Evidence map›Paper›PMID 30401665›Full record

ReviewJMIR diabetes2018

Patient Portal Use in Diabetes Management: Literature Review.

Ran Sun, Mary T Korytkowski, Susan M Sereika, Melissa I Saul, Dan Li, Lora E Burke

Abstract readReview
In one paragraph

Review in JMIR diabetes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

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

  1. Pooled it
  2. Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. The State of Evidence in Patient Portals: Umbrella Review.Journal of medical Internet research · 2020
    Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Design and evaluation patient portal for patients with HTLV-1.BMC medical informatics and decision making · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Decreasing Racial Disparities in Preventable Emergency Department Visits Through Hospital Health Information Technology Patient Engagement Functionalities.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Observational
  15. Article
  16. Physicians' Perspectives on Inpatient Portals: Systematic Review.Interactive journal of medical research · 2022
    Review
  17. Article
  18. Observational
  19. Article
  20. Article
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

6 authors.

Ran SunDepartment of Health & Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA, United States.ORCID http://orcid.org/0000-0002-5181-3242
Mary T KorytkowskiDivision of Endocrinology and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.ORCID http://orcid.org/0000-0001-7131-8903
Susan M SereikaDepartment of Health & Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA, United States.ORCID http://orcid.org/0000-0002-7840-1352
Melissa I SaulDepartment of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.ORCID http://orcid.org/0000-0002-6712-5102
Dan LiDepartment of Health & Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA, United States.ORCID http://orcid.org/0000-0001-6141-3827
Lora E BurkeDepartment of Health & Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA, United States.ORCID http://orcid.org/0000-0003-2434-9867

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth information technology tools (eg, patient portals) have the potential to promote engagement, improve patient-provider communication, and enhance clinical outcomes in the management of chronic disorders such as diabetes mellitus (DM).

objectivesThe aim of this study was to report the findings of a literature review of studies reporting patient portal use by individuals with type 1 or type 2 DM. We examined the association of the patient portal use with DM-related outcomes and identified opportunities for further improvement in DM management.

methodsElectronic literature search was conducted through PubMed and PsycINFO databases. The keywords used were "patient portal*," "web portal," "personal health record," and "diabetes." Inclusion criteria included (1) published in the past 10 years, (2) used English language, (3) restricted to age ≥18 years, and (4) available in full text.

resultsThis review included 6 randomized controlled trials, 16 observational, 4 qualitative, and 4 mixed-methods studies. The results of these studies revealed that 29% to 46% of patients with DM have registered for a portal account, with 27% to 76% of these patients actually using the portal at least once during the study period. Portal use was associated with the following factors: personal traits (eg, sociodemographics, clinical characteristics, health literacy), technology (eg, functionality, usability), and provider engagement. Inconsistent findings were observed regarding the association of patient portal use with DM-related clinical and psychological outcomes.

conclusionsBarriers to use of the patient portal were identified among patients and providers. Future investigations into strategies that engage both physicians and patients in use of a patient portal to improve patient outcomes are needed.

Indexed as

diabetes mellituselectronic health recordspatient portalpersonal health records

Identifiers

PMID30401665
PMCPMC6246970

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.