Evidence map›Paper›PMID 27699706›Full record

Observational studyEndocrine2017

Effectiveness of a multidisciplinary risk assessment and management programme-diabetes mellitus (RAMP-DM) on patient-reported outcomes.

Eric Yuk Fai Wan, Colman Siu Cheung Fung, Carlos King Ho Wong, Edmond Pui Hang Choi, Fang Fang Jiao, Anca Ka Chun Chan, Karina Hiu Yen Chan, Cindy Lo Kuen Lam

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Endocrine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02034695 (Evaluation of Quality of Care - Risk Assessment Management Programme, HA), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 22% 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.

NCT02034695 completednot on this map

Evaluation of Quality of Care - Risk Assessment Management Programme, HA

TypeobservationalSponsorThe University of Hong KongRan2010 to 2017Enrolled2,496ConditionsDiabetes Mellitus
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Evaluation of the internal and external responsiveness of Short Form-12 Health Survey version 2 (SF-12v2) in patients with type 2 diabetes mellitus.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    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 at 1 institution in 1 country.

Eric Yuk Fai WanDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau Clinic, 3/F., 161 Main Street, Ap Lei Chau, Hong Kong. yfwan@hku.hk.ORCID http://orcid.org/0000-0002-6275-1147
Colman Siu Cheung FungDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau Clinic, 3/F., 161 Main Street, Ap Lei Chau, Hong Kong.
Carlos King Ho WongDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau Clinic, 3/F., 161 Main Street, Ap Lei Chau, Hong Kong.
Edmond Pui Hang ChoiSchool of Nursing, The University of Hong Kong, 4/F William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.
Fang Fang JiaoDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau Clinic, 3/F., 161 Main Street, Ap Lei Chau, Hong Kong.
Anca Ka Chun ChanDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau Clinic, 3/F., 161 Main Street, Ap Lei Chau, Hong Kong.
Karina Hiu Yen ChanDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau Clinic, 3/F., 161 Main Street, Ap Lei Chau, Hong Kong.
Cindy Lo Kuen LamDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau Clinic, 3/F., 161 Main Street, Ap Lei Chau, Hong Kong.
University of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Little is known about how the patient-reported outcomes is influenced by multidisciplinary-risk-assessment-and-management-programme for patients with diabetes mellitus (RAMP-DM). This paper aims to evaluate the effectiveness of RAMP-DM on patient-reported outcomes. This was a prospective longitudinal study on 1039 diabetes mellitus patients (714/325 RAMP-DM/non-RAMP-DM) managed in primary care setting. 536 and 402 RAMP-DM participants, and 237 and 187 non-RAMP-DM participants were followed up at 12 and 24 months with completed survey, respectively. Patient-reported outcomes included health-related quality of life, change in global health condition and patient enablement measured by Short Form-12 Health Survey version-2 (SF-12v2), Global Rating Scale, Patient Enablement Instrument respectively. The effects of RAMP-DM on patient-reported outcomes were evaluated by mixed effect models. Subgroup analysis was performed by stratifying haemoglobin A1c (HbA1c) (optimal HbA1c < 7 % and suboptimal HbA1c ≥ 7 %). RAMP-DM with suboptimal HbA1c was associated with greater improvement in SF-12v2 physical component summary score at 12-month (coefficient:3.80; P-value < 0.05) and 24-month (coefficient:3.82;P-value < 0.05), more likely to feel more enabled at 12-month (odds ratio: 2.57; P-value < 0.05), and have improved in GRS at 24-month (odds ratio:4.05; P-value < 0.05) compared to non-RAMP-DM participants. However, there was no significant difference in patient-reported outcomes between RAMP-DM and non-RAMP-DM participants with optimal HbA1c. Participation in RAMP-DM is effective in improving physical component of HRQOL, Global Rating Scale and patient enablement among diabetes mellitus patients with suboptimal HbA1c, but not in those with optimal HbA1c. Patients with sub-optimal diabetes mellitus control should be the priority target population for RAMP-DM. This observational study design may have potential bias in the characteristics between groups, and randomized clinical trial is needed to confirm the results.

Indexed as

Disease ManagementAgedDiabetes MellitusFemaleHumansLongitudinal StudiesMaleMiddle AgedPatient Reported Outcome MeasuresPrimary Health CareProspective StudiesQuality of LifeRisk AssessmentDiabetes mellitusMultidisciplinary-risk-assessment-and-management-programmePatient-reported outcomes

Identifiers

PMID27699706
OpenAlexW2529501641

What OpenQuestion holds

Textmetadata
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.