Evidence mapPaperPMID 20628044Full record

Trial reportThe Annals of pharmacotherapy2010

Trends in diabetes medication use and prevalence of geriatric syndromes in older Mexican Americans from 1993/1994 to 2004/2005.

Holly A Beard, Kyriakos S Markides, Majd Al Ghatrif, Yong-Fang Kuo, Mukaila A Raji

Open access · greenAbstract readClinical TrialComparative Study
In one paragraph

Trial report in The Annals of pharmacotherapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Prevalence of Geriatric Syndromes and its Epidemiological Determinants among Diabetic and Nondiabetic Individuals: A Comparative Cross-Sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

5 authors at 3 institutions in 2 countries.

Holly A BeardSealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA.
Kyriakos S Markides
Majd Al Ghatrif
Yong-Fang Kuo
Mukaila A Raji
John Sealy Hospital · USBritish Geriatrics Society · GBThe University of Texas Medical Branch at Galveston · US

Funding

UTMB Center for Population Health and Health DisparitiesP50CA105631 · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · 2003 to 2005
$5.3M
LONGITUDINAL STUDY OF MEXICAN AMERICAN ELDERLY HEALTHR01AG010939 · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · 1992 to 2005
$4.0M
UTMB Claude Pepper Older Americans Independence CenterP30AG024832 · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · 2005 to 2025
$2.8M
HEALTH OF OLDER MINORITIEST32AG000270 · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · 1999 to 2025
$1.6M
NCI NIH HHS P50 CA105631NIA NIH HHS 1R01AG031178-01A1S1NIA NIH HHS 5T32 AG000270-10NIA NIH HHS AG10939NIA NIH HHS P30 AG024832NIA NIH HHS P30-AG-024832-01NIA NIH HHS R01 AG010939NIA NIH HHS R01 AG031178NIA NIH HHS T32 AG000270
6 · The paper itself

Abstract

backgroundNew diabetes medications introduced over the last decade have led to changes in diabetes treatment recommendations for the increasing number of elderly patients with diabetes. It is, however, not clear whether these changes are accompanied by changes in prevalence of comorbid geriatric syndromes.

objectiveTo determine whether changes in diabetes treatment between 1993/1994 and 2004/2005 were accompanied by changes in prevalence of geriatric syndromes in Mexican Americans aged 75 years and older.

methodsData from the Hispanic Established Population for the Epidemiologic Study of the Elderly were used. Participants aged 75 years and older with diabetes in 1993/1994 (n = 284) and in 2004/2005 (n = 324; new cohort added in 2004/2005) were included in the analyses. Medication use and geriatric syndromes prevalence rates were estimated and compared using descriptive and univariate statistics for continuous variables and contingency tables (chi(2)) for categorical variables.

resultsOlder Mexican Americans with diabetes in 2004/2005 were more likely to be taking 2 or more oral diabetes medications than were those in the 1993/1994 cohort; most of the drugs taken by the 2004/2005 cohort were the newly introduced oral diabetes medications. Use of insulin as sole diabetes therapy decreased from 20.3% in the 1993/1994 cohort to 7.5% in the 2004/2005 cohort. The 2004/2005 cohort reported longer diabetes duration and higher prevalence of obesity and hypertension; they were also more likely than the 1993/1994 cohort to have more geriatric syndromes: pain, arthritis, incontinence, and self-reported activities of daily living disability. No significant differences exist between the 2 cohorts in objective measures of cognitive and physical function.

conclusionsOlder Mexican Americans with diabetes in 2004/2005 used more of the newer diabetes medications and less insulin compared to the 1993/1994 cohort. The prevalence rates of geriatric syndromes were higher in the 2004/2005 cohort. Our findings suggest that screening for and treating comorbid geriatric syndromes is increasingly important for optimal geriatric diabetes care.

Indexed as

ComorbidityAgedAged, 80 and overCohort StudiesDiabetes Mellitus, Type 2Drug UtilizationFemaleGeriatric AssessmentHumansHypoglycemic AgentsMaleMexican AmericansPrevalenceSyndromeHypoglycemic Agents

Identifiers

PMID20628044
PMCPMC3032629
OpenAlexW2125806519

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.