Evidence map›Paper›PMID 31222955›Full record

Observational studyJournal of diabetes2020

Observational study evaluating the effectiveness of physician-targeted education for improving glycemic management of patients with type 2 diabetes (BEYOND II).

Jianping Weng, Jiajun Zhao, Zhiguang Zhou, Xiaohui Guo, Dajin Zou, Qiuhe Ji, Nanwei Tong, Qifu Li, Jun Zhu, Qiang Li and 12 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Observational
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

22 authors.

Jianping WengDepartment of Endocrinology, The First Affiliated Hospital, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.ORCID https://orcid.org/0000-0002-7889-1697
Jiajun ZhaoDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
Zhiguang ZhouInstitute of Metabolism and Endocrinology, 2nd Xiangya Hospital, Central South University, Key Laboratory of Diabetes Immunology, Ministry of Education, National Clinical Research Center for Metabolic Diseases, Changsha, China.ORCID https://orcid.org/0000-0002-0374-1838
Xiaohui GuoDepartment of Endocrinology, Peking University First Hospital, Beijing, China.
Dajin ZouDepartment of Endocrinology, Changhai Hospital, The Second Military Medical University, Shanghai, China.
Qiuhe JiDepartment of Endocrinology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
Nanwei TongDivision of Endocrinology and Metabolism, West China Hospital of Sichuan University, Chengdu, China.
Qifu LiDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jun ZhuThe First Affiliated Hospital, Xinjiang Medical University, Urumqi, China.
Qiang LiThe Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Guijun QinDivision of Endocrinology, Department of Internal Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Ping FengDepartment of Endocrinology, The General Hospital of Tianjin Medical University, Tianjin, China.
Liyong YangDepartment of Endocrinology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Zhengnan GaoDepartment of Endocrinology, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, Dalian, China.
Lulu ChenDepartment of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hong LiDepartment of Endocrinology and Metabolism, Zhejiang University Affiliated Sir Run Run Shaw Hospital, School of Medicine, Hangzhou, China.
Yiming LiDepartment of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China.
Longyi ZengDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Dalong ZhuDepartment of Endocrinology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjin, China.
Juming LuDepartment of Endocrinology, The General Hospital of the People's Liberation Army, Beijing, China.
Tianhong LuoSanofi (China) Investment Co. Ltd, Shanghai, China.
Nan CuiSanofi (China) Investment Co. Ltd, Shanghai, China.

Funding

Sanofi, China
6 · The paper itself

Abstract

backgroundBecause there has been no quality improvement initiatives targeting patients with type 2 diabetes (T2D) receiving basal insulin therapy, this study evaluated the effectiveness of physician-targeted education for optimizing glycemic management in these patients in China.

methodsThis multicenter open-label observational study conducted across China had a baseline sample survey, followed by a 6-month education program, and ended with a post-education sample survey. Education based on T2D treatment guidelines was given at Months 1 and 3, and was reinforced by self-audit every month. Each hospital enrolled 100 patients with T2D receiving basal insulin at both the baseline and post-education survey. The primary outcome was the proportion of hospitals meeting individual improvement goals. The goal setting was based on the proportion of patients achieving HbA1c <7.0% in each hospital at the time of the baseline survey.

resultsOverall, the individual improvement goal was achieved by 35 centers (49%). Hospitals with poor glycemic management at the baseline survey had higher possibility to improve at post-education survey. Two large sample surveys at baseline and post-education showed improved glucose management among these hospitals. A higher proportion of patients achieved HbA1c <7.0% in the post-education survey (27.2% vs 36.5%; P < 0.001) with reduced HbA1c levels (8.10% vs 7.72%; P < 0.001). Questionnaires from 723 physicians showed that confidence and practice of basal insulin use were significantly improved.

conclusionsPhysician-targeted education improved glycemic management of patients with T2D in 71 hospitals in China, and was more effective at hospitals with poor glycemic management at the baseline survey.

Indexed as

AgedAsian PeopleBlood GlucoseChinaDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHealth EducationHumansHypoglycemic AgentsInsulinMaleMiddle AgedOutcome Assessment, Health CarePhysiciansPractice Guidelines as TopicBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulin2型糖尿病basal insulineducationglycemic managementphysiciantype 2 diabetes医生基础胰岛素教育血糖管理

Identifiers

PMID31222955
PMCPMC6972623

What OpenQuestion holds

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LicenceCC BY
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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.