Evidence map›Paper›PMID 21636796›Full record

Trial reportDiabetes care2011

Effect of nurse case management compared with usual care on controlling cardiovascular risk factors in patients with diabetes: a randomized controlled trial.

Areef Ishani, Nancy Greer, Brent C Taylor, Laurie Kubes, Paula Cole, Melissa Atwood, Barbara Clothier, Nacide Ercan-Fang

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01446029 (Telemonitoring to Improve Outcomes of Patients With Chronic Kidney Disease), which is not on this map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT01446029 phase3completednot on this mapstarted 2012, after this paper: background citation

Telemonitoring to Improve Outcomes of Patients With Chronic Kidney Disease

TypeinterventionalSponsorMinneapolis Veterans Affairs Medical CenterRan2012 to 2013Enrolled601ConditionsChronic Kidney DiseaseArmsVideo Telemonitoring Device with Clinical Care Modules
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Risk scoring for the primary prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Benefits of Advanced Practice Nursing for Its Expansion in the Spanish Context.International journal of environmental research and public health · 2019
    Review
  13. Effective Universal Coverage of Diabetes Mellitus Type 2 in Chile.Revista latino-americana de enfermagem · 2017
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Observational
  20. Structured nursing follow-up: does it help in diabetes care?Israel journal of health policy research · 2014
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Areef IshaniMinneapolis VA Health Care System, Minneapolis, MN, USA. isha0012@umn.edu
Nancy Greer
Brent C Taylor
Laurie Kubes
Paula Cole
Melissa Atwood
Barbara Clothier
Nacide Ercan-Fang
Minneapolis VA Health Care System · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether nurse case management with a therapeutic algorithm could effectively improve rates of control for hypertension, hyperglycemia, and hyperlipidemia compared with usual care among veterans with diabetes. RESEARCH DESIGN AND

methodsA randomized controlled trial of diabetic patients that had blood pressure (BP) >140/90 mmHg, hemoglobin A(1c) (HbA(1c)) >9.0%, or LDL >100 mg/dL. Intervention patients received case management (n = 278) versus usual care (n = 278) over a 1-year period. The primary outcome was the percentage of patients achieving simultaneous control of all three parameters (defined by BP <130/80 mmHg, HbA(1c) <8.0%, and LDL <100 mg/dL) at 1 year. Secondary outcomes included improvements within each individual component of the composite primary outcome. Differences between groups were analyzed using t tests, Pearson χ(2) tests, and linear and logistic regression.

resultsA greater number of individuals assigned to case management achieved the primary study outcome of having all three outcome measures under control (61 [21.9%] compared with 28 [10.1%] in the usual care group [P < 0.01]). In addition, a greater number of individuals assigned to the intervention group achieved the individual treatment goals of HbA(1c) <8.0% (73.7 vs. 65.8%, P = 0.04) and BP <130/80 mmHg (45.0 vs. 25.4%, P < 0.01), but not for LDL <100 mg/dL (57.6 vs. 55.4%, P = 0.61), compared with those in the usual care group.

conclusionsIn patients with diabetes, nurse case managers using a treatment algorithm can effectively improve the number of individuals with control of multiple cardiovascular risk factors at 1 year.

Indexed as

Case ManagementNursesAgedCardiovascular DiseasesDiabetes MellitusFemaleGlycated HemoglobinHumansHypertensionMaleMiddle AgedRisk FactorsGlycated Hemoglobin

Identifiers

PMID21636796
PMCPMC3142048
OpenAlexW2150924145

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.