Evidence map›Paper›PMID 30015620›Full record

ArticleJournal of clinical research in pediatric endocrinology2019

Effect of Telehealth System on Glycemic Control in Children and Adolescents with Type 1 Diabetes

Esra Döğer, Rukiye Bozbulut, A. Şebnem Soysal Acar, Şebnem Ercan, Aylin Kılınç Uğurlu, Emine Demet Akbaş, Aysun Bideci, Orhun Çamurdan, Peyami Cinaz

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical research in pediatric endocrinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  11. The Impact of COVID-19 Lockdown on Glycemic Balance in Romanian Patients with Type 1 Diabetes Mellitus.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022
    Article
  12. Telemedicine in cystic fibrosis.Journal of clinical & translational endocrinology · 2021
    Article
  13. Observational
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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 at 1 institution in 2 countries.

Esra DöğerGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TurkeyORCID 0000-0003-0802-3955
Rukiye BozbulutGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TurkeyORCID 0000-0003-4317-9226
A. Şebnem Soysal AcarGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TurkeyORCID 0000-0002-6263-2340
Şebnem ErcanGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TurkeyORCID 0000-0002-8532-3508
Aylin Kılınç UğurluGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TurkeyORCID 0000-0003-1265-4952
Emine Demet AkbaşGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TurkeyORCID 0000-0002-5746-6835
Aysun BideciGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TurkeyORCID 0000-0003-0302-414X
Orhun ÇamurdanGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TurkeyORCID 0000-0003-1368-2605
Peyami CinazGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TurkeyORCID 0000-0001-5942-1852
Owl Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: A close diabetes team-patient relationship is required for establishing satisfactory metabolic control. The purpose of this study was to investigate the effect of a telehealth system on diabetes control. Methods: The study was carried out between June 2015 and January 2016 at the Gazi University Faculty of Medicine, Pediatric Endocrinology Department. The telehealth system was developed by the diabetes team. The demographic characteristics, frequency of use and hemoglobin A1c (HbA1c) changes of type 1 diabetic (T1DM) patients using this communication network were analysed. Results: Eighty two patients [43 (52.4%) females, mean (±standard deviation) age 10.89±4 years] used the telehealth system. Fourteen (17.1%) of the cases were on pump therapy and 59 (72.0%) were counting carbohydrates. The individuals with diabetes or their families preferred WhatsApp communication. Whatsapp provided a means for instant messaging in most instances (57.3%), contact with diabetes education nurse (32.9%) and consultation with the diabetes team about insulin doses and blood glucose regulation (42.7%). HbA1c values after six months were significantly lower in patients/parents calling frequently (p<0.001) compared with HbA1c values recorded at the beginning of the study. Conclusion: Increase in frequency of counselling by the diabetes team led to improved blood glucose control in T1DM patients. A telehealth system is useful for early detection of the need for changes in treatment and for intervention. It also promoted better self care.

Indexed as

Mobile ApplicationsAcademic Medical CentersAdolescentChildDiabetes Mellitus, Type 1FemaleGlycated HemoglobinHumansMalePatient Care TeamSelf CareTelemedicineTurkeyGlycated Hemoglobinhemoglobin A1c protein, humandiabetes teamHbA1ctelehealthType 1 diabetes

Identifiers

PMID30015620
PMCPMC6398192
OpenAlexW2883083271

What OpenQuestion holds

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LicenceCC BY
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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.