Evidence map›Paper›PMID 28340542›Full record

ArticleThe Diabetes educator2017

Expectations and Attitudes of Individuals With Type 1 Diabetes After Using a Hybrid Closed Loop System.

Esti Iturralde, Molly L Tanenbaum, Sarah J Hanes, Sakinah C Suttiratana, Jodie M Ambrosino, Trang T Ly, David M Maahs, Diana Naranjo, Natalie Walders-Abramson, Stuart A Weinzimer and 2 more

Abstract read
In one paragraph

Article in The Diabetes educator, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
–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

58 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Esti IturraldeDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California (Dr Iturralde, Dr Tanenbaum, Ms Hanes, Dr Ly, Dr Maahs, Dr Buckingham, Dr Hood).
Molly L TanenbaumDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California (Dr Iturralde, Dr Tanenbaum, Ms Hanes, Dr Ly, Dr Maahs, Dr Buckingham, Dr Hood).
Sarah J HanesDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California (Dr Iturralde, Dr Tanenbaum, Ms Hanes, Dr Ly, Dr Maahs, Dr Buckingham, Dr Hood).
Sakinah C SuttiratanaDepartment of Social and Behavioral Sciences, University of California San Francisco, San Francisco, California (Ms Suttiratana).
Jodie M AmbrosinoDepartment of Pediatrics, Yale University School of Medicine, New Haven, Connecticut (Dr Ambrosino, Dr Weinzimer).
Trang T LyDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California (Dr Iturralde, Dr Tanenbaum, Ms Hanes, Dr Ly, Dr Maahs, Dr Buckingham, Dr Hood).
David M MaahsDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California (Dr Iturralde, Dr Tanenbaum, Ms Hanes, Dr Ly, Dr Maahs, Dr Buckingham, Dr Hood).
Diana NaranjoDepartment of Psychiatry, Stanford University School of Medicine, Stanford, California (Dr Naranjo, Dr Hood).
Natalie Walders-AbramsonBarbara Davis Center for Childhood Diabetes, University of Colorado, Aurora, Colorado (Dr Maahs, Dr Walders-Abramson).
Stuart A WeinzimerDepartment of Pediatrics, Yale University School of Medicine, New Haven, Connecticut (Dr Ambrosino, Dr Weinzimer).
Bruce A BuckinghamDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California (Dr Iturralde, Dr Tanenbaum, Ms Hanes, Dr Ly, Dr Maahs, Dr Buckingham, Dr Hood).
Korey K HoodDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California (Dr Iturralde, Dr Tanenbaum, Ms Hanes, Dr Ly, Dr Maahs, Dr Buckingham, Dr Hood).

Funding

Stanford Islet Research CoreP30DK116074 · NIDDK · STANFORD UNIVERSITY · PI Seung K Kim · 2017 to 2026
$19.5M
NIDDK NIH HHS P30 DK116074
6 · The paper itself

Abstract

Purpose The first hybrid closed loop (HCL) system, which automates insulin delivery but requires user inputs, was approved for treatment of type 1 diabetes (T1D) by the US Food and Drug Administration in September 2016. The purpose of this study was to explore the benefits, expectations, and attitudes of individuals with T1D following a clinical trial of an HCL system. Methods Thirty-two individuals with T1D (17 adults, 15 adolescents) participated in focus groups after 4 to 5 days of system use. Content analysis generated themes regarding perceived benefits, hassles, and limitations. Results Some participants felt misled by terms such as "closed loop" and "artificial pancreas," which seemed to imply a more "hands-off" experience. Perceived benefits were improved glycemic control, anticipated reduction of long-term complications, better quality of life, and reduced mental burden of diabetes. Hassles and limitations included unexpected tasks for the user, difficulties wearing the system, concerns about controlling highs, and being reminded of diabetes. Conclusion Users are willing to accept some hassles and limitations if they also perceive health and quality-of-life benefits beyond current self-management. It is important for clinicians to provide a balanced view of positives and negatives to help manage expectations.

Indexed as

Health Knowledge, Attitudes, PracticeInsulin Infusion SystemsPancreas, ArtificialAdolescentAdultBlood GlucoseBlood Glucose Self-MonitoringDiabetes Mellitus, Type 1FemaleHumansHypoglycemic AgentsInsulinMaleTreatment OutcomeYoung AdultBlood GlucoseHypoglycemic AgentsInsulin

Identifiers

PMID28340542
PMCPMC7162535

What OpenQuestion holds

Textmetadata
LicenceTDM
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.