Evidence map›Paper›PMID 27810995›Full record

Trial reportJournal of diabetes science and technology2017

A Mobile Computerized Decision Support System to Prevent Hypoglycemia in Hospitalized Patients With Type 2 Diabetes Mellitus.

Stephan Spat, Klaus Donsa, Peter Beck, Bernhard Höll, Julia K Mader, Lukas Schaupp, Thomas Augustin, Franco Chiarugi, Katharina M Lichtenegger, Johannes Plank and 1 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of diabetes science and technology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. [Hospital diabetes management (Update 2026)].Wiener klinische Wochenschrift · 2026
    Guideline
  2. Trial
  3. Review
  4. Article
  5. Article
  6. A scoping review of rule-based clinical decision support malfunctions.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  7. Article
  8. Article
  9. [Hospital diabetes management (Update 2023)].Wiener klinische Wochenschrift · 2023
    Article
  10. Article
  11. Review
  12. [Hospital diabetes management (Update 2019)].Wiener klinische Wochenschrift · 2019
    Review
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

11 authors at 3 institutions in 2 countries.

Stephan Spat1 Health-Institute for Biomedicine and Health Sciences, Joanneum Research Forschungsgesellschaft mbh, Graz, Austria.
Klaus Donsa1 Health-Institute for Biomedicine and Health Sciences, Joanneum Research Forschungsgesellschaft mbh, Graz, Austria.
Peter Beck1 Health-Institute for Biomedicine and Health Sciences, Joanneum Research Forschungsgesellschaft mbh, Graz, Austria.
Bernhard Höll1 Health-Institute for Biomedicine and Health Sciences, Joanneum Research Forschungsgesellschaft mbh, Graz, Austria.
Julia K Mader3 Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Lukas Schaupp3 Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Thomas Augustin1 Health-Institute for Biomedicine and Health Sciences, Joanneum Research Forschungsgesellschaft mbh, Graz, Austria.
Franco Chiarugi4 Computational Medicine Laboratory, Institute of Computer Science, Foundation for Research and Technology-Hellas, Crete, Greece.
Katharina M Lichtenegger3 Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Johannes Plank3 Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Thomas R Pieber1 Health-Institute for Biomedicine and Health Sciences, Joanneum Research Forschungsgesellschaft mbh, Graz, Austria.
Joanneum Research · ATMedical University of Graz · ATFoundation for Research and Technology Hellas · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes management requires complex and interdisciplinary cooperation of health care professionals (HCPs). To support this complex process, IT-support is recommended by clinical guidelines. The aim of this article is to report on results from a clinical feasibility study testing the prototype of a mobile, tablet-based client-server system for computerized decision and workflow support (GlucoTab®) and to discuss its impact on hypoglycemia prevention.

methodsThe system was tested in a monocentric, open, noncontrolled intervention study in 30 patients with type 2 diabetes mellitus (T2DM). The system supports HCPs in performing a basal-bolus insulin therapy. Diabetes therapy, adverse events, software errors and user feedback were documented. Safety, efficacy and user acceptance of the system were investigated.

resultsOnly 1.3% of blood glucose (BG) measurements were <70 mg/dl and only 2.6% were >300 mg/dl. The availability of the system (97.3%) and the rate of treatment activities documented with the system (>93.5%) were high. Only few suggestions from the system were overruled by the users (>95.7% adherence). Evaluation of the 3 anonymous questionnaires showed that confidence in the system increased over time. The majority of users believed that treatment errors could be prevented by using this system.

conclusionsData from our feasibility study show a significant reduction of hypoglycemia by implementing a computerized system for workflow and decision support for diabetes management, compared to a paper-based process. The system was well accepted by HCPs, which is shown in the user acceptance analysis and that users adhered to the insulin dose suggestions made by the system.

Indexed as

Decision Support Systems, ClinicalMobile ApplicationsComputers, HandheldDiabetes Mellitus, Type 2Feasibility StudiesFemaleHumansHypoglycemiaHypoglycemic AgentsInsulinMaleWorkflowHypoglycemic AgentsInsulinbasal-bolus insulin therapybest practicecomputerized decision supportdiabetes mellitus type 2hypoglycemiamedication management system

Identifiers

PMID27810995
PMCPMC5375083
OpenAlexW2546750666

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.