Evidence mapPaperPMID 39184531Full record

ArticleInternational journal of integrated care

Effectiveness of Integrated Care for Diabetes Mellitus Type 2, Cardiovascular and Chronic Respiratory Diseases: A Systematic Review and Meta-Analysis.

Pim P Valentijn, Liza Tymchenko, Wiro Gruisen, Bem Bruls, Fernando Abdalla Pereira, Rosa Y Arends

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

6 authors.

Pim P ValentijnEssenburgh Research & Consultancy, Essenburgh Group, Harderwijk, the Netherlands.ORCID https://orcid.org/0000-0002-9788-1275
Liza TymchenkoEssenburgh Research & Consultancy, Essenburgh Group, Harderwijk, the Netherlands.ORCID https://orcid.org/0000-0003-4877-4390
Wiro GruisenHealthcare Division, CZ Health Insurance, Tilburg, the Netherlands.
Bem BrulsHealth Centre Hoensbroek North, Hoensbroek, the Netherlands.
Fernando Abdalla PereiraDepartment of Health Affairs & Policy Research, Vivactis Weber, Madrid, Spain.
Rosa Y ArendsEssenburgh Research & Consultancy, Essenburgh Group, Harderwijk, the Netherlands.ORCID https://orcid.org/0000-0002-7854-1371

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In this paper, we use the Rainbow Model of Integrated Care (RMIC) framework to evaluate the effectiveness of integrated care in terms of enhancing the outcomes of chronic conditions such as diabetes mellitus type 2 (DMT2), cardiovascular diseases (CVD), chronic respiratory diseases (CRD), or their combinations. Methods: The data extracted from randomized controlled trials (RCT) of integrated care interventions for DMT2, CVD, and CRD (follow-up ≥ 3 months) in 11 databases were analysed using random-effects meta-analysis. Results: A total of 54 eligible studies covering 12,976 participants, with a mean follow-up of 54 weeks, were included. In moderate-quality evidence, integrated care interventions reduced mortality for CVD, adverse events for CVD and DMT2, and improved quality of life for CVD and DMT2, physical and mental functioning, self-management, and blood pressure control. Conclusion: Integrated care can reduce all-cause mortality, adverse events, and improve quality of life, physical and mental functioning, self-management and blood pressure control in chronic disease patients. However, available evidence for some outcomes (e.g., all-cause hospital admissions) remains uncertain.

Indexed as

Cardiovascular risk managementCOPDDiabetes type 2Integrated careMeta-analysisSystematic review

Identifiers

PMID39184531
PMCPMC11342834

What Socratic holds

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LicenceCC BY
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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.