Evidence map›Paper›PMID 34009559›Full record

ArticleJournal of racial and ethnic health disparities2022

Diabetes Control During Massachusetts Insurance Reform.

Melanie T Chen, Danielle M Krzyszczyk, Alison G M Brown, Nancy Kressin, Norma Terrin, Amresh Hanchate, Jillian Suzukida, Sucharita Kher, Lori Lyn Price, Amy M LeClair and 2 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 100% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

12 authors at 4 institutions in 1 country.

Melanie T ChenThe Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Danielle M KrzyszczykThe Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Alison G M BrownNational Heart, Lung, and Blood Institute, National Institutes of Health, 31 Center Drive, Bethesda, MD, 20892, USA.
Nancy KressinBoston University School of Medicine, 801 Massachusetts Ave, Boston, MA, 02118, USA.
Norma TerrinThe Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Amresh HanchateBoston University School of Medicine, 801 Massachusetts Ave, Boston, MA, 02118, USA.
Jillian SuzukidaDivision of Internal Medicine and Primary Care, Department of Medicine, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Sucharita KherDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Tufts Medical Center, 800 Washington St, Tufts University, Boston, MA, 02111, USA.
Lori Lyn PriceThe Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Amy M LeClairThe Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Elena ByhoffThe Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Karen M FreundThe Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA. kfreund@tuftsmedicalcenter.org.ORCID 0000-0002-9049-5574
Tufts Medical Center · USBoston University · USTufts University · USNational Heart Lung and Blood Institute · US

Funding

Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
Insurance Instability and Disparities in Chronic Disease OutcomesR01MD007735 · NIMHD · TUFTS MEDICAL CENTER · PI FREUND, KAREN, KRESSIN, NANCY R. · 2014 to 2017
$1.8M
Increasing SNAP enrollment in a diverse Latinx communityK23MD015267 · NIMHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BYHOFF, ELENA · 2020 to 2024
$817k
NCATS NIH HHS UL1 TR002544NIMHD NIH HHS K23 MD015267NIMHD NIH HHS R01 MD007735
6 · The paper itself

Abstract

Racial/ethnic disparities in glycemic control-a key diabetes outcome measure-continue to widen, even though the overall prevalence of glycemic control in the US has improved. Health insurance coverage may be associated with improved glycemic control, but few studies examine effects during a period of policy change. We assessed changes in glycemic control by racial/ethnic groups following the Massachusetts Health Insurance Reform for patients at two urban safety-net academic health systems between January 2005 and December 2013. We analyzed outcomes for three measures of poor glycemic control: 1) lack of a hemoglobin A1C (A1C) measure during a 6-month period; 2) A1C >8%; 3) A1C >9% before, during, and after implementation of insurance reform. We did not find increased rates of A1C monitoring or control following insurance reform overall or for specific racial/ethnic groups. We found evidence of worsened, not improved, glycemic control in some racial/ethnic groups in the post-reform period. The expansion of affordable insurance coverage was not associated with improved glycemic control in vulnerable populations.

Indexed as

Diabetes MellitusHealthcare DisparitiesGlycated HemoglobinHealth Care ReformHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthMassachusettsUnited StatesGlycated HemoglobinAsianBlackDiabetesHealth disparitiesHealth insurance reformHispanic

Identifiers

PMID34009559
PMCPMC8602445
OpenAlexW3163532928

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.