SynthesisBMJ (Clinical research ed.)2002
Interventions used in disease management programmes for patients with chronic illness-which ones work? Meta-analysis of published reports.
Synthesis in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03804970 (Information, Networks and Rewards to Optimise Adherence to Diabetic Services), which is not on this map. Cited by 213 papers, 30 of them syntheses that pooled 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.
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.
Information, Networks and Rewards to Optimise Adherence to Diabetic Services: "INROADS in China": A Randomized Trial
Who cites it
213 citing papers in PubMed, 30 syntheses or guidelines pooled it.
- Peer Support in Chronic Conditions from the Peer Supporters' Perspective: A Systematic Review.Psychosocial intervention · 2025Pooled it
- The involvement of specialists in primary healthcare teams for managing diabetes: a systematic review and meta-analysis.BMC primary care · 2025Pooled it
- Pooled it
- Effectiveness of the chronic care model for adults with type 2 diabetes in primary care: a systematic review and meta-analysis.Systematic reviews · 2022Pooled it
- The Systemic Lupus Erythematosus Interventional Trials in Mainland China: A Continuous Challenge.Frontiers in immunology · 2022Pooled it
- Underlying mechanisms of complex interventions addressing the care of older adults with multimorbidity: a realist review.BMJ open · 2019Pooled it
- Pooled it
- Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018Pooled it
- A systematic review of chronic disease management interventions in primary care.BMC family practice · 2018Pooled it
- What Are Effective Program Characteristics of Self-Management Interventions in Patients With Heart Failure? An Individual Patient Data Meta-analysis.Journal of cardiac failure · 2016Pooled it
- How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review.Joint Commission journal on quality and patient safety · 2016Pooled it
- Pain Assessment--Can it be Done with a Computerised System? A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2016Pooled it
- Pooled it
- Effectiveness of management models for facilitating self-management and patient outcomes in adults with diabetes and chronic kidney disease.Systematic reviews · 2015Pooled it
- Chronic disease management programmes for adults with asthma.The Cochrane database of systematic reviews · 2015Pooled it
- Who is in control? Clinicians' view on their role in self-management approaches: a qualitative metasynthesis.BMJ open · 2015Pooled it
- Integrated care programmes for adults with chronic conditions: a meta-review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Pooled it
- Reminder systems for women with previous gestational diabetes mellitus to increase uptake of testing for type 2 diabetes or impaired glucose tolerance.The Cochrane database of systematic reviews · 2014Pooled it
- Pooled it
- The health economic impact of disease management programs for COPD: a systematic literature review and meta-analysis.BMC pulmonary medicine · 2013Pooled it
153 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo systematically evaluate the published evidence regarding the characteristics and effectiveness of disease management programmes.
designMeta-analysis. DATA SOURCES: Computerised databases for English language articles during 1987-2001. STUDY SELECTION: 102 articles evaluating 118 disease management programmes.
main outcome measuresPooled effect sizes calculated with a random effects model.
resultsPatient education was the most commonly used intervention (92/118 programmes), followed by education of healthcare providers (47/118) and provider feedback (32/118). Most programmes (70/118) used more than one intervention. Provider education, feedback, and reminders were associated with significant improvements in provider adherence to guidelines (effect sizes (95% confidence intervals) 0.44 (0.19 to 0.68), 0.61 (0.28 to 0.93), and 0.52 (0.35 to 0.69) respectively) and with significant improvements in patient disease control (effect sizes 0.35 (0.19 to 0.51), 0.17 (0.10 to 0.25), and 0.22 (0.1 to 0.37) respectively). Patient education, reminders, and financial incentives were all associated with improvements in patient disease control (effect sizes 0.24 (0.07 to 0.40), 0.27 (0.17 to 0.36), and 0.40 (0.26 to 0.54) respectively).
conclusionsAll studied interventions were associated with improvements in provider adherence to practice guidelines and disease control. The type and number of interventions varied greatly, and future studies should directly compare different types of intervention to find the most effective.
Indexed as
Identifiers
What OpenQuestion holds
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 OpenQuestion graph.