Evidence map›Paper›PMID 33991138›Full record

ArticleJournal of veterinary internal medicine2021

The accuracy and precision of insulin administration using human and veterinary pen-injectors and syringes for administration of insulin.

Eleonora Malerba, Federico Fracassi, Francesca Del Baldo, Stefania Golinelli, Martina Ceccherini, Andrea Barbarossa

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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.

Eleonora MalerbaDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.ORCID https://orcid.org/0000-0002-5998-9058
Federico FracassiDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.ORCID https://orcid.org/0000-0003-3121-2199
Francesca Del BaldoDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.
Stefania GolinelliDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.
Martina CeccheriniDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.
Andrea BarbarossaDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.ORCID https://orcid.org/0000-0002-7742-4229
University of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany diabetic dogs and cats require small doses of insulin that must be administered accurately.

objectivesTo compare the accuracy and precision of insulin syringes and pen-injectors. ANIMALS: None.

methodsTo determine how accurately and precisely insulin doses are delivered, 0.5, 1, 2, 4, 8, and 16 U doses were dispensed 25 times from 5 SoloSTARs, 5 FlexPens, 5 KwikPens, 5 JuniorSTARs, 5 VetPens 0.5-8 U, 5 VetPens 1-16 U, and by 5 veterinarians using 30 U/0.3 mL and 40 U/mL insulin syringes. Each dose was weighed, using a precision balance, and the intended and delivered doses were compared.

resultsAll pen-injectors delivered less insulin than the intended dose, underdosage being inversely proportional to insulin dose. The differences between the intended and the delivered dose were not significant using JuniorSTAR and VetPen 0.5-8 U at insulin doses of 0.5, 1, 2, and 4 U, using the 30 U/0.3 mL insulin syringe at the 4 U dose and using the 40 U/mL insulin syringe at the 4, 8, and 16 U doses. With all the devices, precision increased with increasing doses of insulin. The coefficient of variation was <8% for all 6 pen-injectors. Conversely, using 30 U/0.3 mL and 40 U/mL syringes at an insulin dosage of 0.5 U the coefficients of variation were 12.08% and 9.39%, respectively. CONCLUSIONS AND CLINICAL IMPORTANCE: JuniorSTAR and VetPen 0.5-8 U were more accurate than the other devices when delivering ≤2 U doses, while the delivery of 8 and 16 U doses was more accurate using 40 U/mL syringes.

Indexed as

Cat DiseasesDiabetes MellitusDog DiseasesAnimalsCatsDogsHumansHypoglycemic AgentsInsulinSyringesHypoglycemic AgentsInsulincaninecartridgedevicediabetes mellitusfelineinsulinpen-injectorsyringe

Identifiers

PMID33991138
PMCPMC8163132
OpenAlexW3161579271

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.