Evidence map›Paper›PMID 27170633›Full record

ArticleJournal of diabetes science and technology2016

Endocrinology Telehealth Consultation Improved Glycemic Control Similar to Face-to-Face Visits in Veterans.

Winnie Liu, David R Saxon, Bryan McNair, Rebecca Sanagorski, Neda Rasouli

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

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

11 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Innovations in Diabetes Care for a Better "New Normal" Beyond COVID-19.The Journal of clinical endocrinology and metabolism · 2021
    Article
  9. Approach to the Patient With Thyrotoxicosis Using Telemedicine.The Journal of clinical endocrinology and metabolism · 2020
    Article
  10. The Need And Benefit of Implementing Telemedicine in Clinical Practice.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2020
    Article
  11. Review
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

5 authors at 2 institutions in 1 country.

Winnie LiuUniversity of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA Colorado School of Public Health, Department of Biostatistics and Informatics, Aurora, CO, USA.
David R SaxonDivision of Endocrinology, Metabolism, and Diabetes, University of Colorado School of Medicine, Aurora, CO, USA Denver Veterans Affairs Medical Center, Denver, CO, USA Colorado School of Public Health, Department of Biostatistics and Informatics, Aurora, CO, USA.
Bryan McNairColorado School of Public Health, Department of Biostatistics and Informatics, Aurora, CO, USA.
Rebecca SanagorskiDenver Veterans Affairs Medical Center, Denver, CO, USA.
Neda RasouliDivision of Endocrinology, Metabolism, and Diabetes, University of Colorado School of Medicine, Aurora, CO, USA Denver Veterans Affairs Medical Center, Denver, CO, USA NEDA.RASOULI@ucdenver.edu.
Colorado School of Public Health · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRates of diabetes for veterans who receive health care through the Veterans Health Administration are higher than rates in the general population. Furthermore, many veterans live in rural locations, far from Veterans Affairs (VA) hospitals, thus limiting their ability to readily seek face-to-face endocrinology care for diabetes. Telehealth (TH) technologies present an opportunity to improve access to specialty diabetes care for such patients; however, there is a lack of evidence regarding the ability of TH to improve glycemic control in comparison to traditional face-to-face consultations.

methodsThis was a retrospective cohort study of all new endocrinology diabetes consultations at the Denver VA Medical Center over a 1-year period.

resultsA total of 189 patients were included in the analysis. In all, 85 patients had received face-to-face (FTF) endocrinology consultation for diabetes and 104 patients had received TH consultation. Subjects were mostly males (94.7%) and the mean age was 62.8 ± 10.1 years old. HbA1c improved from 9.76% (9.40% to 10.11%) to 8.55% (8.20% to 8.91%) (P < .0001) for the TH group and from 9.56% (9.16% to 9.95%) to 8.62% (8.22% to 9.01%) (P < .0001) for the FTF group after 1 visit. This change in HbA1c was not significantly different in the TH and FTF groups (P = .24). TH visits were associated with a hypothetical savings in median distance traveled of 231.2 miles per trip (which equates to $94.79 saved per trip).

conclusionsEndocrinology TH consultations improved short-term glycemic control as effectively as traditional FTF visits in a veteran population with diabetes.

Indexed as

AgedCohort StudiesDiabetes MellitusEndocrinologyFemaleGlycated HemoglobinHumansMaleMiddle AgedRemote ConsultationRetrospective StudiesVeteransGlycated Hemoglobinhemoglobin A1c protein, humandiabeteshemoglobin A1ctelehealthtelemedicineveterans

Identifiers

PMID27170633
PMCPMC5032957
OpenAlexW2362775645

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.