Evidence mapPaperPMID 35133640Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2022

Cost-Effectiveness Evaluation of a Remote Monitoring Programme Including Lifestyle Education Software in Type 2 Diabetes: Results of the Educ@dom Study.

Michael Mounié, Nadège Costa, Pierre Gourdy, Christelle Latorre, Solène Schirr-Bonnans, Jean-Marc Lagarrigue, Henri Roussel, Jacques Martini, Jean-Christophe Buisson, Marie-Christine Chauchard and 16 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01955031 (Effectiveness and Cost-effectiveness Analysis of a Telemonitoring Program on Lifestyle for People With Type 2 Diabetes at Home. Study Based on a Health Network in Diabetology.), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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.

NCT01955031 nacompletednot on this map

Effectiveness and Cost-effectiveness Analysis of a Telemonitoring Program on Lifestyle for People With Type 2 Diabetes at Home. Study Based on a Health Network in Diabetology.

TypeinterventionalSponsorUniversity Hospital, ToulouseRan2013 to 2019Enrolled282ConditionsType 2 DiabetesArmstelemonitoring, Usual care
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Could Online Education Replace Face-to-Face Education in Diabetes? A Systematic Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Review
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors.

Michael MouniéHealth-Economic Unit, Medical Information Department, University Hospital, Toulouse, France. mounie.m@chu-toulouse.fr.ORCID http://orcid.org/0000-0003-0298-267X
Nadège CostaHealth-Economic Unit, Medical Information Department, University Hospital, Toulouse, France.
Pierre GourdyDepartment of Diabetology, Metabolic Diseases and Nutrition, Toulouse University Hospital, Toulouse, France.
Christelle LatorreHealth-Economic Unit, Medical Information Department, University Hospital, Toulouse, France.
Solène Schirr-BonnansHealth-Economic Unit, Medical Information Department, University Hospital, Toulouse, France.
Jean-Marc LagarrigueMSA Midi-Pyrénées Nord, 180 Avenue Marcel UNAL, 82000, Montauban, France.
Henri RousselCNAM, DRSM Occitanie, 2 rue Georges Vivent, 31082, Toulouse, France.
Jacques MartiniDepartment of Diabetology, Metabolic Diseases and Nutrition, Toulouse University Hospital, Toulouse, France.
Jean-Christophe BuissonENSEEIHT, Toulouse, France.
Marie-Christine ChauchardDepartment of Diabetology, Metabolic Diseases and Nutrition, Toulouse University Hospital, Toulouse, France.
Jacqueline DelaunayDepartment of Diabetology, Metabolic Diseases and Nutrition, Toulouse University Hospital, Toulouse, France.
Soumia TaouiDepartment of Diabetology, Metabolic Diseases and Nutrition, Toulouse University Hospital, Toulouse, France.
Marie-France PoncetClaude Bernard Clinic, Albi, France.
Valeria CosmaHospital Center, Nîmes, France.
Sandrine LablancheUniversity Hospital, Grenoble, France.
Magali Coustols-ValatAmbroise Paré Clinic, Toulouse, France.
Lucie ChaillousUniversity Hospital, Nantes, France.
Charles ThivoletUniversity Hospital, Lyon, France.
Caroline SanzPasteur Clinic, Toulouse, France.
Alfred PenfornisSud Francilien Hospital, Corbeil-Essonnes, and Paris-Saclay University, Corbeil-Essonnes, France.
Benoît LepageDepartment of Epidemiology, University Hospital, Toulouse, France.
Hélène ColineauxDepartment of Epidemiology, University Hospital, Toulouse, France.
Hélène HanaireDepartment of Diabetology, Metabolic Diseases and Nutrition, Toulouse University Hospital, Toulouse, France.
Laurent MolinierHealth-Economic Unit, Medical Information Department, University Hospital, Toulouse, France.
Marie-Christine TurninDepartment of Diabetology, Metabolic Diseases and Nutrition, Toulouse University Hospital, Toulouse, France.
Educ@dom Study Group

Funding

Conseil Régional Midi-Pyrénées 11052617Conseil Régional Midi-Pyrénées 13050630French Ministry of Health 12-018-0078
6 · The paper itself

Abstract

introductionTelemedicine programs using health technological innovation to remotely monitor the lifestyles of patients with type 2 diabetes (T2D) can improve glycaemic control and thus reduce the incidence of complications as well as management costs. In this context, an assessment was made of the 1-year and 2-year cost-effectiveness of the EDUC@DOM telemonitoring and tele-education program.

methodsThe EDUC@DOM study was a multicentre randomized controlled trial conducted between 2013 and 2017 that compared a telemonitoring group (TMG) to a control group (CG) merged with health insurance databases to extract economic data on resource consumption. Economic analysis was performed from the payer perspective, and direct costs and indirect costs were considered. The clinical outcome used was the intergroup change in glycated haemoglobin (HbA1c) levels from baseline. Missing economic data were imputed using multiple imputation, and fitted values from a generalized linear mixed model were used to calculate the incremental cost-effectiveness ratio (ICER). Bootstrapped 95% confidence ellipses were drawn in the cost-effectiveness plan.

resultsThe main analysis included data from 256 patients: 126 in the TMG and 130 in the CG. Incremental costs over 1 and 2 years were equal to €2129 and €5101, respectively, in favour of the TMG. Once imputed and adjusted for confounding factors, the TMG trends to a 21% cost decrease over 1 and 2 years of follow-up (0.79 [0.58; 1.08], p = 0.1452 and 0.79 [0.61; 1.03], p = 0.0879, respectively). The EDUC@DOM program led to a €1334 cost saving and a 0.17 decrease in HbA1c over 1 year and a €3144 cost saving and a 0.14 decrease in HbA1c over 2 years. According to the confidence ellipse, EDUC@DOM was a cost-effective strategy.

conclusionThis study provides additional economic information on telemonitoring and tele-education programs to enhance their acceptance and promote their use. In the light of this work, the EDUC@DOM program is a cost-saving strategy in T2D management.

trial registrationThis trial was registered in the Clinical Trials Database on 27 September 2013 under no. NCT01955031 and bears ID-RCB no. 2013-A00391-44.

Indexed as

Cost-effectivenessEconomic assessmentEDUC@DOMLifestyle managementTele-educationTelemonitoringType 2 diabetes

Identifiers

PMID35133640
PMCPMC8991290

What Socratic holds

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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.