Evidence map›Paper›PMID 26374568›Full record

ReviewCurrent diabetes reports2015

Health-system-based interventions to improve care in pediatric and adolescent type 1 diabetes.

Sarah D Corathers, Pamela J Schoettker, Mark A Clements, Betsy A List, Deborah Mullen, Amy Ohmer, Avni Shah, Joyce Lee

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current diabetes reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Establishment of the T1D Exchange Quality Improvement Collaborative (T1DX-QI).Clinical diabetes : a publication of the American Diabetes Association · 2020
    Article
  6. Therapeutic Inertia in Pediatric Diabetes: Challenges to and Strategies for Overcoming Acceptance of the Status Quo.Diabetes spectrum : a publication of the American Diabetes Association · 2020
    Article
  7. Article
  8. Review
  9. Self-Management Strategies in Emerging Adults With Type 1 Diabetes.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Article
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.

Sarah D CorathersDivisions of Endocrinology, Cincinnati Children's Hospital Medical Center, University of Cincinnati Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, 45229, USA. Sarah.Corathers@cchmc.org.
Pamela J SchoettkerJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA. Pam.Schoettker@cchmc.org.
Mark A ClementsPediatric Clinical Research Unit, Endocrine Clinical Research, University of Missouri-Kansas City, Children's Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, MO, 64108, USA. maclements@cmh.edu.
Betsy A ListXavier University, 3800 Victory Parkway, Cincinnati, OH, 45207-7351, USA. betsy.list@gmail.com.
Deborah MullenInternational Diabetes Center, 3800 Park Nicollet Blvd, IDC 6N, St. Louis Park, MN, 55416, USA. deborah.mullen@parknicollet.com.
Amy OhmerNaturally Sweet Sisters, 9573 Tree Top Court, Pinckney, MI, 48169, USA. naturallysweetsisters@gmail.com.
Avni ShahDivision of Pediatric Endocrinology and Diabetes, Stanford University School of Medicine, G-313 Medical Center, MC 5208, Stanford, CA, 94305-5208, USA. avnishah@stanford.edu.
Joyce LeePediatric Endocrinology, Child Health Evaluation and Research Unit, University of Michigan, 300 NIB, Room 6E14, Campus Box 5456, Ann Arbor, MI, 48109-5456, USA. joyclee@umich.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite significant advances in pharmacology and technology, glycemic targets are difficult to achieve for patients with type 1 diabetes (T1D) and management remains burdensome for patients and their families. Quality improvement (QI) science offers a methodology to identify an aim, evaluate complex contributors to the goal, and test potential interventions to achieve outcomes of interest. Day-to-day management of diabetes is often an iterative process but interventions exist at all care levels: individual patient and family, clinic, and larger population and health system. This article reviews current literature and proposes novel QI interventions for enhancing health outcomes, with attention to essential determinants or drivers of improved glycemic control and patient experience for pediatric T1D in the context of the Chronic Care Model. In-depth consideration of key drivers of successful T1D care, including self-management and integration of technology, are explored, and examples of larger health systems with improved outcomes, including Learning Health Systems are highlighted.

Indexed as

AdolescentBlood GlucoseChildDiabetes Mellitus, Type 1HumansPatient Education as TopicQuality ImprovementSelf CareTreatment OutcomeBlood GlucoseChronic Care ModelLearning Health SystemsQuality improvementType 1 diabetes

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.