Evidence map›Paper›PMID 30917691›Full record

ArticleJournal of diabetes science and technology2019

Pan-European Economic Analysis to Identify Cost Savings for the Health Care Systems as a Result of Integrating Glucose Monitoring Based Telemedical Approaches Into Diabetes Management.

Katharina Fritzen, Kornelia Basinska, Matilde Rubio-Almanza, Antonio Nicolucci, Brian Kennon, Bruno Vergès, Katerina Zakrzewska, Oliver Schnell

Abstract read
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, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

8 authors.

Katharina FritzenSciarc GmbH, Baierbrunn, Germany.
Kornelia BasinskaSciarc GmbH, Baierbrunn, Germany.ORCID 0000-0001-7976-8597
Matilde Rubio-AlmanzaEndocrinology and Nutrition Department Hospital Universitario y Politécnico La Fe and Instituto de Investigación Sanitaria La Fe, Valencia, Spain.
Antonio NicolucciCenter for Outcomes Research and Clinical Epidemiology (CORESEARCH), Pescara, Italy.
Brian KennonFRCP, Diabetes Centre, Queen Elizabeth University Hospital, Glasgow, UK.
Bruno VergèsEndocrinologie, Diabétologie, Maladies Métaboliques et Nutrition, Centre Hospitalier Universitaire Dijon Bourgogne, Dijon, France.
Katerina ZakrzewskaLifeScan Europe GmbH, Zug, Switzerland.
Oliver SchnellSciarc GmbH, Baierbrunn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-monitoring of blood glucose supported by the diabetes-app OneTouch Reveal® has demonstrated to improve HbA1c. We aimed at analyzing costs savings related the integration of telemedical features into diabetes management.

methodsData from a randomized controlled trial were used to assess the 10-year risk of patients for fatal myocardial infarction (MI). On the basis of this risk assessments-also related to a 5% or 10% reduction of hypoglycemic episodes-cost savings for the health care systems of five European countries-France, Germany, Italy, Spain, and the United Kingdom-were modeled.

resultsHbA1c reduction of 0.92% in insulin-treated type 2 diabetes patients (T2DM) was associated with a 2.3% decreased 10-year risk for fatal MI. In combination with a 10% reduction of hypoglycemic events this risk reduction led to cost savings of €16.1 million (France), €57.8 million (Germany), €30.9 million (Italy), €23.8 million (Spain), and €5.8 million (UK), considering all insulin-treated T2DM patients in the respective countries.

conclusionImproving metabolic control and thus risk for comorbidities like MI by combining the glucose meter with CRI with telemedical features has the potential to reduce costs for European health care systems.

Indexed as

Cost SavingsBlood GlucoseBlood Glucose Self-MonitoringCost-Benefit AnalysisDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2EuropeHumansHypoglycemic AgentsInsulinTelemedicineBlood GlucoseHypoglycemic AgentsInsulinblood glucose self-monitoringcost-effectiveness analysisdiabetes mellitustelemedicine

Identifiers

PMID30917691
PMCPMC6835181

What OpenQuestion holds

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Registered trials

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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.