (40.4%) or were uninsured (33.9%). While 21.0% of patients completed a checkup during Baseline, only 15.3% did so during the COVID-19 period. In multivariable regression analysis, private insurance (versus Medicaid) was positively associated with COVID-19 period checkup completion (adjusted relative risk [aRR], 1.15; 95% confidence interval, [CI], 1.10-1.19), while non-Hispanic Black race/ethnicity (versus Latino/Hispanic) was inversely associated with checkup completion (aRR, 0.89; 95% CI, 0.85-0.93). In secondary outcome analysis, COVID-19 period checkup completion was associated with 61% greater probability of mammography (aRR, 1.61; 95% CI, 1.52-1.71), and significantly higher probability of diagnosis, and treatment initiation, for all four chronic illnesses. In exploratory interaction analysis, checkup completion was more modestly associated with diagnosis and treatment of hypertension and high cholesterol in some younger age groups (versus age ≥ 65).

conclusionsIn this large FQHC cohort, checkup completion markedly decreased during the pandemic. Checkup completion was associated with preventive service completion, chronic illness detection, and initiation of chronic illness treatment.

Indexed as

COVID-19AdultAgedChronic DiseaseCohort StudiesFemaleHumansIllinoisMaleMiddle AgedPhysical ExaminationPreventive Health ServicesRetrospective StudiesSafety-net ProvidersUnited StatesYoung Adultcheckupschronic illness care.federally qualified health centersgeneral health checkspreventive careprimary care

Identifiers

PMID38100007
PMCPMC11169303
OpenAlexW4389782655

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.