Evidence map›Paper›PMID 29258565›Full record

SynthesisTrials2017

A core outcomes set for clinical trials of interventions for young adults with type 1 diabetes: an international, multi-perspective Delphi consensus study.

Molly Byrne, Anthony O'Connell, Aoife M Egan, Sean F Dinneen, Lisa Hynes, Mary Clare O'Hara, Richard I G Holt, Ingrid Willaing, Michael Vallis, Christel Hendrieckx and 1 more

Open access · goldAbstract readConsensus StatementSystematic Review
In one paragraph

Synthesis in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 6 pooled it
20.1field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 6 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  8. Article
  9. Treatment burden and health-related quality of life in young adults with type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Article
  10. Review
  11. Article
  12. Concept analysis of diabetes-related quality of life.Health and quality of life outcomes · 2025
    Review
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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

11 authors at 7 institutions in 5 countries.

Molly ByrneHealth Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Ireland. molly.byrne@nuigalway.ie.ORCID http://orcid.org/0000-0001-8900-4320
Anthony O'ConnellHealth Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Ireland.
Aoife M EganSchool of Medicine, National University of Ireland, Galway, Ireland.
Sean F DinneenSchool of Medicine, National University of Ireland, Galway, Ireland.
Lisa HynesHealth Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Ireland.
Mary Clare O'HaraSchool of Medicine, National University of Ireland, Galway, Ireland.
Richard I G HoltHuman Development and Health Academic Unit, University of Southampton Faculty of Medicine, Southampton, UK.
Ingrid WillaingHealth Promotion Research, Steno Diabetes Center Copenhagen, Copenhagen, Denmark.
Michael VallisDepartment of Family Medicine, Dalhousie University, Halifax, NS, Canada.
Christel HendrieckxSchool of Psychology, Deakin University, Geelong, VIC, Australia.
Imelda CoyneTrinity College Dublin, School of Nursing and Midwifery, Dublin, Ireland.
Ollscoil na Gaillimhe – University of Galway · IEDalhousie University · CADeakin University · AUNational University of Ireland · IESteno Diabetes Centers · DKTrinity College Dublin · IEUniversity of Southampton · GB

Funding

Irish Research Council Government of Ireland 'New Foundations' Scheme 2015 Award
6 · The paper itself

Abstract

backgroundAchieving consensus from a range of relevant stakeholders about an agreed set of core outcomes to be measured and reported as a minimum in clinical trials has the potential to enhance evidence synthesis and make findings more relevant and applicable. Intervention research to improve outcomes for young adults with type 1 diabetes (T1DM) is hampered by inconsistent use of outcome measures. This population frequently struggles to manage their condition and reports suboptimal clinical outcomes. Our aim was to conduct an international, e-Delphi consensus study to identify a core outcome set (COS) that key stakeholders (young adults with T1DM, diabetes health professionals, diabetes researchers and diabetes policy makers) consider as essential outcomes for future intervention research.

methodsUsing a list of 87 outcomes generated from a published systematic review, we administered two online surveys to a sample of international key stakeholders. Participants in the first survey (survey 1; n = 132) and the second survey (survey 2; n = 81) rated the importance of the outcomes. Survey 2 participants received information on total mean rating for each outcome and a reminder of their personal outcome ratings from Survey 1. Survey 2 results were discussed at a consensus meeting and participants (n = 12: three young adults with T1DM, four diabetes health professionals, four diabetes researchers and one diabetes policy maker) voted on outcomes. Final core outcomes were included provided that 70% of consensus group participants voted for their inclusion.

resultsEight core outcomes were agreed for inclusion in the final COS: measures of diabetes-related stress; diabetes-related quality of life; number of severe hypoglycaemic events; self-management behaviour; number of instances of diabetic ketoacidosis (DKA); objectively measured glycated haemoglobin (HbA

conclusionsThis study is the first to identify a COS for inclusion in future intervention trials to improve outcomes for young adults with T1DM. Use of this COS will improve the quality of future research and increase opportunities for evidence synthesis. Future research is necessary to identify the most robust outcome measure instruments.

Indexed as

Delphi TechniqueSelf CareAdolescentAdultAge FactorsBiomarkersBlood GlucoseClinical Trials as TopicConsensusDiabetes Mellitus, Type 1Endpoint DeterminationGlycated HemoglobinHealth Knowledge, Attitudes, PracticeHumansHypoglycemic AgentsQuality of LifeBiomarkersBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsClinical diabetesCore outcome setHealthcare deliveryInterventionsRandomised controlled trialsSelf-managementType 1 diabetesYoung adults

Identifiers

PMID29258565
PMCPMC5735534
OpenAlexW2778521661

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.