Evidence map›Paper›PMID 19390093›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: 5 year results of the IDEATel study.

Steven Shea, Ruth S Weinstock, Jeanne A Teresi, Walter Palmas, Justin Starren, James J Cimino, Albert M Lai, Lesley Field, Philip C Morin, Robin Goland and 7 more

7 registry-linked trialsAbstract readMulticenter 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 7 registered trials, which are not on this map. Cited by 142 papers, 30 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 30 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
NCT01804803 nacompletednot on this map

A Telemedicine-based Intervention Study Involving Real-time and Anywhere Transmission of Blood Glucose Data to a Decision Supported Software-assisted Server With Web-based Analysis of Data and Medical Feedback on Metabolic Control.

TypeinterventionalSponsorUniversity of BariRan2013 to 2017Enrolled123ConditionsDiabetes MellitusArmsUse of software-implemented glucometer for real-time collection and transmission of measured glucose values to remote server., Use of regular glucometer
NCT01955031 nacompletednot on this map

Effectiveness and Cost-effectiveness Analysis of a Telemonitoring Program on Lifestyle for People With Type 2 Diabetes at Home. Study Based on a Health Network in Diabetology.

TypeinterventionalSponsorUniversity Hospital, ToulouseRan2013 to 2019Enrolled282ConditionsType 2 DiabetesArmstelemonitoring, Usual care
NCT02214017 nacompletednot on this map

Can a Telemedicine Strategy With Home Treatment Save Resources in Acute Medical Conditions While Maintaining Quality of Care?

TypeinterventionalSponsorKolding SygehusRan2011 to 2012Enrolled40ConditionsType 2 Diabetes MellitusArmsA videotelephone, TandBerg E20,, Behavioral motivation
NCT03466398 nawithdrawnnot on this map

Effects of a Remote Patient Monitoring Protocol on Glycemic Control in Adolescents With Type 1 Diabetes

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2018 to 2020Enrolled0ConditionsDiabetes Mellitus, Type 1 Diabetes MellitusArmsVivify Health RPM Protocol
NCT03730285 naunknown statusnot on this map

Fast-track Discharge Combined With Treatment and Rehabilitation at Home With Telemedicine

TypeinterventionalSponsorKolding SygehusRan2019 to 2021Enrolled40ConditionsEmergenciesArmsTelemedicine
NCT04789798 nacompletednot on this map

The Efficiency of Telemedicine to Optimize Metabolic Control in Patients With Diabetes in Turkey: Preliminary Results From The Randomised Controlled Telediab Trial

TypeinterventionalSponsorIstanbul UniversityRan2013 to 2015Enrolled200ConditionsTelemedicine, TelehealthArmsTeleDiab (Telemedicine), Usual care
3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 30 syntheses or guidelines pooled it.

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  20. 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
    Pooled it

82 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

17 authors.

Steven SheaDivision of General Medicine, New York, NY, USA. ss35@columbia.edu
Ruth S Weinstock
Jeanne A Teresi
Walter Palmas
Justin Starren
James J Cimino
Albert M Lai
Lesley Field
Philip C Morin
Robin Goland
Roberto E Izquierdo
Susana Ebner
Stephanie Silver
Eva Petkova
Jian Kong
Joseph P Eimicke
IDEATel Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CONTEXT Telemedicine is a promising but largely unproven technology for providing case management services to patients with chronic conditions and lower access to care. OBJECTIVES To examine the effectiveness of a telemedicine intervention to achieve clinical management goals in older, ethnically diverse, medically underserved patients with diabetes. DESIGN, Setting, and Patients A randomized controlled trial was conducted, comparing telemedicine case management to usual care, with blinded outcome evaluation, in 1,665 Medicare recipients with diabetes, aged >/= 55 years, residing in federally designated medically underserved areas of New York State. Interventions Home telemedicine unit with nurse case management versus usual care. Main Outcome Measures The primary endpoints assessed over 5 years of follow-up were hemoglobin A1c (HgbA1c), low density lipoprotein (LDL) cholesterol, and blood pressure levels. RESULTS Intention-to-treat mixed models showed that telemedicine achieved net overall reductions over five years of follow-up in the primary endpoints (HgbA1c, p = 0.001; LDL, p < 0.001; systolic and diastolic blood pressure, p = 0.024; p < 0.001). Estimated differences (95% CI) in year 5 were 0.29 (0.12, 0.46)% for HgbA1c, 3.84 (-0.08, 7.77) mg/dL for LDL cholesterol, and 4.32 (1.93, 6.72) mm Hg for systolic and 2.64 (1.53, 3.74) mm Hg for diastolic blood pressure. There were 176 deaths in the intervention group and 169 in the usual care group (hazard ratio 1.01 [0.82, 1.24]). CONCLUSIONS Telemedicine case management resulted in net improvements in HgbA1c, LDL-cholesterol and blood pressure levels over 5 years in medically underserved Medicare beneficiaries. Mortality was not different between the groups, although power was limited. Trial Registration http://clinicaltrials.gov Identifier: NCT00271739.

Indexed as

Case ManagementMedically Underserved AreaTelemedicineAgedBlood PressureCholesterol, LDLDiabetes MellitusFemaleFollow-Up StudiesGlycated HemoglobinHumansMaleMiddle AgedNew YorkSingle-Blind MethodCholesterol, LDLGlycated Hemoglobin

Identifiers

PMID19390093
PMCPMC2705246

What OpenQuestion holds

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Read underepoch 390

Registered trials

and 1 more above

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.