Evidence mapPaperPMID 33439284Full record

Trial reportDiabetologia2021

Improved transition to adult care in youth with type 1 diabetes: a pragmatic clinical trial.

Sonia Butalia, Susan G Crawford, K Ashlee McGuire, David K Dyjur, Julia R Mercer, Danièle Pacaud

Open access · bronzeAbstract readPragmatic Clinical Trial
PubMed Publisher
In one paragraph

Trial report in Diabetologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
10.2field-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.

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

31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Type 1 Diabetes Mellitus and Transfer from Pediatric to Adult Care: A Single-Center ExperienceJournal of clinical research in pediatric endocrinology · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Adherence to Type 1 Diabetes Care Visits After Transfer From Pediatric to Adult Care: A Prospective Cohort Study.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Sonia ButaliaDivision of Endocrinology and Metabolism, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada. sbutalia@ucalgary.ca.ORCID 0000-0001-7865-9161
Susan G CrawfordAlberta Health Services, Calgary, AB, Canada.
K Ashlee McGuireProvincial Primary Health Care, Alberta Health Services, Calgary, AB, Canada.
David K DyjurDiabetes Centre Calgary, Alberta Health Services, Calgary, AB, Canada.ORCID 0000-0003-2421-0179
Julia R MercerAlberta Children's Hospital, Diabetes Clinic, Alberta Health Services, Calgary, AB, Canada.ORCID 0000-0002-9923-4477
Danièle PacaudDivision of Pediatric Endocrinology and Diabetes, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-6337-7241
Alberta Health Services · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisYouth with type 1 diabetes are at high risk for loss to follow-up during the transition from paediatric to adult diabetes care. Our aim was to assess the effect of a communication technology enhanced transition coordinator intervention compared with usual care on clinic attendance among transitioning youth with type 1 diabetes.

methodsIn this open label, pragmatic clinical trial of youth with type 1 diabetes, aged 17-18 years, transitioning from paediatric to adult diabetes care, the intervention group received support from a transition coordinator who used communication technology and the control group received usual care. The primary outcome was the proportion of individuals that did not attend at least one routine clinic visit in adult diabetes care within 1 year after transfer. Secondary outcomes included diabetes-related clinical outcomes and quality of life measures.

resultsThere were no baseline differences in age, sex, HbA CONCLUSIONS/

interpretationOur intervention was successful in improving clinic attendance among transitioning youth with type 1 diabetes. Importantly, this programme used simple, readily accessible communication technologies, which increases the sustainability and transferability of this strategy.

trial registrationisrctn.org ISRCTN13459962.

Indexed as

Glycemic ControlPatient NavigationTelecommunicationsTransition to Adult CareAdolescentAdolescent BehaviorAge FactorsAlbertaBiomarkersBlood GlucoseDiabetes Mellitus, Type 1Electronic MailFemaleGlycated HemoglobinHealth Knowledge, Attitudes, PracticeHumansBiomarkersBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanPragmatic trialTransition to adult careType 1 diabetesYouth

Identifiers

PMID33439284
OpenAlexW3120981081

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.