Evidence mapPaperPMID 23445498Full record

SynthesisHealth services research2013

Do clinical standards for diabetes care address excess risk for hypoglycemia in vulnerable patients? A systematic review.

Seth A Berkowitz, Katherine Aragon, Jonas Hines, Hilary Seligman, Sei Lee, Urmimala Sarkar

Abstract readSystematic Review
In one paragraph

Synthesis in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 15% 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, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Coadministration of co-trimoxazole with sulfonylureas: hypoglycemia events and pattern of use.The journals of gerontology. Series A, Biological sciences and medical sciences · 2015
    Article
  9. Article
  10. 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

6 authors at 2 institutions in 1 country.

Seth A BerkowitzDivision of General Internal Medicine, Massachussets General Hospital, Boston, MA 02114, USA. SABerkowitz@partners.org
Katherine Aragon
Jonas Hines
Hilary Seligman
Sei Lee
Urmimala Sarkar
University of California, San Francisco · USMassachusetts General Hospital · US

Funding

UCSF Older Americans Independence CenterP30AG044281 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2025 to 2025
$1.5M
AHRQ HHS K08 HS017594AHRQ HHS K08HS017594NCRR NIH HHS KL2 RR024130NIA NIH HHS K23 AG040779NIA NIH HHS K23AG040779NIA NIH HHS P30 AG044281PHS HHS T32HP10251
6 · The paper itself

Abstract

objectiveTo determine whether diabetes clinical standards consider increased hypoglycemia risk in vulnerable patients. DATA SOURCES: MEDLINE, the National Guidelines Clearinghouse, the National Quality Measures Clearinghouse, and supplemental sources. STUDY

designSystematic review of clinical standards (guidelines, quality metrics, or pay-for-performance programs) for glycemic control in adult diabetes patients. The primary outcome was discussion of increased risk for hypoglycemia in vulnerable populations. DATA COLLECTION/EXTRACTION

methodsManuscripts identified were abstracted by two independent reviewers using prespecified inclusion/exclusion criteria and a standardized abstraction form. PRINCIPAL

findingsWe screened 1,166 titles, and reviewed 220 manuscripts in full text. Forty-four guidelines, 17 quality metrics, and 8 pay-for-performance programs were included. Five (11 percent) guidelines and no quality metrics or pay-for-performance programs met the primary outcome.

conclusionsClinical standards do not substantively incorporate evidence about increased risk for hypoglycemia in vulnerable populations.

Indexed as

Quality Indicators, Health CareAdultDiabetes MellitusHumansHypoglycemiaPractice Guidelines as TopicQuality of Health CareRisk Factorsclinical guidelinesDiabetes mellitushealth disparitiesquality and safetyvulnerable populations

Identifiers

PMID23445498
PMCPMC3725526
OpenAlexW2026793223

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.