Evidence map›Paper›PMID 16221935›Full record

Trial reportJournal of the American Medical Informatics Association : JAMIA

A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus.

Steven Shea, Ruth S Weinstock, Justin Starren, Jeanne Teresi, Walter Palmas, Lesley Field, Philip Morin, Robin Goland, Roberto E Izquierdo, L Thomas Wolff and 8 more

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00271739 (Informatics for Diabetes Education and Telemedicine), which is not on this map. Cited by 129 papers, 29 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 29 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.

NCT00271739 nacompletednot on this map

Informatics for Diabetes Education and Telemedicine (IDEATel)

TypeinterventionalSponsorColumbia UniversityRan2000 to 2007Enrolled1,665ConditionsDiabetes MellitusArmsTelemedicine Unit (HTU), usual care
3 · Its place in the literature

Who cites it

129 citing papers in PubMed, 29 syntheses or guidelines pooled it.

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  9. An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension.International journal of environmental research and public health · 2021
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  15. Interventions to increase attendance for diabetic retinopathy screening.The Cochrane database of systematic reviews · 2018
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69 more citing papers are in PubMed but not listed here.

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

18 authors.

Steven SheaDepartment of Medicine, 630 W. 168th Street, New York, NY 10032, USA. ss35@columbia.edu
Ruth S Weinstock
Justin Starren
Jeanne Teresi
Walter Palmas
Lesley Field
Philip Morin
Robin Goland
Roberto E Izquierdo
L Thomas Wolff
Mohammed Ashraf
Charlyn Hilliman
Stephanie Silver
Suzanne Meyer
Douglas Holmes
Eva Petkova
Linnea Capps
Rafael A Lantigua

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine is a promising but largely unproven technology for providing case management services to patients with chronic conditions who experience barriers to access to care or a high burden of illness.

methodsThe authors conducted a randomized, controlled trial comparing telemedicine case management to usual care, with blinding of those obtaining outcome data, in 1,665 Medicare recipients with diabetes, aged 55 years or greater, and living in federally designated medically underserved areas of New York State. The primary endpoints were HgbA1c, blood pressure, and low-density lipoprotein (LDL) cholesterol levels.

resultsIn the intervention group (n = 844), mean HgbA1c improved over one year from 7.35% to 6.97% and from 8.35% to 7.42% in the subgroup with baseline HgbA1c > or =7% (n = 353). In the usual care group (n = 821) mean HgbA1c improved over one year from 7.42% to 7.17%. Adjusted net reductions (one-year minus baseline mean values in each group, compared between groups) favoring the intervention were as follows: HgbA1c, 0.18% (p = 0.006), systolic and diastolic blood pressure, 3.4 (p = 0.001) and 1.9 mm Hg (p < 0.001), and LDL cholesterol, 9.5 mg/dL (p < 0.001). In the subgroup with baseline HgbA1c > or =7%, net adjusted reduction in HgbA1c favoring the intervention group was 0.32% (p = 0.002). Mean LDL cholesterol level in the intervention group at one year was 95.7 mg/dL. The intervention effects were similar in magnitude in the subgroups living in New York City and upstate New York.

conclusionTelemedicine case management improved glycemic control, blood pressure levels, and total and LDL cholesterol levels at one year of follow-up.

Indexed as

Case ManagementTelemedicineAgedAged, 80 and overBlood GlucoseBlood PressureCholesterol, LDLDiabetes MellitusFemaleGlycated HemoglobinHumansMaleMedically Underserved AreaMedicareMiddle AgedNew YorkBlood GlucoseCholesterol, LDLGlycated Hemoglobin

Identifiers

PMID16221935
PMCPMC1380195

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.