Evidence map›Paper›PMID 29409033›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2018

A dashboard-based system for supporting diabetes care.

Arianna Dagliati, Lucia Sacchi, Valentina Tibollo, Giulia Cogni, Marsida Teliti, Antonio Martinez-Millana, Vicente Traver, Daniele Segagni, Jorge Posada, Manuel Ottaviano and 5 more

Abstract readEvaluation Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 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

48 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  3. Systematic review and narrative synthesis of computerized audit and feedback systems in healthcare.Journal of the American Medical Informatics Association : JAMIA · 2022
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  20. Advancing Newborn Screening Long-Term Follow-Up: Integration ofInternational journal of neonatal screening · 2024
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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

15 authors.

Arianna DagliatiDepartment of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy.
Lucia SacchiDepartment of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy.
Valentina TibolloLaboratorio Informatica Sistemistica Ricerca Clinica, ICS Maugeri, Pavia, Italy.
Giulia CogniUO di Medicina Interna e Endocrinologia, ICS Maugeri, Pavia, Italy.
Marsida TelitiUO di Medicina Interna e Endocrinologia, ICS Maugeri, Pavia, Italy.
Antonio Martinez-MillanaITACA. Universitat Politècnica de València, Valencia, Spain.
Vicente TraverITACA. Universitat Politècnica de València, Valencia, Spain.
Daniele SegagniLaboratorio Informatica Sistemistica Ricerca Clinica, ICS Maugeri, Pavia, Italy.
Jorge PosadaIntegrated Health Solutions, Medtronic Ibérica, Madrid, Spain.
Manuel OttavianoDepartamento de Tecnología Fotónica y Bioingeniería, Universidad Politècnica de Madrid, Madrid, Spain.
Giuseppe FicoDepartamento de Tecnología Fotónica y Bioingeniería, Universidad Politècnica de Madrid, Madrid, Spain.
Maria Teresa ArredondoDepartamento de Tecnología Fotónica y Bioingeniería, Universidad Politècnica de Madrid, Madrid, Spain.
Pasquale De CataUO di Medicina Interna e Endocrinologia, ICS Maugeri, Pavia, Italy.
Luca ChiovatoUO di Medicina Interna e Endocrinologia, ICS Maugeri, Pavia, Italy.
Riccardo BellazziDepartment of Electrical, Computer and Biomedical Engineering, University of Pavia, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To describe the development, as part of the European Union MOSAIC (Models and Simulation Techniques for Discovering Diabetes Influence Factors) project, of a dashboard-based system for the management of type 2 diabetes and assess its impact on clinical practice. Methods: The MOSAIC dashboard system is based on predictive modeling, longitudinal data analytics, and the reuse and integration of data from hospitals and public health repositories. Data are merged into an i2b2 data warehouse, which feeds a set of advanced temporal analytic models, including temporal abstractions, care-flow mining, drug exposure pattern detection, and risk-prediction models for type 2 diabetes complications. The dashboard has 2 components, designed for (1) clinical decision support during follow-up consultations and (2) outcome assessment on populations of interest. To assess the impact of the clinical decision support component, a pre-post study was conducted considering visit duration, number of screening examinations, and lifestyle interventions. A pilot sample of 700 Italian patients was investigated. Judgments on the outcome assessment component were obtained via focus groups with clinicians and health care managers. Results: The use of the decision support component in clinical activities produced a reduction in visit duration (P ≪ .01) and an increase in the number of screening exams for complications (P < .01). We also observed a relevant, although nonstatistically significant, increase in the proportion of patients receiving lifestyle interventions (from 69% to 77%). Regarding the outcome assessment component, focus groups highlighted the system's capability of identifying and understanding the characteristics of patient subgroups treated at the center. Conclusion: Our study demonstrates that decision support tools based on the integration of multiple-source data and visual and predictive analytics do improve the management of a chronic disease such as type 2 diabetes by enacting a successful implementation of the learning health care system cycle.

Indexed as

Data DisplayDecision Support Systems, ClinicalUser-Computer InterfaceComputer SystemsData WarehousingDiabetes Mellitus, Type 2Electronic Health RecordsHumansSoftware

Identifiers

PMID29409033
PMCPMC7647008

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.