Evidence map›Paper›PMID 33470020›Full record

ArticlePediatric diabetes2021

Changes to care delivery at nine international pediatric diabetes clinics in response to the COVID-19 global pandemic.

Angelica Cristello Sarteau, Katherine Janine Souris, Jessica Wang, Amira A Ramadan, Ananta Addala, Deborah Bowlby, Sarah Corathers, Gun Forsander, Bruce King, Jennifer R Law and 10 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Pediatric diabetes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. [Diabetes technology (Update 2026)].Wiener klinische Wochenschrift · 2026
    Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. [Insulin pump therapy and continuous glucose monitoring].Wiener klinische Wochenschrift · 2023
    Article
  9. Article
  10. Article
  11. Pediatric Smart Insulin Pen Use: The Next Best Thing.Journal of diabetes science and technology · 2022
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
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

20 authors at 10 institutions in 5 countries.

Angelica Cristello Sarteau *Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-7303-4311
Katherine Janine Souris *Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jessica WangDepartment of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Amira A RamadanDepartment of Pediatric Endocrinology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Ananta AddalaDepartment of Pediatric Endocrinology, Stanford University, Stanford, California, USA.ORCID 0000-0002-0508-4309
Deborah BowlbyDivision of Pediatric Endocrinology, Medical University of South Carolina, Charleston, South Carolina, USA.
Sarah CorathersDepartment of Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Gun ForsanderDepartment of Pediatrics, The Queen Silvia Children's Hospital Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID 0000-0002-0266-9651
Bruce KingDepartment of Pediatric Endocrinology, John Hunter Children's Hospital, New Lambton Heights, Australia.
Jennifer R LawDepartment of Pediatric Endocrinology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Wei LiuDepartment of Endocrinology, Peking University People's Hospital, Beijing, China.
Faisal MalikDepartment of Pediatrics, Division of Endocrinology and Diabetes, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-2543-4214
Catherine PihokerDepartment of Pediatrics, Division of Endocrinology and Diabetes, University of Washington, Seattle, Washington, USA.ORCID 0000-0001-9074-7770
Michael SeidCollege of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Carmel SmartDepartment of Pediatric Endocrinology, John Hunter Children's Hospital, New Lambton Heights, Australia.
Frida SundbergDepartment of Pediatrics, The Queen Silvia Children's Hospital Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID 0000-0002-3681-7173
Nikhil TandonDepartment of Endocrinology and Metabolism, All India Institute of Medical Sciences, Delhi, India.ORCID 0000-0003-4604-1986
Michael YaoDepartment of Pediatrics, University of New Mexico, Albuquerque, New Mexico, USA.
Terry HeadleyDivision of Pediatric Endocrinology, Medical University of South Carolina, Charleston, South Carolina, USA.
Elizabeth Mayer-DavisDepartment of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0003-3858-0517
University of North Carolina at Chapel Hill · USCincinnati Children's Hospital Medical Center · USHunter Medical Research Institute · AUMedical University of South Carolina · USSahlgrenska University Hospital · SEUniversity of Washington · USAll India Institute of Medical Sciences · INPeking University · CNStanford University · USUniversity of New Mexico · US

Funding

Training Research Leaders in Type 1 DiabetesK12DK122550 · NIDDK · STANFORD UNIVERSITY · PI MAAHS, DAVID MATTHEW · 2019 to 2023
$2.1M
Leveraging Social Media to Improve Health Outcomes in Adolescents with DiabetesK23DK119465 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI MALIK, FAISAL SALEEM · 2018 to 2022
$943k
NIDDK NIH HHS K12 DK122550NIDDK NIH HHS K23 DK119465
6 · The paper itself

Abstract

backgroundPediatric diabetes clinics around the world rapidly adapted care in response to COVID-19. We explored provider perceptions of care delivery adaptations and challenges for providers and patients across nine international pediatric diabetes clinics.

methodsProviders in a quality improvement collaborative completed a questionnaire about clinic adaptations, including roles, care delivery methods, and provider and patient concerns and challenges. We employed a rapid analysis to identify main themes.

resultsProviders described adaptations within multiple domains of care delivery, including provider roles and workload, clinical encounter and team meeting format, care delivery platforms, self-management technology education, and patient-provider data sharing. Providers reported concerns about potential negative impacts on patients from COVID-19 and the clinical adaptations it required, including fears related to telemedicine efficacy, blood glucose and insulin pump/pen data sharing, and delayed care-seeking. Particular concern was expressed about already vulnerable patients. Simultaneously, providers reported 'silver linings' of adaptations that they perceived as having potential to inform care and self-management recommendations going forward, including time-saving clinic processes, telemedicine, lifestyle changes compelled by COVID-19, and improvements to family and clinic staff literacy around data sharing.

conclusionsProviders across diverse clinical settings reported care delivery adaptations in response to COVID-19-particularly telemedicine processes-created challenges and opportunities to improve care quality and patient health. To develop quality care during COVID-19, providers emphasized the importance of generating evidence about which in-person or telemedicine processes were most beneficial for specific care scenarios, and incorporating the unique care needs of the most vulnerable patients.

Indexed as

PandemicsChildComorbidityCOVID-19Delivery of Health CareDiabetes MellitusGlobal HealthHumansSARS-CoV-2TelemedicineCOVID-19PediatricsQualitative ResearchQuality ImprovementType 1 Diabetes

Identifiers

PMID33470020
PMCPMC8013674
OpenAlexW3124216322

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.