Evidence map›Paper›PMID 39649227›Full record

ArticleFrontiers in endocrinology2024

A scoping review of type 2 diabetes mellitus in Pakistan investigating the status of glycemic control, awareness, treatment adherence, complications and cost.

Hira Taimur, Ishtiaq Ahmad, Hamza Khan, Yoshihisa Shirayama, Miyoko Okamoto, Myo Nyein Aung, Sameera Shabbir, Motoyuki Yuasa

Abstract readScoping Review
In one paragraph

Article in Frontiers in endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
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

8 authors.

Hira TaimurDepartment of Global Health Research, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Ishtiaq AhmadDepartment of Global Health Research, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Hamza KhanDepartment of Global Health Research, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Yoshihisa ShirayamaDepartment of Global Health Research, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Miyoko OkamotoDepartment of Global Health Research, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Myo Nyein AungDepartment of Global Health Research, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Sameera ShabbirCentral Campus, International Higher School of Medicine, Bishkek, Kyrgyzstan.
Motoyuki YuasaDepartment of Global Health Research, Graduate School of Medicine, Juntendo University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The high prevalence of Type 2 diabetes mellitus(T2DM) in Pakistan is a challenge to the existing healthcare system. This is the first comprehensive review of the status of glycemic control, diabetes knowledge, treatment adherence, complications and financial burden faced by the diabetic patient population of the country. Methods: We searched PubMed, Web of Science and Scopus for studies on diabetes control, knowledge, treatment adherence, prevalence of complications and cost in Pakistan published in English from 2000 to 2024. We hand-searched Google Scholar for additional papers and included a total of 45 studies in our review. Results: The review shows that poor glycemic control prevails among diabetic patients ranging from 44.7% to 86.4% along with half of the patients have poor diabetes knowledge (46.0% -70.0%). Treatment adherence level in diabetic patients varies widely in different studies, frequently reported complications are retinopathy (14.5%-43.0%), nephropathy (14.0%-31.0%) and neuropathy (10.8%-59.6%); and the disease poses a great deal of economic burden. Conclusion: Most of the studies were observational. Glycemic control and knowledge among individuals with T2DM in Pakistan are inadequate, leading to a high prevalence of complications that impose significant health and economic burdens. Further longitudinal studies generating evidence of lifestyle modifications as primary and secondary prevention strategies against diabetes in the Pakistani population can form a strong foundation for awareness campaigns and policy revisions.

Indexed as

Diabetes Mellitus, Type 2Glycemic ControlBlood GlucoseDiabetes ComplicationsHealth Care CostsHealth Knowledge, Attitudes, PracticeHumansHypoglycemic AgentsPakistanTreatment Adherence and ComplianceBlood GlucoseHypoglycemic Agentsawarenesscomplicationscostglycemic controlmedication adherencePakistanT2DM

Identifiers

PMID39649227
PMCPMC11621625

What OpenQuestion holds

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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.