Evidence map›Paper›PMID 33502062›Full record

ArticlePediatric diabetes2021

Initiating hybrid closed loop: A program evaluation of an educator-led Control-IQ follow-up at a large pediatric clinic.

Laurel H Messer, Cari Berget, Ashlee Ernst, Lindsey Towers, Robert H Slover, Gregory P Forlenza

Open access · greenAbstract read
PubMed Full text at PMC Publisher
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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Guideline
  2. Increasing Use of Diabetes Devices: What Do Health Care Professionals Need?Clinical diabetes : a publication of the American Diabetes Association · 2023
    Article
  3. Review
  4. Article
  5. Article
  6. 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

6 authors at 1 institution in 1 country.

Laurel H MesserSchool of Medicine, Barbara Davis Center for Childhood Diabetes, University of Colorado Denver, Denver, Colorado, USA.ORCID 0000-0001-7493-0989
Cari BergetSchool of Medicine, Barbara Davis Center for Childhood Diabetes, University of Colorado Denver, Denver, Colorado, USA.
Ashlee ErnstSchool of Medicine, Barbara Davis Center for Childhood Diabetes, University of Colorado Denver, Denver, Colorado, USA.
Lindsey TowersSchool of Medicine, Barbara Davis Center for Childhood Diabetes, University of Colorado Denver, Denver, Colorado, USA.
Robert H SloverSchool of Medicine, Barbara Davis Center for Childhood Diabetes, University of Colorado Denver, Denver, Colorado, USA.
Gregory P ForlenzaSchool of Medicine, Barbara Davis Center for Childhood Diabetes, University of Colorado Denver, Denver, Colorado, USA.ORCID 0000-0003-3607-9788
University of Colorado Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundControl-IQ (Tandem Diabetes) is a hybrid closed-loop (HCL) system that users self-initiate after completing online training. Best practices for clinical follow-up are not known. Our quality improvement objective was to evaluate the usefulness of an educator-led follow-up program for new HCL users in a type 1 diabetes pediatric clinic.

methodsWe implemented an ''HCLCheck-in'' program, first determining when users started HCL, then having diabetes educators contact them for a follow-up call 2-weeks after start. Educators used a Clinical Tool to inform insulin dose and behavior recommendations, and used four benchmarks to determine need for further follow-up: ≥71% HCL use, ≥71% CGM use, ≥60% Time-in-Range (TIR, 70-180 mg/dL), <5% below 70 mg/dL. Family and educator satisfaction were surveyed.

resultsOne-hundred-twenty-three youth [mean age 13.6 ± 3.7 y, 53.7% female, mean HbA1c 7.6 ± 1.4% (60 mmol/mol)] completed an HCLCheck-in call a median (IQR) of 18(15, 21) days post-HCL start. 74 users (60%) surpassed benchmarks with 94% HCL use and 71% TIR. Of the 49 who did not, 16 completed a second call, and improved median TIR 12.5% (p = 0.03). HCL users reported high satisfaction with the program overall [median 10 (9, 10) out of 10]. Educators spent a median of 45 (32,70) minutes per user and rated satisfaction with the program as 8 (7,9.5) and the Tool as 9 (9, 10).

conclusionOur HCLCheck-in program received high satisfaction ratings and resulted in improved TIR for those initially not meeting benchmarks, suggesting users may benefit from early follow-up. Similar programs may be beneficial for other new technologies.

Indexed as

Blood Glucose Self-MonitoringInsulin Infusion SystemsAdolescentBlood GlucoseChildDiabetes Mellitus, Type 1FemaleFollow-Up StudiesGlycated HemoglobinHumansHypoglycemic AgentsInsulinMalePatient Education as TopicPatient SatisfactionProgram EvaluationBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinhybrid closed looppediatricsprogram evaluationquality improvementtype 1 diabetes

Identifiers

PMID33502062
PMCPMC8252603
OpenAlexW3124614069

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.