Evidence map›Paper›PMID 38625535›Full record

ReviewDiabetes therapy : research, treatment and education of diabetes and related disorders2024

Barriers to the Use of Insulin Therapy and Potential Solutions: A Narrative Review of Perspectives from the Asia-Pacific Region.

Roger Chen, Azizul Hasan Aamir, Mohammod Feroz Amin, Pongamorn Bunnag, Siew Pheng Chan, Lixin Guo, Mohammad E Khamseh, Viswanathan Mohan, Nemencio Nicodemus, Anthony Roberts and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Understanding the struggle: Unique challenges of adherence in male diabetic patients in Tshwane.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    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

13 authors at 13 institutions in 12 countries.

Roger ChenDepartment of Endocrinology, St Vincent's Hospital, 406 Victoria Street, Darlinghurst, Sydney, NSW, 2010, Australia. r.chen@garvan.org.au.ORCID http://orcid.org/0000-0001-6531-6389
Azizul Hasan AamirDepartment of Diabetes, Endocrinology and Metabolic Diseases, MTI Hayatabad Medical Complex, Peshawar, Pakistan.
Mohammod Feroz AminDepartment of Endocrinology and Metabolic Disease, BIRDEM Hospital, Dhaka, Bangladesh.
Pongamorn BunnagDepartment of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Siew Pheng ChanDepartment of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
Lixin GuoDepartment of Endocrinology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.
Mohammad E KhamsehEndocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran.
Viswanathan MohanMadras Diabetes Research Foundation and Dr. Mohan's Diabetes Specialities Centre, Chennai, India.
Nemencio NicodemusDepartment of Biochemistry and Molecular Biology, University of the Philippines-College of Medicine, Manila, Philippines.
Anthony RobertsSouth Australian Endocrine Clinical Research, Keswick, Adelaide, SA, Australia.
Tri Juli Edi TariganDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Kyu-Chang WonDivision of Endocrinology and Metabolism, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Roopa MehtaUnidad de Investigación en Enfermedades Metabólicas, Departamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Bangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders · BDChinese Academy of Medical Sciences & Peking Union Medical College · CNGarvan Institute of Medical Research · AUHayatabad Medical Complex · PKInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXIran University of Medical Sciences · IRMadras Diabetes Research Foundation · INMahidol University · THSouth Australia Pathology · AUUniversity Malaya Medical Centre · MYUniversity of Indonesia · IDUniversity of the Philippines Manila · PHYeungnam University College

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rising prevalence of type 2 diabetes (T2D) is posing major challenges for the healthcare systems of many countries, particularly in the Asia-Pacific Region, in which T2D can present at younger ages and lower body mass index when compared with Western nations. There is an important role for insulin therapy in the management of T2D in these nations, but available evidence suggests that insulin is under-utilized and often delayed, to the detriment of patient prognosis. The authors of this article gathered as an advisory panel (representative of some of the larger Asia-Pacific nations) to identify their local barriers to insulin use in T2D, and to discuss ways in which to address these barriers, with their outputs summarized herein. Many of the key barriers identified are well-documented issues of global significance, including a lack of healthcare resources or of an integrated structure, insufficient patient education, and patient misconceptions about insulin therapy. Barriers identified as more innate to Asian countries included local inabilities of patients to afford or gain access to insulin therapy, a tendency for some patients to be more influenced by social media and local traditions than by the medical profession, and a willingness to switch care providers and seek alternative therapies. Strategies to address some of these barriers are provided, with hypothetical illustrative case histories.

Indexed as

Asia–Pacific regionBarriersInsulin therapyPatient educationType 2 diabetes

Identifiers

PMID38625535
PMCPMC11096289
OpenAlexW4394850324

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.