Barely Significant
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The disease management program for type 2 diabetes in Germany enhances process quality of diabetes care - a follow-up survey of patient's experiences.

BMC Health Serv Res · 2010 · PMC2843701 · PMID 20199685

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Compared to the baseline, the difference between enrolled and not enrolled patients with regard to at least one annual referral to an ophthalmologist and being mainly treated by a diabetologist did not reach statistical significance.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.