Evidence map›Paper›PMID 31798894›Full record

Trial reportBMJ open diabetes research & care2019

Redesigning ambulatory care management for uncontrolled type 2 diabetes: a prospective cohort study of the impact of a Boot Camp model on outcomes.

Michelle F Magee, Kelley M Baker, Stephen J Fernandez, Chun-Chi Huang, Mihriye Mete, Alex R Montero, Carine M Nassar, Paul A Sack, Kelly Smith, Gretchen A Youssef and 1 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open diabetes research & care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02925312 (MedStar Pathway to Diabetes Control Demonstration Project), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 11% 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.

NCT02925312 nacompletednot on this map

MedStar Pathway to Diabetes Control Demonstration Project: Type 2 Diabetes Boot Camp

TypeinterventionalSponsorMedstar Health Research InstituteRan2014 to 2016Enrolled419ConditionsType 2 Diabetes Mellitus, HyperglycemiaArmsDiabetes Pathway
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Diabetes Technology Meeting 2022.Journal of diabetes science and technology · 2023
    Article
  7. Equity in Medical Care for People Living With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2022
    Article
  8. 2022 National Standards for Diabetes Self-Management Education and Support.Diabetes spectrum : a publication of the American Diabetes Association · 2022
    Article
  9. Article
  10. It's All About Access!Diabetes spectrum : a publication of the American Diabetes Association · 2020
    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

11 authors at 3 institutions in 1 country.

Michelle F MageeMedStar Health Research Institute, Hyattsville, Maryland, USA.ORCID 0000-0002-4692-3201
Kelley M BakerMedStar Institute for Quality and Safety, Columbia, Maryland, USA.
Stephen J FernandezBiostatistics and Biomedical Informatics, MedStar Health Research Institute, Hyattsville, Maryland, USA.
Chun-Chi HuangBiostatistics and Biomedical Informatics, MedStar Health Research Institute, Hyattsville, Maryland, USA.
Mihriye MeteBiostatistics and Biomedical Informatics, MedStar Health Research Institute, Hyattsville, Maryland, USA.
Alex R MonteroDepartment of Medicine, MedStar Georgetown University Hospital, Washington, District of Columbia, USA.
Carine M NassarMedStar Health Research Institute, Hyattsville, Maryland, USA.
Paul A SackDepartment of Medicine, MedStar Union Memorial Hospital, Baltimore, Maryland, USA.
Kelly SmithMedStar Institute for Quality and Safety, Columbia, Maryland, USA.
Gretchen A YoussefMedStar Diabetes Institute, MedStar Health, Columbia, Maryland, USA.
Stephen R EvansMedStar Health, Columbia, Maryland, USA.
MedStar Health · USGeorgetown University · USUniversity of Maryland, Baltimore · US

Funding

Maternal Morbidity and Mortality: Risk Factors, Early Detection and Personalized InterventionUL1TR001409 · NCATS · GEORGETOWN UNIVERSITY · PI GONDRE-LEWIS, MARJORIE C, MELLMAN, THOMAS A · 2015 to 2024
$37.8M
NCATS NIH HHS UL1 TR001409
6 · The paper itself

Abstract

Objective: Type 2 diabetes care management (DCM) is challenging. Few studies report meaningful improvements in clinical care settings, warranting DCM redesign. We developed a Boot Camp to provide timely, patient-centered, technology-enabled DCM. Impact on hemoglobin A Research design and methods: The intervention was designed using the Practical Robust Implementation and Sustainability Model to embed elements of the chronic care model. Adults with HbA Results: A cohort of 366 Boot Camp participants plus 366 controls was analyzed. Participants were 79% African-American, 63% female and 59% Medicare-insured or Medicaid-insured and mean age 56 years. Baseline mean HbA Conclusions: Redesigning diabetes care management using a pragmatic technology-enabled approach supported translation of evidence-based best practices across a mixed-payer regional healthcare system. Diabetes educators successfully participated in medication initiation and titration. Improvement in glycemic control, reduction in hospitalizations and potential for monetization was demonstrated in a high-risk cohort of adults with uncontrolled type 2 diabetes. Trial registration number: NCT02925312.

Indexed as

Models, OrganizationalAdultAgedAmbulatory CareAmbulatory Care FacilitiesBlood GlucoseBlood Glucose Self-MonitoringCohort StudiesCost SavingsDiabetes Mellitus, Type 2District of ColumbiaEmergency Service, HospitalFemaleGlycated HemoglobinHospitalizationHumansBlood GlucoseGlycated Hemoglobindelivery of careeducation and behavioral interventionsoutcome researchtreatment algorithms

Identifiers

PMID31798894
PMCPMC6861097
OpenAlexW2988683368

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.