Evidence map›Paper›PMID 29532694›Full record

ArticleJournal of diabetes science and technology2018

Implementation of HbA1c Point of Care Testing in 3 German Medical Practices: Impact on Workflow and Physician, Staff, and Patient Satisfaction.

Karl-Heinz Patzer, Payam Ardjomand, Katharina Göhring, Guido Klempt, Andreas Patzelt, Markus Redzich, Mathias Zebrowski, Susanne Emmerich, Oliver Schnell

Abstract readMulticenter Study
In one paragraph

Article in Journal of diabetes science and technology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
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  4. Advances in laboratory medicine · 2024
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  6. Observational
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  9. Assessment of Patient Satisfaction with On-Site Point-of-Care Hemoglobin A1c Testing: An Observational Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021
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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

9 authors.

Karl-Heinz Patzer1 Sciarc GmbH, Baierbrunn, Germany.
Payam Ardjomand2 Diabetologische Schwerpunktpraxis, Bergisch Gladbach, Germany.
Katharina Göhring3 Praxis für Innere Medizin und Allgemein-Medizin mit diabetologischem Schwerpunkt, Bonn, Germany.
Guido Klempt2 Diabetologische Schwerpunktpraxis, Bergisch Gladbach, Germany.
Andreas Patzelt4 Praxis für Allgemeinmedizin & Diabetologie, Bochum-Langendreer, Germany.
Markus Redzich4 Praxis für Allgemeinmedizin & Diabetologie, Bochum-Langendreer, Germany.
Mathias Zebrowski5 Ruhr-Universität Bochum, Nordrhein-Westfalen, Germany.
Susanne Emmerich6 Alere GmbH, Köln, Germany.
Oliver Schnell1 Sciarc GmbH, Baierbrunn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical practices face challenges of time and cost pressures with scarce resources. Point-of-care testing (POCT) has the potential to accelerate processes compared to central laboratory testing and can increase satisfaction of physicians, staff members, and patients. The objective of this study was to evaluate the effects of introducing HbA1c POCT in practices specialized in diabetes.

methodThree German practices that manage 400, 550, and 950 diabetes patients per year participated in this evaluation. The workflow and required time before and after POCT implementation (device: Alere Afinion AS100 Analyzer) was evaluated in each practice. Physician (n = 5), staff (n = 9), and patient (n = 298) satisfaction was assessed with questionnaires and interviews.

resultsAfter POCT implementation the number of required visits scheduled was reduced by 80% (88% vs 17.6%, P < .0001), the number of venous blood collections by 75% (91% vs 23%, P < .0001). Of patients, 82% (vs 13% prior to POCT implementation) were able to discuss their HbA1c values with treating physicians immediately during their first visit ( P < .0001). In two of the practices the POCT process resulted in significant time savings of approximately 20 and 22 working days per 1000 patients per year (95% CI 2-46; 95% CI 10-44). All physicians indicated that POCT HbA1c implementation improved the practice workflow and all experienced a relief of burden for the office and the patients. All staff members indicated that they found the POCT measurement easy to perform and experienced a relief of burden. The majority (61.3%) of patients found the capillary blood collection more pleasant and 83% saw an advantage in the immediate availability of HbA1c results.

conclusionsThe implementation of HbA1c POCT leads to an improved practice workflow and increases satisfaction of physicians, staff members and patients.

Indexed as

Point-of-Care TestingBlood GlucoseDiabetes MellitusGermanyGlycated HemoglobinHumansPatient SatisfactionPhysiciansSurveys and QuestionnairesWorkflowBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humandiabetes treatmentHBA1c POCTlaboratory testingPOCTpoint-of-care testing

Identifiers

PMID29532694
PMCPMC6154243

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.