Evidence map›Paper›PMID 30674509›Full record

GuidelineCanadian family physician Medecin de famille canadien2019

Diabetes Canada 2018 clinical practice guidelines: Key messages for family physicians caring for patients living with type 2 diabetes.

Noah M Ivers, Maggie Jiang, Javed Alloo, Alexander Singer, Daniel Ngui, Carolyn Gall Casey, Catherine H Yu

Abstract readPractice GuidelineReview
PubMed Full text at PMC
In one paragraph

Guideline in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 4 pooled it
8.4field-weighted citation impact, top 2% 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

56 citing papers in PubMed, 4 syntheses or guidelines pooled it, 88 citations in OpenAlex.

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  20. Alteration of Piezo1 signaling in type 2 diabetic mice: focus on endothelium and BKPflugers Archiv : European journal of physiology · 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

7 authors at 7 institutions in 2 countries.

Noah M IversScientist at Women's College Research Institute in Toronto, Ont, a family physician at Women's College Hospital, Adjunct Scientist in ICES, Assistant Professor in the Department of Family and Community Medicine at the University of Toronto, and Innovation Fellow at the Women's College Hospital Institute for Health System Solutions and Virtual Care. noah.ivers@utoronto.ca.
Maggie JiangMedical student at Queen's University in Kingston, Ont.
Javed AllooFamily physician at Nymark Medical Centre in Toronto.
Alexander SingerAssociate Professor in the Department of Family Medicine at the University of Manitoba in Winnipeg and a family physician at the Family Medical Centre at the University of Manitoba.
Daniel NguiFamily physician at Fraser Street Medical in Vancouver, BC, and Clinical Associate Professor in the Department of Family Medicine at the University of British Columbia.
Carolyn Gall CaseyDirector of Education and Customer Insight at the Canadian Diabetes Association in Toronto.
Catherine H YuStaff endocrinologist in the Department of Medicine at St Michael's Hospital in Toronto, Chair of the Clinical Practice Guidelines Dissemination and Implementation Committee at the Canadian Diabetes Association, Associate Scientist in the Keenan Research Centre of the Li Ka Shing Knowledge Institute of St Michael's Hospital, and Assistant Professor in the Department of Medicine at the University of Toronto.
College of Family Physicians of Canada · CADiabetes Canada · CAFamily Research Institute · USQueen's University · CASt. Michael's Hospital · CAUniversity of Manitoba · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize the 2018 Diabetes Canada clinical practice guidelines, focusing on high-priority recommendations for FPs managing people who live with type 2 diabetes. QUALITY OF EVIDENCE: A prioritization process was conducted to focus the efforts of Diabetes Canada's guideline dissemination and implementation efforts. The resulting identified key messages for FPs to consider when managing patients with type 2 diabetes are described. Evidence supporting the guideline recommendations ranges from levels I to IV and grades A to D. MAIN MESSAGE: Three key messages were identified from the 2018 guidelines as priorities for FPs: discussing opportunities to reduce the risk of diabetes complications, discussing opportunities to ensure safety and prevent hypoglycemia, and discussing progress on self-management goals and addressing barriers. A theme cutting across these key messages was the need to tailor discussions to the needs and preferences of each person. These important guideline recommendations are highlighted, along with information about relevant tools for implementing the recommendations in real-world practice.

conclusionHigh-quality diabetes care involves a series of periodic conversations about self-management and about pharmacologic and nonpharmacologic treatments that fit with each patient's goals (ie, shared decision making). Incorporating these conversations into regular practice provides FPs with opportunities to maximize likely benefits of treatments and decrease the risk of harms, to support patients in initiating and sustaining desired lifestyle changes, and to help patients cope with the burdens of diabetes and comorbid conditions.

Indexed as

CanadaDiabetes Mellitus, Type 2Family PracticeHumansPatient CareSelf-Management

Identifiers

PMID30674509
PMCPMC6347316
OpenAlexW2911557642

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.