Evidence map›Paper›PMID 30943790›Full record

ArticleJournal of diabetes science and technology2019

Real-World Evidence Should Be Used in Regulatory Decisions About New Pharmaceutical and Medical Device Products for Diabetes.

David C Klonoff, Alberto Gutierrez, Alexander Fleming, David Kerr

Open access · bronzeAbstract readEditorial
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 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Pregnancy and Diabetes Racial/Ethnicity Health Disparities in a Large Integrated Health System.Clinical diabetes : a publication of the American Diabetes Association · 2025
    Article
  9. Article
  10. Observational
  11. Article
  12. Evidence and Diabetes Technology: A Catch-22?Journal of diabetes science and technology · 2023
    Article
  13. Article
  14. Six Digital Health Technologies That Will Transform Diabetes.Journal of diabetes science and technology · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review
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

4 authors at 4 institutions in 1 country.

David C KlonoffMills-Peninsula Medical Center, San Mateo, CA, USA.
Alberto GutierrezNDA Partners LLC, Bethesda, MD, USA.
Alexander FlemingKinexum, Harper's Ferry, WV, USA.
David KerrSansum Diabetes Research Institute, Santa Barbara, CA, USA.
DGA Partners · USHarper College · USMills Peninsula Health Services · USSansum Diabetes Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Randomized clinical trials (RCTs) are no longer the sole source of data to inform guidelines, regulatory, and policy decisions. Real-world data (RWD), collected from registries, electronic health records, insurance claims, pharmacy records, social media, and sensor outputs from devices form real-world evidence (RWE), which can supplement evidence from RCTs. Benefits of using RWE include less time and cost to produce meaningful data; the ability to capture additional information, including social determinants of health that can impact health outcomes; detection of uncommon adverse events; and the potential to apply machine learning and artificial intelligence to the delivery of health care. Overall, combining data from RCTs and RWE would allow regulators to make ongoing and more evidence-based decisions in approving and monitoring products for diabetes.

Indexed as

Decision MakingDevice ApprovalEquipment and SuppliesEvidence-Based MedicineHealth PolicyDiabetes MellitusHumansPharmaceutical PreparationsRandomized Controlled Trials as TopicPharmaceutical Preparationsdiabetesrandomized clinical trialsreal-world evidenceregulatory approval

Identifiers

PMID30943790
PMCPMC6835188
OpenAlexW2932598518

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.