Evidence map›Paper›PMID 31275875›Full record

ArticleJournal of diabetes and metabolic disorders2019

Insulin pump initiation and education for children and adolescents - a qualitative study of current practice in New Zealand.

Yasmin H AbdulAziz, Hesham S Al-Sallami, Esko Wiltshire, Jenny Rayns, Jinny Willis, Joanna McClintock, Natalie Medlicott, Benjamin J Wheeler, Paediatric Society of New Zealand Diabetes Clinical Network

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes and metabolic disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Knowledge, Attitude, and Practice of Insulin Pump Among Non-Endocrinology Nurses in South China.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Article
  4. Insulin pumps in children - a systematic review.World journal of clinical pediatrics · 2022
    Article
  5. Effect of self-efficacy-based training on metabolic control of patients with type 2 diabetes.International journal of physiology, pathophysiology and pharmacology · 2022
    Article
  6. Article
  7. Article
  8. 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

9 authors at 3 institutions in 1 country.

Yasmin H AbdulAziz1School of Pharmacy, University of Otago, Dunedin, 9054 New Zealand.
Hesham S Al-Sallami1School of Pharmacy, University of Otago, Dunedin, 9054 New Zealand.ORCID 0000-0002-0685-327X
Esko Wiltshire2Department of Paediatrics and Child Health, University of Otago Wellington, Wellington, New Zealand.
Jenny RaynsPaediatric Endocrinology, Southern District Health Board, Dunedin, New Zealand.
Jinny WillisDon Beaven Medical Research Hospital, Christchurch, New Zealand.
Joanna McClintock5Paediatric Diabetes, Waikato District Health Board, Hamilton, New Zealand.
Natalie Medlicott1School of Pharmacy, University of Otago, Dunedin, 9054 New Zealand.
Benjamin J WheelerPaediatric Endocrinology, Southern District Health Board, Dunedin, New Zealand.
Paediatric Society of New Zealand Diabetes Clinical Network
University of Otago · NZSouthern District Health Board · NZWaikato District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWorldwide, the use of insulin pumps for the management of type 1 diabetes is increasing. There are no national or international published guidelines and few guidance recommendations detailing the education and training required to commence insulin pump therapy. The aim of this study is to describe current clinical practice regarding initiation of insulin pump therapy in children and adolescents with type 1 diabetes in New Zealand.

methodsPediatric diabetes nurse specialists from selected New Zealand hospitals (

resultsThe response rate was 100% (16 out of 16 hospitals). Diabetes clinics interviewed varied in size from 50 to 450 pediatric patients and frequency of insulin pump use from 11% - 46%. Clinical practice differed between clinics. Important differences related to: use of continuous glucose monitoring (12/16); and differing views on immediate vs. delayed use of pump advanced features. Location of pump starts also varied, with both in-patient (2/16) and out-patient (14/16) approaches seen. The motivations and beliefs relating to these various pump start approaches also varied.

conclusionsDifferences seen between hospitals reflected team preference, and possibly a lack of consensus/guidance from the medical literature. Lessons may be learnt and further rationalisation and improvement in education remains possible by combining and adopting strengths from different hospitals.

Indexed as

Continuous subcutaneous insulin infusionEducationInsulin pumpPediatricType 1 diabetes

Identifiers

PMID31275875
PMCPMC6582118
OpenAlexW2913861448

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.