Evidence map›Paper›PMID 19017773›Full record

Trial reportDiabetes care2009

Web-based collaborative care for type 2 diabetes: a pilot randomized trial.

James D Ralston, Irl B Hirsch, James Hoath, Mary Mullen, Allen Cheadle, Harold I Goldberg

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 142 papers, 23 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 23 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

142 citing papers in PubMed, 23 syntheses or guidelines pooled it.

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  3. Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021
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  10. Effect of telemedicine on glycated hemoglobin in diabetes: a systematic review and meta-analysis of randomized trials.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
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82 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

James D RalstonCenter for Health Studies, Group Health Cooperative, Seattle, Washington, USA. ralston.j@ghc.org
Irl B Hirsch
James Hoath
Mary Mullen
Allen Cheadle
Harold I Goldberg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo test Web-based care management of glycemic control using a shared electronic medical record with patients who have type 2 diabetes. RESEARCH DESIGN AND

methodsWe conducted a trial of 83 adults with type 2 diabetes randomized to receive usual care plus Web-based care management or usual care alone between August 2002 and May 2004. All patients had GHb > or =7.0%, had Web access from home, and could use a computer with English language-based programs. Intervention patients received 12 months of Web-based care management. The Web-based program included patient access to electronic medical records, secure e-mail with providers, feedback on blood glucose readings, an educational Web site, and an interactive online diary for entering information about exercise, diet, and medication. The primary outcome was change in GHb.

resultsGHb levels declined by 0.7% (95% CI 0.2-1.3) on average among intervention patients compared with usual-care patients. Systolic blood pressure, diastolic blood pressure, total cholesterol levels, and use of in-person health care services did not differ between the two groups.

conclusionsCare management delivered through secure patient Web communications improved glycemic control in type 2 diabetes.

Indexed as

InternetMedical Records Systems, ComputerizedAdultBlood GlucoseDelivery of Health CareDiabetes Mellitus, Type 2Glycated HemoglobinHumansPatient SelectionPilot ProjectsBlood GlucoseGlycated Hemoglobin

Identifiers

PMID19017773
PMCPMC2628685

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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 OpenQuestion graph.