Evidence mapPaperPMID 26224760Full record

Observational studyJournal of diabetes science and technology2015

Improving the Quality of Outpatient Diabetes Care Using an Information Management System: Results From the Observational VISION Study.

Joerg Weissmann, Angelika Mueller, Diethelm Messinger, Christopher G Parkin, Ildiko Amann-Zalan

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of diabetes science and technology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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.

Joerg WeissmannRoche Diagnostics Deutschland GmbH, Mannheim, Germany.
Angelika MuellerRoche Diagnostics Deutschland GmbH, Mannheim, Germany.
Diethelm MessingerBiometrics Department, IST GmbH, Mannheim, Germany.
Christopher G ParkinCGParkin Communications, Inc, Boulder City, NV, USA chris@cgparkin.org.
Ildiko Amann-ZalanRoche Diagnostics Deutschland GmbH, Mannheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the effects of information management system (IMS) use with individuals with type 1 and type 2 diabetes who were treated in outpatient settings.

methodsIn this 7-month, prospective, observational study, 965 adults with diabetes, mean (SD) baseline HbA1c 8.61(1.2)% (70.6[13.1] mmol/mol), were recruited from 132 outpatient care centers in Germany and Denmark. HbA1c was measured at baseline, month 4, and month 7. IMS reports were generated from uploaded self-monitored blood glucose data and therapy adjustments were documented at months 1 and 4. Hypoglycemic events were documented.

resultsMean (SD) HbA1c decreased from baseline in type 1 and type 2 diabetes patients at month 4 (-0.61[1.03]% (-6.7[11.3] mmol/mol), n = 213; -0.88[1.22]% (-9.6[13.3] mmol/mol), n = 589, respectively) and month 7 (-0.64[1.02]% (-7.0[11.1] mmol/mol), n = 219; -0.93[1.27]% (-10.2[13.9] mmol/mol), n = 594, respectively), all P < .0001, with no increase in hypoglycemic events. Therapy was adjusted in 106(42.7)% type 1 and 349(52.4)% type 2 diabetes patients at months 1 and 105(42.3)% type 1 and 282(42.3)% type 2 diabetes patients at month 4. Physicians used IMS reports to make therapy adjustments in 90% of patients at month 1 and 86% of patients at month 4.

conclusionsIntegration of the IMS into outpatient care facilitates significant improvements in glycemic control.

Indexed as

Decision Making, Computer-AssistedAdultAgedAmbulatory CareBlood GlucoseBlood Glucose Self-MonitoringDiabetes MellitusFemaleGlycated HemoglobinHealth Information ManagementHumansMaleMiddle AgedOutpatientsProspective StudiesBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humaninformation management systemself-monitoring of blood glucosetype 1 diabetestype 2 diabetes

Identifiers

PMID26224760
PMCPMC4738206

What Socratic holds

Textmetadata
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.