ArticleDiabetes technology & therapeutics2016
Effect of Electronic Messaging on Glucose Control and Hospital Admissions Among Patients with Diabetes.
Article in Diabetes technology & therapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Quantifying Patient Portal Use: Systematic Review of Utilization Metrics.Journal of medical Internet research · 2021Pooled it
- Patient Portal Functionalities and Patient Outcomes Among Patients With Diabetes: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Use of Electronic Patient Messaging by Pregnant Patients Receiving Prenatal Care at an Academic Health System: Retrospective Cohort Study.JMIR mHealth and uHealth · 2024Article
- Patient Portal Use and Risk of Readmissions in Decompensated Cirrhosis: Retrospective Study.JMIR formative research · 2023Article
- Parsley Health: Feasibility and acceptability of a large-scale holistic telehealth program for chronic disease care.Frontiers in digital health · 2023Article
- Tablet distribution to veterans: an opportunity to increase patient portal adoption and use.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Personal health information management among healthy older adults: Varying needs and approaches.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Capturing the Impact of Patient Portals Based on the Quadruple Aim and Benefits Evaluation Frameworks: Scoping Review.Journal of medical Internet research · 2020Article
- Disparities in Electronic Patient Portal Use in Prenatal Care: Retrospective Cohort Study.Journal of medical Internet research · 2019Article
- Dose effect of patient-care team communication via secure portal messaging on glucose and blood pressure control.Journal of the American Medical Informatics Association : JAMIA · 2018Observational
- Use of Electronic Patient Portals in Pregnancy: An Overview.Journal of midwifery & women's health · 2018Review
- Effectiveness of a Web-Based eHealth Portal for Delivery of Care to Home Dialysis Patients: A Single-Arm Pilot Study.Canadian journal of kidney health and disease · 2018Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundElectronic messaging (EM) is increasingly utilized among patients with diabetes, but it is unclear whether it is associated with improved glycemic control, hospital admissions, or emergency visits.
methodsPatients who were seen over a 1 year period at an academic endocrinology clinic with a diagnosis of diabetes were categorized according to portal activation and whether EMs were actually sent. The association between EM and HbA1c and inpatient or emergency department (ED) visits was further characterized using multivariable (MV) linear or logistic regression models.
resultsA total of 867 patients were using EM (active user group), 1207 patients had activated the patient portal but did not use the EM function (active nonuser group), and 1542 patients had not activated the patient portal (inactive group). There were important disparities in race, age, income, and other variables across groups. The HbA1c was 7.7% ± 1.5%, 8.4% ± 1.9%, and 8.2% ± 1.8% among the active user, active nonuser, and inactive groups, respectively (P < 0.0001). After controlling for other factors, EM was associated with a 0.25% (SE 0.04%) lower HbA1c compared with the active nonuser group and a 0.19% (SE 0.04%) lower HbA1c compared with the inactive group (P < 0.0001 for both). However, EM frequency was not associated with HbA1c. EM use was not associated with inpatient or ED visits in MV analysis.
conclusionsEM use was associated with improved glycemic control, even after controlling for electronic portal access and other variables, but not with hospitalizations or emergency visits. EM frequency was not associated with glycemic control, justifying the need for prospective studies.
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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.