Evidence mapPaperPMID 36449375Full record

Trial reportDiabetes technology & therapeutics2023

Fully Closed-Loop Insulin Delivery in Patients Undergoing Pancreatic Surgery.

Gabija Krutkyte, Jonathan Roos, Daniel Schuerch, Cecilia Czerlau, Malgorzata E Wilinska, Patrick Y Wuethrich, David Herzig, Roman Hovorka, Andreas P Vogt, Beat Gloor and 1 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes technology & therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04361799 (Perioperative Closed-loop Insulin Delivery Versus Standard Insulin Therapy - a Randomised Controlled Parallel Clinical Trial in Adults With Type 2 Diabetes), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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.

NCT04361799 nacompletednot on this map

Perioperative Closed-loop Insulin Delivery Versus Standard Insulin Therapy - a Randomised Controlled Parallel Clinical Trial in Adults With Type 2 Diabetes

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2020 to 2021Enrolled45ConditionsPerioperative Hyperglycaemia, Insulin Therapy, Elective Surgery, Closed-Loop Glucose ControlArmsCamAPS, Standard insulin therapy
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Inpatient Use of Automated Insulin Delivery Systems.Journal of diabetes science and technology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. 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 2 countries.

Gabija KrutkyteDepartment of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, University of Bern, Bern, Switzerland.
Jonathan RoosDepartment of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, University of Bern, Bern, Switzerland.
Daniel SchuerchDepartment of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, University of Bern, Bern, Switzerland.
Cecilia CzerlauDepartment of Nephrology and Hypertension Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Malgorzata E WilinskaWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, United Kingdom.
Patrick Y WuethrichDepartment of Anaesthesiology and Pain Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
David HerzigDepartment of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, University of Bern, Bern, Switzerland.
Roman HovorkaWellcome Trust-MRC Institute of Metabolic Science, University of Cambridge, Cambridge, United Kingdom.
Andreas P VogtDepartment of Anaesthesiology and Pain Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Beat GloorDepartment of Visceral Surgery and Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Lia BallyDepartment of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID 0000-0003-1993-7672
University of Bern · CHUniversity of Cambridge · GBUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The central role of pancreas in glucose regulation imposes high demands on perioperative glucose management in patients undergoing pancreatic surgery. In a post hoc subgroup analysis of a randomized controlled trial, we evaluated the perioperative use of subcutaneous (SC) fully closed-loop (FCL; CamAPS HX) versus usual care (UC) insulin therapy in patients undergoing partial or total pancreatic resection. Glucose control was compared using continuous glucose monitoring (CGM) metrics (% time with CGM values between 5.6 and 10.0 mmol/L and more). Over the time of hospitalization, FCL resulted in better glucose control than UC with more time spent in the target range 5.6-10.0 mmol/L (mean [standard deviation] % time in target 77.7% ± 4.6% and 41.1% ± 19.5% in FCL vs. UC subjects, respectively; mean difference 36.6% [95% confidence interval 18.5-54.8]), without increasing the risk of hypoglycemia. Findings suggest that an adaptive SC FCL approach effectively accommodated the highly variable insulin needs in patients undergoing pancreatic surgery. Clinical trials registration: ClinicalTrials.gov, NCT04361799.

Indexed as

Diabetes Mellitus, Type 1InsulinBlood GlucoseBlood Glucose Self-MonitoringHumansHypoglycemic AgentsInsulin Infusion SystemsInsulin, Regular, HumanBlood GlucoseHypoglycemic AgentsInsulinInsulin, Regular, HumanClosed-loop glucose controlDiabetes technologyPancreatic surgeryPerioperative glycemic control

Identifiers

PMID36449375
PMCPMC9983122
OpenAlexW4310460202

What Socratic holds

Textmetadata
LicenceCC BY
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.