Evidence map›Paper›PMID 18779465›Full record

Trial reportArchives of internal medicine2008

Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial.

Richard W Grant, Jonathan S Wald, Jeffrey L Schnipper, Tejal K Gandhi, Eric G Poon, E John Orav, Deborah H Williams, Lynn A Volk, Blackford Middleton

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

Trial report in Archives of internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00251875 (Shared Online Health Records for Patient Safety and Care), which is not on this map. Cited by 107 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 21 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.

NCT00251875 naunknown statusnot on this map

Shared Online Health Records for Patient Safety and Care

TypeinterventionalSponsorAgency for Healthcare Research and Quality (AHRQ)Ran2005 to 2007Enrolled5,400ConditionsDiabetesArmsonline health information journal
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 21 syntheses or guidelines pooled it.

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  5. Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021
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  9. Guideline
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  19. Guideline
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47 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

9 authors.

Richard W GrantDivision of General Medicine, Massachusetts General Hospital, 50-9 Staniford St, Boston, Massachusetts 02114, USA. Rgrant@partners.org
Jonathan S Wald
Jeffrey L Schnipper
Tejal K Gandhi
Eric G Poon
E John Orav
Deborah H Williams
Lynn A Volk
Blackford Middleton

Funding

Overcoming Barriers to Evidence-Based Diabetes CareK23DK067452 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI GRANT, RICHARD W · 2005 to 2009
$653k
AHRQ HHS R01 HS013660-02NIDDK NIH HHS K23 DK067452
6 · The paper itself

Abstract

backgroundWeb-based personal health records (PHRs) have been advocated as a means to improve type 2 diabetes mellitus (DM) care. However, few Web-based systems are linked directly to the electronic medical record (EMR) used by physicians.

methodsWe randomized 11 primary care practices. Intervention practices received access to a DM-specific PHR that imported clinical and medications data, provided patient-tailored decision support, and enabled the patient to author a "Diabetes Care Plan" for electronic submission to their physician prior to upcoming appointments. Active control practices received a PHR to update and submit family history and health maintenance information. All patients attending these practices were encouraged to sign up for online access.

resultsWe enrolled 244 patients with DM (37% of the eligible population with registered online access, 4% of the overall population of patients with DM). Study participants were younger (mean age, 56.1 years vs 60.3 years; P < .001) and lived in higher-income neighborhoods (median income, $53,784 vs $49,713; P < .001) but had similar baseline glycemic control compared with nonparticipants. More patients in the intervention arm had their DM treatment regimens adjusted (53% vs 15%; P < .001) compared with active controls. However, there were no significant differences in risk factor control between study arms after 1 year (P = .53).

conclusionsPrevisit use of online PHR linked to the EMR increased rates of DM-related medication adjustment. Low rates of online patient account registration and good baseline control among participants limited the intervention's impact on overall risk factor control.

trial registrationclinicaltrials.gov Identifier: NCT00251875.

Indexed as

Medical Records Systems, ComputerizedDelivery of Health CareDiabetes Mellitus, Type 2FemaleHumansInternetMaleMiddle AgedPatient Education as TopicPatient ParticipationPrimary Health CareRisk Factors

Identifiers

PMID18779465
PMCPMC3829635

What OpenQuestion holds

Textmetadata
LicenceTDM
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.