Evidence map›Paper›PMID 30880448›Full record

ArticleJournal of diabetes science and technology2019

Evaluating the Impact of Human Factors and Pen Needle Design on Insulin Pen Injection.

Christopher Rini, Bruce C Roberts, Didier Morel, Rick Klug, Benjamin Selvage, Ronald J Pettis

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Journal of diabetes science and technology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Optimising Insulin Injection Techniques to Improve Diabetes Outcomes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Review
  2. Article
  3. Needle Technology for Insulin Administration: A Century of Innovation.Journal of diabetes science and technology · 2023
    Review
  4. Article
  5. Article
  6. Diabetes Technology Meeting 2021.Journal of diabetes science and technology · 2022
    Article
  7. Bruising-An Ignored Issue?Journal of diabetes science and technology · 2022
    Article
  8. Article
  9. Insulin Injection Practices in a Population of Canadians with Diabetes: An Observational Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    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 at 2 institutions in 2 countries.

Christopher Rini1 BD Technologies and Innovation, Research Triangle Park, NC, USA.
Bruce C Roberts1 BD Technologies and Innovation, Research Triangle Park, NC, USA.
Didier Morel2 BD Clinical Development, Pont-de-Claix, France.
Rick Klug1 BD Technologies and Innovation, Research Triangle Park, NC, USA.
Benjamin Selvage1 BD Technologies and Innovation, Research Triangle Park, NC, USA.
Ronald J Pettis1 BD Technologies and Innovation, Research Triangle Park, NC, USA.
BD Technologie (United States) · USBecton Dickinson (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited published data exists quantifying the influence of human factors (HF) and pen needle (PN) design on delivery outcomes of pen injection systems. This preclinical in vivo study examines the impact of PN hub design and applied force against the skin during injection on needle penetration depth (NPD).

methodTo precisely locate injection depth, PN injections (20 µl; 2 IU, U-100 volume equivalent) of iodinated contrast agent were administered to the flank of Yorkshire swine across a range of clinically relevant application forces against the skin (0.25, 0.75, 1.25, and 2.0 lbf). The NPD, representing in vivo needle tip depth in SC tissue, from four 32 G × 4 mm PN devices (BD Nano

resultsThe reengineered hub design more closely achieved the 4 mm target NPD with significantly less variability ( P = .006) than commercial posted-hub PN devices across the range of applied injection forces. Calculations of IM (intramuscular) injection risk completed through in silico probability model, using NPD and average human tissue thickness measurements, displayed a commensurate reduction (~2-8x) compared to conventional PN hub designs.

conclusionsQuantifiable differences in injection depth were observed between identical labeled length PN devices indicating that hub design features, coupled with aspects of variable injection technique, may influence injection depth accuracy and consistency. The reengineered hub design may reduce the impact of unintended individual technique differences by improving target injection depth consistency and reducing IM injection potential.

Indexed as

ErgonomicsInfusion PumpsInsulin Infusion SystemsNeedlesAnimalsEquipment DesignEquipment Failure AnalysisHand StrengthHumansInjections, IntramuscularInjections, SubcutaneousInsulinModels, AnimalSkinSwineInsulininjection depthinjection force variabilityinjection techniqueintramuscular riskin vivopen needle

Identifiers

PMID30880448
PMCPMC6501541
OpenAlexW2921393486

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.