Evidence map›Paper›PMID 38776523›Full record

ArticleDiabetes care2024

Receipt of Diabetes Specialty Care and Management Services by Older Adults With Diabetes in the U.S., 2015-2019: An Analysis of Medicare Fee-for-Service Claims.

Anna R Kahkoska, Jan Busby-Whitehead, Michele Jonsson Funk, Richard E Pratley, Ruth S Weinstock, Laura A Young, Joshua M Weinstein

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Diabetes care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Life stage transitions for people with type 1 diabetes.The lancet. Diabetes & endocrinology · 2025
    Review
  8. Clin-STAR Corner: Practice Changing Advances in Diabetes Care.Journal of the American Geriatrics Society · 2025
    Review
  9. Review
  10. Article
  11. 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.

Anna R KahkoskaDivision of Endocrinology and Metabolism, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Jan Busby-WhiteheadUNC Center for Aging and Health, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Michele Jonsson FunkDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Richard E PratleyAdventHealth Translational Research Institute, Orlando, FL.
Ruth S WeinstockDivision of Endocrinology, Diabetes and Metabolism, Department of Medicine, SUNY Upstate Medical University, Syracuse, NY.
Laura A YoungDivision of Endocrinology and Metabolism, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Joshua M WeinsteinDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0001-6917-4189

Funding

CTSA K12 Program at UNCK12TR004416 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Michelle Hernandez, Jonathan J Juliano · 2023 to 2026
$6.5M
NCATS NIH HHS K12 TR004416NCATS NIH HHS K12TR004416
6 · The paper itself

Abstract

objectiveWe characterized the receipt of diabetes specialty care and management services among older adults with diabetes. RESEARCH DESIGN AND

methodsUsing a 20% random sample of fee-for-service Medicare beneficiaries aged ≥65 years, we analyzed cohorts of type 1 diabetes (T1D) or type 2 diabetes (T2D) with history of severe hypoglycemia (HoH), and all other T2D annually from 2015 to 2019. Outcomes were receipt of office-based endocrinology care, diabetes education, outpatient diabetes health services, excluding those provided in primary care, and any of the aforementioned services.

resultsIn the T1D cohort, receipt of endocrinology care and any service increased from 25.9% and 29.2% in 2015 to 32.7% and 37.4% in 2019, respectively. In the T2D with HoH cohort, receipt of endocrinology care and any service was 13.9% and 16.4% in 2015, with minimal increases. Age, race/ethnicity, residential setting, and income were associated with receiving care.

conclusionsThese findings suggest that many older adults may not receive specialty diabetes care and underscore health disparities.

Indexed as

Diabetes Mellitus, Type 2Fee-for-Service PlansMedicareAgedAged, 80 and overDiabetes MellitusDiabetes Mellitus, Type 1FemaleHumansMaleUnited States

Identifiers

PMID38776523
PMCPMC11208748

What OpenQuestion holds

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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.