Evidence map›Paper›PMID 33424771›Full record

Observational studyFrontiers in endocrinology2020

Glycemic Control Improvement in Italian Children and Adolescents With Type 1 Diabetes Followed Through Telemedicine During Lockdown Due to the COVID-19 Pandemic.

Barbara Predieri, Francesco Leo, Francesco Candia, Laura Lucaccioni, Simona F Madeo, Marisa Pugliese, Valentina Vivaccia, Patrizia Bruzzi, Lorenzo Iughetti

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Frontiers in endocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 7 pooled it
13.6field-weighted citation impact, top 1% 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

66 citing papers in PubMed, 7 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
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  6. Pooled it
  7. Physical Activity during COVID-19 Lockdown in Italy: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  8. Trial
  9. Observational
  10. Article
  11. Review
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  20. Endocrine manifestations of COVID-19 in children: A scoping review.Best practice & research. Clinical endocrinology & metabolism · 2023
    Article

6 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Barbara PredieriPediatric Unit, Department of Medical and Surgical Sciences of the Mother, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Francesco LeoPost-Graduate School of Pediatrics, Department of Medical and Surgical Sciences for Mothers, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Francesco CandiaPost-Graduate School of Pediatrics, Department of Medical and Surgical Sciences for Mothers, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Laura LucaccioniPediatric Unit, Department of Pediatrics, Azienda Ospedaliero-Universitaria Policlinic, Modena, Italy.
Simona F MadeoPediatric Unit, Department of Pediatrics, Azienda Ospedaliero-Universitaria Policlinic, Modena, Italy.
Marisa PugliesePediatric Unit, Department of Medical and Surgical Sciences of the Mother, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Valentina VivacciaDepartment of Metabolic Diseases and Clinical Nutrition, Azienda Ospedaliero-Universitaria Policlinic, Modena, Italy.
Patrizia BruzziPediatric Unit, Department of Pediatrics, Azienda Ospedaliero-Universitaria Policlinic, Modena, Italy.
Lorenzo IughettiPediatric Unit, Department of Medical and Surgical Sciences of the Mother, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
University of Modena and Reggio Emilia · ITPoliclinico di Modena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Objective: To minimize the wide spread of coronavirus disease (COVID-19) pandemic, Italy was placed in an almost complete lockdown state that forced people to "stay at home". Aim of this study was to evaluate the effects of lockdown on glycemic control in children and adolescents with type 1 diabetes (T1D) followed through telemedicine. Subjects/Methods: This observational study involved patients with T1D using the real-time continuous glucose monitoring (CGM) Dexcom G6 Results: Sixty-two children and adolescents (11.1 ± 4.37 years, 50% males) with T1D (median time disease 3.67 years) were enrolled in the study. Insulin total daily dose was unchanged, while time spent on physical activities was decreased (p<0.0001). Despite the lack of statistical significance, median value of the glucose management indicator decreased from 7.4% to 7.25%. Glucose standard deviation (p<0.0001) and coefficient of variation (p=0.001) improved across the study. Median time in range increased from 60.5% to 63.5% (p=0.008), time above range decreased from 37.3% to 34.1% (p=0.048), and time below range decreased from 1.85% to 1.45% (p=0.001). Conclusions: Overall, in our children and adolescents with T1D glycemic control improved during lockdown. Despite patients were confined to their homes and limited to exercise, our data suggest that the use of real-time CGM, the continuous parental management, and the telemedicine can display beneficial effects on T1D care.

Indexed as

TelemedicineAdolescentBiomarkersBlood GlucoseBlood Glucose Self-MonitoringChildCOVID-19Diabetes Mellitus, Type 1FemaleFollow-Up StudiesGlycemic ControlHumansHypoglycemic AgentsItalyLongitudinal StudiesMaleBiomarkersBlood GlucoseHypoglycemic Agentschildren and adolescentscontinuous glucose monitoring systemCOVID-19glycemic controltelemedicine—utilizationtype 1 diabetes

Identifiers

PMID33424771
PMCPMC7793913
OpenAlexW3110910507

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.