Evidence map›Paper›PMID 21343892›Full record

ReviewNature reviews. Endocrinology2011

Closed-loop insulin delivery: from bench to clinical practice.

Roman Hovorka

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Endocrinology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 115 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 2 pooled it
20.7field-weighted citation impact, top 1% of its field
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.

NCT01961622 nacompletednot on this mapstarted 2014, after this paper: background citation

An Open-label, Multi-centre, Randomised, Two-period, Crossover Study to Assess the Efficacy, Safety and Utility of 12 Week Day and Night Automated Closed-loop Glucose Control Under Free Living Conditions Compared to Conventional Insulin Pump Therapy Combined With Continuous Glucose Monitoring in Adults With Type 1 Diabetes With Sub-optimal Glucose Control

TypeinterventionalSponsorUniversity of CambridgeRan2014 to 2015Enrolled33ConditionsType 1 DiabetesArmsFlorence D2A or similar closed loop glucose control system, CSII with real-time CGM
NCT02397265 nacompletednot on this mapstarted 2014, after this paper: background citation

Clinical Assessment of a Closed-loop System With Glucagon, Exercise and Mixed Meals

TypeinterventionalSponsorImperial College LondonRan2014 to 2015Enrolled24ConditionsType 1 DiabetesArmsBi-hormonal closed loop pump, Standard opened loop pump, Insulin closed loop
3 · Its place in the literature

Who cites it

115 citing papers in PubMed, 2 syntheses or guidelines pooled it, 334 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Bolusing frequency and amount impacts glucose control during hybrid closed-loop.Diabetic medicine : a journal of the British Diabetic Association · 2018
    Trial
  4. Trial
  5. Sensor Life and Overnight Closed Loop: A Randomized Clinical Trial.Journal of diabetes science and technology · 2017
    Trial
  6. Trial
  7. Trial
  8. Home Use of an Artificial Beta Cell in Type 1 Diabetes.The New England journal of medicine · 2015
    Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

55 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

1 author at 1 institution in 1 country.

Roman HovorkaInstitute of Metabolic Science, University of Cambridge, Cambridge CB2 0QQ, UK. rh347@cam.ac.uk
University of Cambridge · GB

Funding

Home testing of 24/7 closed-loop control in children and adolescents with type 1R01DK085621 · NIDDK · UNIVERSITY OF CAMBRIDGE · PI HOVORKA, ROMAN · 2009 to 2010
$748k
NIDDK NIH HHS DK085621
6 · The paper itself

Abstract

Automated closed-loop insulin delivery, also referred to as the 'artificial pancreas', has been an important but elusive goal of diabetes treatment for many decades. Research milestones include the conception of continuous glucose monitoring in the early 1960s, followed by the production of the first commercial hospital-based artificial pancreas in the late 1970s that combined intravenous glucose sensing and insulin delivery. In the past 10 years, research into the artificial pancreas has gained substantial momentum and focused on the subcutaneous route for glucose measurement and insulin delivery, which reflects technological advances in interstitial glucose monitoring and the increasing use of the continuous subcutaneous insulin infusion. This Review discusses the design of an artificial pancreas, its components and clinical results, as well as the advantages and disadvantages of different types of automated closed-loop systems and potential future advances. The introduction of the artificial pancreas into clinical practice will probably occur gradually, starting with simpler approaches, such as overnight control of blood glucose concentration and temporary pump shut-off, that are adapted to more complex situations, such as glycemic control during meals and exercise.

Indexed as

AnimalsBiomedical TechnologyBlood GlucoseDiabetes Mellitus, Type 1Equipment DesignHumansHypoglycemiaInsulinInsulin Infusion SystemsBlood GlucoseInsulin

Identifiers

PMID21343892
OpenAlexW1968405174

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.