Evidence map›Paper›PMID 38186670›Full record

ArticleJournal of multimorbidity and comorbidity

Prevalence and co-prevalence of comorbidities among patients with type 2 diabetes mellitus living in Puerto Rico.

Enid J García-Rivera, Krystel Ruiz-Serrano, Edgar I Miranda, Luis C Mejía, Adolfo Pinzón, Cecile Marqués-Goyco, José G Quijada, Homero Monsanto, Juan C Orengo

Abstract read
In one paragraph

Article in Journal of multimorbidity and comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Enid J García-RiveraEndowed Health Services Research Center, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.ORCID https://orcid.org/0000-0001-6852-8854
Krystel Ruiz-SerranoEndowed Health Services Research Center, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.
Edgar I MirandaMerck & Co., Inc., Rahway, NJ, USA.
Luis C MejíaMerck & Co., Inc., Rahway, NJ, USA.
Adolfo PinzónOrganon Chile SPA., Santiago, Chile.
Cecile Marqués-GoycoMerck & Co., Inc., Rahway, NJ, USA.ORCID https://orcid.org/0000-0002-2566-5768
José G QuijadaMerck & Co., Inc., Rahway, NJ, USA.
Homero MonsantoMerck & Co., Inc., Rahway, NJ, USA.
Juan C OrengoMerck & Co., Inc., Rahway, NJ, USA.

Funding

UPR School of Medicine Endowed Health Services Research*S21MD000242 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI FRONTERA, WALTER R · 2002 to 2004
$15.0M
UPR School of Medicine Program for Research ExcellenceS21MD000138 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI JOGLAR, FRANCISCO M · 2002 to 2002
$2.9M
NIMHD NIH HHS S21 MD000138NIMHD NIH HHS S21 MD000242
6 · The paper itself

Abstract

This is a descriptive study using healthcare claims data from patients with T2DM from public and private healthcare insurance companies providing services in Puerto Rico in 2013, aimed to estimate the prevalence of comorbidities in this population. Descriptive analyses were performed by sociodemographic, and type of service variables using frequency and percent for categorical data or means (+/-SD) or median (IQR) for continuous variables. Chi-square, Fisher exact or two-sample t-tests were used for comparisons. A total of 3,100,636 claims were identified from 485,866 adult patients with T2DM. Patients older than 65 years represented 48% of the study population. Most patients were women (57%) and had private health insurance (77%). The regions of Metro Area (17%) and Caguas (16%) had the higher number of persons living with T2DM. The overall estimated prevalence of T2DM was 17.4%. The number of claims per patient ranged from 1 to 339. A mean of 6.3 claims (SD±9.99) and a median of 3 claims (Q1 1- Q3 8) per subject were identified. Of the 3,100,636 claims most (74%) were related to the diagnosis of diabetes (59%) and associated to outpatient services (88%). The most prevalent comorbidities were hypertension (48%), hyperlipidemia (41%), neuropathy (21%); renal disease (15%), and retinopathy (13%). A high prevalence and co-prevalence of comorbidities and use of healthcare services were identified in patients with T2DM, especially in older adults. Since most comorbidities were due to diabetes-related conditions, this analysis highlights the importance of early diagnosis and adequate management of T2DM patients to avoid preventable burden to the patient and to the healthcare system.

Indexed as

comorbiditiesDiabetesPuerto Rico

Identifiers

PMID38186670
PMCPMC10768584

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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.