Evidence map›Paper›PMID 38363585›Full record

ArticleJMIR diabetes2024

Outcomes of an Asynchronous Care Model for Chronic Conditions in a Diverse Population: 12-Month Retrospective Chart Review Study.

Michael Hofner, Patrick Hurnaus, Dan DiStefano, Shaji Philip, Sarah Kim, Julie Shaw, Avantika Chander Waring

Open access · goldAbstract read
In one paragraph

Article in JMIR diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
3.4field-weighted citation impact, top 9% 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, 4 citations in OpenAlex.

  1. 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

7 authors at 4 institutions in 2 countries.

Michael Hofner9amHealth, Encinitas, CA, United States.ORCID https://orcid.org/0009-0005-5927-5759
Patrick Hurnaus9amHealth, Encinitas, CA, United States.ORCID https://orcid.org/0009-0009-4359-8392
Dan DiStefano9amHealth, Encinitas, CA, United States.ORCID https://orcid.org/0009-0001-9536-2455
Shaji PhilipWashington Permanente Medical Group, Seattle, WA, United States.ORCID https://orcid.org/0009-0006-4667-7537
Sarah KimZuckerberg San Francisco General Hospital, Division of Endocrinology, Diabetes and Metabolism, University of California, San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-3599-5509
Julie ShawThe Ottawa Hospital and EORLA, University of Ottawa, Ottowa, ON, Canada.ORCID https://orcid.org/0000-0003-3983-8487
Avantika Chander Waring *9amHealth, Encinitas, CA, United States.ORCID https://orcid.org/0009-0004-0058-9211
GrassrootsHealth · USColorado Permanente Medical Group · USOttawa Hospital · CASan Francisco General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes and hypertension are some of the most prevalent and costly chronic conditions in the United States. However, outcomes continue to lag behind targets, creating further risk of long-term complications, morbidity, and mortality for people living with these conditions. Furthermore, racial and ethnic disparities in glycemic and hypertension control persist. Flexible telehealth programs leveraging asynchronous care allow for increased provider access and more convenient follow-up, ultimately improving critical health outcomes across demographic groups.

objectiveWe aim to evaluate the 12-month clinical outcomes of participants in the 9amHealth web-based clinic for diabetes and hypertension. We hypothesized that participation in the 9amHealth program would be associated with significant improvements in glycemic and blood pressure (BP) control across a diverse group of individuals.

methodsWe enrolled 95 patients in a completely web-based care clinic for diabetes and hypertension who received nutrition counseling, health coaching, and asynchronous physician consultations for medication prescribing. Patients received standard or cellular-connected glucose meters and BP cuffs in order to share data. Laboratory tests were completed either with at-home phlebotomy draws or a self-administered test kit. Patients' first and last hemoglobin A

resultsAmong all 95 patients, the average HbA

conclusionsA fully web-based model leveraging all-asynchronous physician review and prescribing, combined with synchronous and asynchronous coaching and nutrition support, was associated with clinically meaningful improvement in HbA

Indexed as

asynchronousblood pressurecardiologychronic diseasecohortdiabetesdiabetes mellitus therapydiabeticse-healtheHealthHbA1chealth disparitieshearthemoglobin A1chypertensionhypertension therapyhypertensiveremote careretrospectivetelehealthtelemedicinevirtual care

Identifiers

PMID38363585
PMCPMC10973950
OpenAlexW4391900911

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.