Evidence map›Paper›PMID 19419548›Full record

SynthesisBMC family practice2009

The effect of feedback to general practitioners on quality of care for people with type 2 diabetes. A systematic review of the literature.

Trine Lignell Guldberg, Torsten Lauritzen, Jette Kolding Kristensen, Peter Vedsted

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in BMC family practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01009528 (Development and Evaluation of Electronic Feedback, a Tool for Quality Assurance of the Diabetic Care in General Practice), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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.

NCT01009528 nacompletednot on this map

Development and Evaluation of Electronic Feedback, a Tool for Quality Assurance of the Diabetic Care in General Practice

TypeinterventionalSponsorUniversity of AarhusRan2007 to 2009Enrolled2,458ConditionsType 2 DiabetesArmsElectronic feedback system on diabetes care
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

4 authors.

Trine Lignell GuldbergDepartment of General Practice, Institute of Public Health, Aarhus University, Aarhus C, Denmark. Trine.guldberg@alm.au.dk
Torsten Lauritzen
Jette Kolding Kristensen
Peter Vedsted

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere have been numerous efforts to improve and assure the quality of treatment and follow-up of people with Type 2 diabetes (PT2D) in general practice. Facilitated by the increasing usability and validity of guidelines, indicators and databases, feedback on diabetes care is a promising tool in this aspect. Our goal was to assess the effect of feedback to general practitioners (GPs) on the quality of care for PT2D based on the available literature.

methodsSystematic review searches were conducted using October 2008 updates of Medline (Pubmed), Cochrane library and Embase databases. Additional searches in reference lists and related articles were conducted. Papers were included if published in English, performed as randomized controlled trials, studying diabetes, having general practice as setting and using feedback to GPs on diabetes care. The papers were assessed according to predefined criteria.

resultsTen studies complied with the inclusion criteria. Feedback improved the care for PT2D, particularly process outcomes such as foot exams, eye exams and Hba1c measurements. Clinical outcomes like lowering of blood pressure, Hba1c and cholesterol levels were seen in few studies. Many process and outcome measures did not improve, while none deteriorated. Meta analysis was unfeasible due to heterogeneity of the studies included. Two studies used electronic feedback.

conclusionBased on this review, feedback seems a promising tool for quality improvement in diabetes care, but more research is needed, especially of electronic feedback.

Indexed as

Feedback, PsychologicalDiabetes Mellitus, Type 2Family PracticeHumansPhysicians, FamilyQuality of Health CareTreatment Outcome

Identifiers

PMID19419548
PMCPMC2690581

What OpenQuestion holds

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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.