Evidence map›Paper›PMID 35135365›Full record

SynthesisJournal of diabetes science and technology2023

The Effectiveness of Telemedicine Solutions in Type 1 Diabetes Management: A Systematic Review and Meta-analysis.

Flemming Witt Udsen, Stine Hangaard, Clara Bender, Jonas Andersen, Thomas Kronborg, Peter Vestergaard, Ole Hejlesen, Sisse Laursen

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of diabetes science and technology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Observational
  14. 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

8 authors at 2 institutions in 1 country.

Flemming Witt UdsenDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.ORCID 0000-0003-2293-9169
Stine HangaardDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.ORCID 0000-0003-0395-3563
Clara BenderDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.ORCID 0000-0002-4278-0397
Jonas AndersenDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.ORCID 0000-0001-6619-9161
Thomas KronborgDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Peter VestergaardSteno Diabetes Center North Denmark, Aalborg, Denmark.
Ole HejlesenDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Sisse LaursenDepartment of Health Science and Technology, Aalborg University, Aalborg, Denmark.ORCID 0000-0001-5884-8125
Aalborg University · DKSteno Diabetes Centers · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine holds a potential to strengthen self-management support outside health care settings in the everyday management of type 1 diabetes (T1D). However, existing effectiveness reviews are older or include a relatively narrow focus on specific definitions of telemedicine or included databases.

objectiveTo conduct a systematic review of the effectiveness of telemedicine solutions versus any comparator on diabetes-related outcomes among people with T1D.

methodsStudies including adults (≥18 years) with T1D published before October 14, 2020, were eligible. Primary outcome was glycated hemoglobin (HbA1c, %). The Cochrane Library, PubMed, EMBASE, and CINAHL were searched. Meta-analysis based on the mean difference in HbA1c% was used to pool effects. The Cochrane tool was applied to assess risk-of-bias, and the certainty of evidence was graded using the GRADE approach.

resultsA total of 22 studies were included (with 1615 participants). Treatment effect for HbA1c% favored telemedicine (mean difference of -0.26% [95% confidence interval:-0.37% to -0.15%]) with moderate effect certainty. Heterogeneity was moderate ( DISCUSSION: Reducing average HbA1c% levels are important to combat the risk of diabetic complications and premature death. However, the evidence mostly consist of small studies with a relative short duration and the estimated pooled effect is smaller than could be expected from quality improvement strategies in general for diabetes management. PROSPERO NUMBER: CRD42020123565.

Indexed as

Diabetes Mellitus, Type 1TelemedicineAdultGlycated HemoglobinHumansHypoglycemic AgentsGlycated HemoglobinHypoglycemic Agentsblood glucosediabetes mellitusmeta-analysissystematic reviewtelemedicinetype 1

Identifiers

PMID35135365
PMCPMC10210099
OpenAlexW4210905022

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.