Evidence map›Paper›PMID 11679387›Full record

Trial reportBMJ (Clinical research ed.)2001

Randomised controlled trial of structured personal care of type 2 diabetes mellitus.

N F Olivarius, H Beck-Nielsen, A H Andreasen, M Hørder, P A Pedersen

2 registry-linked trialsOpen access · bronzeAbstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 92 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 13 pooled it
18.9field-weighted citation impact, top 1% 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.

NCT00204282 nacompletednot on this mapstarted 2003, after this paper: background citation

The Effectiveness of Nurse Practitioner Led Group Visits in Improving Compliance With Diabetic Preventative Services and Modifying Vascular Risk

TypeinterventionalSponsorUniversity of ChicagoRan2003 to 2005Enrolled150ConditionsDiabetesArmsEducational presentation, group discussion, questionnaires
NCT00221455 phase1completednot on this mapstarted 2004, after this paper: background citation

The Potential of Technology to Improve Chronic Disease Management and Quality of Care

TypeinterventionalSponsorRobert Wood Johnson FoundationRan2004 to 2007Enrolled1,000ConditionsDiabetes MellitusArmsPatient diabetic self-management using the diabetic patient portal tools, A variety of educational interventions for non-adopters of the technology, and for non-compliant patients.
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 13 syntheses or guidelines pooled it, 301 citations in OpenAlex.

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32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

N F OlivariusCentral Research Unit, Department of General Practice, University of Copenhagen, Denmark. no@gpract.ku.dk
H Beck-Nielsen
A H Andreasen
M Hørder
P A Pedersen
University of Copenhagen · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of a multifaceted intervention directed at general practitioners on six year mortality, morbidity, and risk factors of patients with newly diagnosed type 2 diabetes.

designPragmatic, open, controlled trial with randomisation of practices to structured personal care or routine care; analysis after 6 years.

setting311 Danish practices with 474 general practitioners (243 in intervention group and 231 in comparison group).

participants874 (90.1%) of 970 patients aged >/=40 years who had diabetes diagnosed in 1989-91 and survived until six year follow up.

interventionRegular follow up and individualised goal setting supported by prompting of doctors, clinical guidelines, feedback, and continuing medical education.

main outcome measuresPredefined clinical non-fatal outcomes, overall mortality, risk factors, and weight.

resultsPredefined non-fatal outcomes and mortality were the same in both groups. The following risk factor levels were lower for intervention patients than for comparison patients (median values): fasting plasma glucose concentration (7.9 v 8.7 mmol/l, P=0.0007), glycated haemoglobin (8.5% v 9.0%, P<0.0001; reference range 5.4-7.4%), systolic blood pressure (145 v 150 mm Hg, P=0.0004), and cholesterol concentration (6.0 v 6.1 mmol/l, P=0.029, adjusted for baseline concentration). Both groups had lost weight since diagnosis (2.6 v 2.0 kg). Metformin was the only drug used more frequently in the intervention group (24% (110/459) v 15% (61/415)). Intervention doctors arranged more follow up consultations, referred fewer patients to diabetes clinics, and set more optimistic goals.

conclusionsIn primary care, individualised goals with educational and surveillance support may for at least six years bring risk factors of patients with type 2 diabetes to a level that has been shown to reduce diabetic complications but without weight gain.

Indexed as

AgedAge FactorsDiabetes Mellitus, Type 2Disease ManagementFamily PracticeFemaleHumansLogistic ModelsMaleMiddle AgedPersonal Health ServicesPhysician-Patient RelationsSex Factors

Identifiers

PMID11679387
PMCPMC59690
OpenAlexW2087533214

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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.