Evidence map›Paper›PMID 27651347›Full record

ArticleJournal of artificial organs : the official journal of the Japanese Society for Artificial Organs2017

Comparison between a novel and conventional artificial pancreas for perioperative glycemic control using a closed-loop system.

Tsutomu Namikawa, Masaya Munekage, Hiroyuki Kitagawa, Tomoaki Yatabe, Hiromichi Maeda, Yuuki Tsukamoto, Kenichi Hirano, Takuji Asano, Yoshihiko Kinoshita, Kazuhiro Hanazaki

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Glucose Management Technologies for the Critically Ill.Journal of diabetes science and technology · 2019
    Review
  8. Advancing the Use of CGM Devices in a Non-ICU Setting.Journal of diabetes science and technology · 2019
    Review
  9. Review
  10. Current status and issues of the artificial pancreas: abridged English translation of a special issue in Japanese.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2018
    Review
  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

10 authors at 2 institutions in 1 country.

Tsutomu NamikawaDepartment of Surgery, Kochi Medical School, Kochi University, Kohasu, Okocho, Nankoku City, Kochi, 783-8505, Japan. tsutomun@kochi-u.ac.jp.
Masaya MunekageDepartment of Surgery, Kochi Medical School, Kochi University, Kohasu, Okocho, Nankoku City, Kochi, 783-8505, Japan.
Hiroyuki KitagawaDepartment of Surgery, Kochi Medical School, Kochi University, Kohasu, Okocho, Nankoku City, Kochi, 783-8505, Japan.
Tomoaki YatabeDepartment of Anesthesiology, Kochi Medical School, Kochi University, Nankoku City, Japan.
Hiromichi MaedaDepartment of Surgery, Kochi Medical School, Kochi University, Kohasu, Okocho, Nankoku City, Kochi, 783-8505, Japan.
Yuuki TsukamotoNikkiso Co. LTD, Tokyo, Japan.
Kenichi HiranoNikkiso Co. LTD, Tokyo, Japan.
Takuji AsanoNikkiso Co. LTD, Tokyo, Japan.
Yoshihiko KinoshitaNikkiso Co. LTD, Tokyo, Japan.
Kazuhiro HanazakiDepartment of Surgery, Kochi Medical School, Kochi University, Kohasu, Okocho, Nankoku City, Kochi, 783-8505, Japan.
Kōchi University · JPNikkiso (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This clinical study aimed to compare a novel and conventional artificial pancreas (AP) used in surgical patients for perioperative glycemic control, with respect to usability, blood glucose measurements, and glycemic control characteristics. From July in 2010 to March in 2015, 177 patients underwent perioperative glycemic control using a novel AP. Among them, 166 patients were eligible for inclusion in this study. Intensive insulin therapy (IIT) targeting a blood glucose range of 80-110 mg/dL was implemented in 82 patients (49 %), and the remaining 84 patients (51 %) received a less-intensive regime of insulin therapy. Data were collected prospectively and were reviewed or analyzed retrospectively. A comparison study of 324 patients undergoing IIT for glycemic control using a novel (n = 82) or conventional AP (n = 242) was conducted retrospectively. All patients had no hypoglycemia. The comparison study revealed no significant differences in perioperative mean blood glucose level, achievement rates for target blood glucose range, and variability in blood glucose level achieved with IIT between the novel AP and conventional AP groups. The usability, performance with respect to blood glucose measurement, and glycemic control characteristics of IIT were comparable between novel and conventional AP systems. However, the novel AP was easier to manipulate than the conventional AP due to its smaller size, lower weight, and shorter time for preparation. In the near future, this novel AP system might be accepted worldwide as a safe and useful device for use in perioperative glycemic control.

Indexed as

Pancreas, ArtificialBlood GlucoseFemaleHumansHyperglycemiaHypoglycemiaHypoglycemic AgentsInsulinMaleRetrospective StudiesBlood GlucoseHypoglycemic AgentsInsulinClosed-loop glycemic control systemHypoglycemiaIntensive insulin therapyNovel artificial pancreasPerioperative glycemic control

Identifiers

PMID27651347
OpenAlexW2523404357

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.