Evidence map›Paper›PMID 41612444›Full record

Trial reportTrials2026

Statistical analysis plan of the study titled "A deprescribing programme aimed to optimize blood glucose-lowering medication in older people with type 2 diabetes mellitus - the OMED2 study: a randomized controlled trial".

Charlotte Andriessen, Peter P Harms, Marieke T Blom, Anna W de Boer, G Ardine de Wit, Ron Herings, Rob J van Marum, Jacqueline G Hugtenburg, Daniël van Raalte, Liselotte van Bloemendaal and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Charlotte AndriessenDepartment of General Practice, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands. c.andriessen@amsterdamumc.nl.ORCID http://orcid.org/0000-0001-6862-1979
Peter P HarmsDepartment of General Practice, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.
Marieke T BlomDepartment of General Practice, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.
Anna W de BoerDepartment of Public Health and Primary Care/Health Campus The Hague, LUMC, Leiden, The Netherlands.
G Ardine de WitDepartment of Health Sciences, Faculty of Beta Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Ron HeringsPHARMO Institute for Drug Outcomes Studies, Utrecht, The Netherlands.
Rob J van MarumDepartment of Geriatric Medicine, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.
Jacqueline G HugtenburgDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Daniël van RaalteDepartment of Internal Medicine, Diabetes Center, Amsterdam University Medical Center, Amsterdam, the Netherlands.
Liselotte van BloemendaalDepartment of Internal Medicine - Geriatrics, Amsterdam University Medical Center, Amsterdam, the Netherlands.
Giel NijpelsDepartment of General Practice, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.
Rimke C VosDepartment of Public Health and Primary Care/Health Campus The Hague, LUMC, Leiden, The Netherlands.
Petra DenigDepartment of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Petra J M EldersDepartment of General Practice, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands.

Funding

ZonMw 848018102
6 · The paper itself

Abstract

backgroundThe OMED2 (Optimization of Medication in Elderly with Diabetes) study addresses the effect and implementation of integrating a deprescribing programme (DPP) in general practice. The aim of the DPP is to reduce glucose-lowering medication (SU/insulin) in overtreated older patients. The protocol for this study has been published previously. This statistical analysis plan (SAP) contains a more elaborate outline of the (statistical) methods we plan to use for data analysis.

methodsThe OMED2 study is a randomized mixed-methods study with a 2-year follow-up period that compares the effect of the implementation of a DPP in general practice to regular care (control). In this SAP, we report on the (statistical) approaches that we plan to use to address the study objectives. The main objective of the OMED2 study is to examine the effect of the implementation of the DPP on diabetes complications, whereby the total number of diabetes complications related to undertreatment and overtreatment will be summed. Generalized linear mixed models with a Poisson distribution and the DPP as the main determinant will be used to test whether the total number of diabetes complications occurring from the start of the 2-year follow-up until the end of follow-up differs between intervention and control. The incident rate of the number of diabetes complications will be calculated to correct for possible differences in follow-up duration. The model will also include a random effect variable to allow for possible clustering effects by general practice. We will perform intention-to-treat analyses, which include all patients eligible for deprescribing, as well as per protocol analyses, which omit patients who were not deprescribed in the intervention arm. Additionally, approaches to study the implementation of the DPP and the cost-effectiveness of the implementation are outlined in the SAP.

trial registrationISRCTN Registry ISRCTN50008265. Registered on 1 November 2024.

Indexed as

Blood GlucoseDeprescriptionsDiabetes Mellitus, Type 2Glycemic ControlHypoglycemic AgentsAgedAge FactorsBiomarkersClinical ProtocolsData Interpretation, StatisticalHumansResearch DesignTime FactorsTreatment OutcomeBiomarkersBlood GlucoseHypoglycemic Agents

Identifiers

PMID41612444
PMCPMC12930782

What Socratic holds

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Registered trials

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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.