Evidence map›Paper›PMID 25424627›Full record

Observational studyHealth and quality of life outcomes2014

Improvements in quality of life associated with biphasic insulin aspart 30 in type 2 diabetes patients in China: results from the A1chieve® observational study.

Wenying Yang, Xiaoming Zhuang, Yukun Li, Qing Wang, Rongwen Bian, Jianguo Shen, Eva Hammerby, Li Yang

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Health and quality of life outcomes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00869908 (The Effect of NovoMix® 30, Levemir® or NovoRapid®), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 30% 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.

NCT00869908 completednot on this map

The Effect of NovoMix® 30, Levemir® or NovoRapid® (Alone or in Combination) in Subjects With Type 2 Diabetes Previously Treated With Other Anti-diabetic Medication. A 24-week, International, Prospective, Multi-centre, Open-labelled, Non-interventional Study

TypeobservationalSponsorNovo Nordisk A/SRan2008 to 2011Enrolled66,726ConditionsDiabetes, Diabetes Mellitus, Type 2Armsinsulin aspart, insulin detemir, biphasic insulin aspart
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Development of a Patient-Reported Outcome (PRO) Measure to Assess Emotional Impact of Treatment for Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Article
  7. Observational
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

8 authors at 8 institutions in 2 countries.

Wenying YangChina-Japan Friendship Hospital, Beijing, China. ywying_1010@163.com.
Xiaoming ZhuangFu Xing Hospital, Capital Medical University, Beijing, China. zhuangxiaoming@yahoo.com.cn.
Yukun LiThe Third Hospital of Hebei Medical University, Hebei, China. liyukun@medmail.com.cn.
Qing WangDepartment of Endocrinology, China-Japan Union Hospital of Jilin University, Changchun, China. manu_pub@163.com.
Rongwen BianJiangsu Provincial Official Hospital, Jiangsu, China. bianrw@126.com.
Jianguo ShenThe First Affiliated Hospital, Zhejiang University, Zhejiang, China. jgshen@medmail.com.cn.
Eva HammerbyNovo NordiskA/S, Copenhagen, Denmark. ehby@nvonordisk.com.
Li YangDepartment of Health Policy and Management, School of Public Health, Peking University, No 38 Xueyuan Rd. Haidian District, Beijing, 100191, China. lyang@hsc.pku.edu.cn.
Capital Medical University · CNChina-Japan Friendship Hospital · CNFirst Affiliated Hospital Zhejiang University · CNJiangsu Provincial Hospital of Traditional Chinese Medicine · CNJilin University · CNNovo Nordisk (Denmark) · DKPeking University · CNThird Hospital of Hebei Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBased on the 24-week, prospective, non-interventional, observational study, A1chieve®, we investigated how health-related quality of life (HRQoL) changed, and the predictors of such changes, in Chinese people with type 2 diabetes mellitus (T2DM) after starting with, or switching to, biphasic insulin aspart 30 (BIAsp 30).

methodsIn total, 8,578 people with T2DM starting treatment with, or switching to, BIAsp 30 were recruited from 130 urban hospitals in China. HRQoL was assessed at baseline and 24 weeks using the EuroQol-5 dimensions (EQ-5D) questionnaire. Descriptive statistics, paired t-test, and chi-square test were conducted and the linear ordinary least squares regression model was used to determine predictors for changes in EQ-5D score.

resultsHaemoglobin A1c (HbA1c) decreased from 9.5% to 7.0% after 24 weeks. The reported HRQoL measured by the EQ-5D visual analogue scale score increased by 6.2 (p < 0.001) from 75.8 to 82.0, and EQ-5D index score increased by 0.018 (p < 0.001) from 0.875 to 0.893 for the cohort over 24 weeks. The percentage of patients reporting no problems in the mobility, pain/discomfort, and anxiety/depression dimensions of EQ-5D increased significantly (p < 0.001) from 88.4% to 91.4%, 77.3% to 82.8%, and 74.2% to 77.1%, respectively. Patients with higher HbA1c levels at baseline, major hypoglycaemia or micro-complications exhibited significantly larger changes in EQ-5D scores than those with lower baseline HbA1c levels, without major hypoglycaemia or micro-complications after controlling for demographics and other baseline characteristics.

conclusionsBIAsp 30 treatment was associated with improved glycaemic control and HRQoL in T2DM patients in China. Patients with worse health conditions were more likely to experience larger improvements in HRQoL than those with better health conditions.

trial registrationClinicalTrials.gov, NCT00869908 .

Indexed as

Biphasic InsulinsDiabetes Mellitus, Type 2Hypoglycemic AgentsInsulin AspartInsulin, IsophaneQuality of LifeSurveys and QuestionnairesAdultAgedChinaFemaleGlycated HemoglobinHumansMaleMiddle AgedProspective StudiesBiphasic InsulinsGlycated HemoglobinHypoglycemic AgentsInsulin Aspartinsulin aspart, insulin aspart protamine drug combination 30:70Insulin, Isophane

Identifiers

PMID25424627
PMCPMC4253979
OpenAlexW1990970897

What OpenQuestion holds

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LicenceCC BY
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.