Evidence mapPaperPMID 41277464Full record

SynthesisDiabetes, obesity & metabolism2026

Diabetes self-management education and its association with hospital admissions and premature mortality: A scoping review and meta-analysis.

Gemma A Lewis, David M Hughes, Greg Irving, John Wilding, Kevin Hardy

Abstract readScoping ReviewMeta-Analysis
In one paragraph

Synthesis in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Trial
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

5 authors.

Gemma A LewisDepartment of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID 0009-0004-1802-6601
David M HughesDepartment of Health Data Science, Institute of Population Health, University of Liverpool, Liverpool, UK.
Greg IrvingHealth Research Institute, Edge Hill University, Ormskirk, UK.
John WildingDepartment of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID 0000-0003-2839-8404
Kevin HardyDepartment of Diabetes and Endocrinology, St Helens Hospital, Mersey and West Lancashire Teaching Hospitals NHS Trust, St Helens, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes is associated with increased all-cause hospital admissions and premature mortality. Diabetes self-management education (DSME) is internationally recommended but its impact on reducing hospital admissions and premature mortality is unclear. This scoping review followed the PRISMA extension for scoping reviews and explores the relationship between DSME, hospital admissions and mortality in adults with type 2 diabetes. Core search terms for type 2 diabetes were combined with terms for DSME, hospital admission, and mortality. Searches were conducted on 10 January 2024, and checked in September 2025, across three electronic databases: CINAHL, MEDLINE, and EMBASE. No restrictions were applied regarding study design, quality, location, or sex. The search yielded 294 records from databases and 66 from manual searches; 42 met inclusion criteria. Evidence regarding hospitalisation was inconsistent, with heterogenous outcome definitions and frequent reporting of admissions as a reason for attrition. Meta-analysis showed a non-significant 9% reduction in admission risk among DSME groups. By contrast, meta-regression found that whether mortality was reported as a primary outcome significantly moderated the treatment effect (p = 0.0002), fully accounting for between-study heterogeneity (τ

Indexed as

Diabetes Mellitus, Type 2HospitalizationMortality, PrematurePatient Education as TopicSelf-ManagementFemaleHumansdiabeteshospital admissionsmortalitypatient education as topicscoping review

Identifiers

PMID41277464
PMCPMC12803649

What Socratic holds

Textmetadata
LicenceCC BY
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.