Evidence map›Paper›PMID 36400169›Full record

ArticleDiabetes research and clinical practice2022

Role of telemedicine during COVID-19 pandemic in type 2 diabetes outpatients: The AMD annals initiative.

Giuseppina T Russo, Francesco Andreozzi, Mariella Calabrese, Paolo Di Bartolo, Graziano Di Cianni, Carlo Bruno Giorda, Emanuela Lapice, Elisa Manicardi, Annalisa Giandalia, Giuseppe Lucisano and 7 more

Open access · greenAbstract read
In one paragraph

Article in Diabetes research and clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Telemedicine Visit Use and Glycemic Control in Patients With Diabetes.The Journal of clinical endocrinology and metabolism · 2025
    Article
  5. Article
  6. Article
  7. Article
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  9. 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

17 authors at 3 institutions in 1 country.

Giuseppina T RussoDepartment of Clinical and Experimental Medicine, University of Messina, Italy.
Francesco AndreozziDepartment of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Italy. Electronic address: andreozzif@unicz.it.
Mariella CalabreseDiabetology and Metabolic Disease, USL Toscana Center, Prato, Italy.
Paolo Di BartoloRavenna Diabetes Center, Dept of Specialist Medicine, Romagna Local Health Authority, Italy.
Graziano Di CianniDiabetes Unit Livorno Hospital, Italy.
Carlo Bruno GiordaDiabetes and Metabolism Unit, ASL Turin 5, Chieri, (TO), Italy.
Emanuela LapiceAsl Na3 sud e Asl Sa, Napoli, Italy.
Elisa ManicardiDiabetology SOS, AUSL of Reggio Emilia, Italy.
Annalisa GiandaliaDepartment of Clinical and Experimental Medicine, University of Messina, Italy.
Giuseppe LucisanoCORESEARCH - Center for Outcomes Research and Clinical Epidemiology, Pescara, Italy.
Antonio NicolucciCORESEARCH - Center for Outcomes Research and Clinical Epidemiology, Pescara, Italy.
Alberto RoccaDiabetology and Metabolic Diseases UOS, "G.Segalini", H.Bassini Cinisello Balsamo, ASST Nord Milan, Italy.
Maria Chiara RossiCORESEARCH - Center for Outcomes Research and Clinical Epidemiology, Pescara, Italy.
Emanuele SpreaficoUOSD of Endocrine and Metabolic Disease and Nutrition, ASST Brianza, Pio XI Hospital, Desio, (MB), Italy.
Giacomo VespasianiMedical Consultant of Meteda, Italy.
Valeria ManicardiAMD Foundation, Reggio Emilia, Italy.
AMD Annals study group
Center for Outcomes Research and Clinical Epidemiology · ITUniversity of Messina · ITOspedale di Livorno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTelemedicine is advocated as a fundamental tool in modern clinical management. However, data on the effects of telemedicine vs face-to-face consultation on clinical outcomes in type 2 diabetes (T2DM) are still uncertain. This paper describes the use of telemedicine during the 2020 COVID-19 emergency and compares volume activity and quality indicators of diabetes care between face-to-face vs telemedicine counseling in the large cohort of T2DM patients from the AMD Annals Initiative.

methodsDemographic and clinical characteristics, including laboratory parameters, rate of the screening of long-term complications, current therapies and the Q-score, a validated score that measures the overall quality of care, were compared between 364,898 patients attending face-to-face consultation and 46,424 on telemedicine, during the COVID-19 pandemic.

resultsPatients on telemedicine showed lower HbA1c levels (7.1 ± 1.2 % vs 7.3 ± 1.3 %, p < 0.0001), and they were less frequently treated with metformin, GLP1-RAs and SGLT2i and more frequently with DPP4i. The telemedicine group showed reduced monitoring of the various parameters considered as process indicators, especially, eye and foot examination. The proportion of patients with a good quality of care (Q score > 25) was higher among those receiving face-to-face consultation. Moreover, in the telemedicine group, all major clinical outcomes remained stable when further compared to those collected in the year 2019, when the same patients underwent a regular face-to-face consultation, suggesting that the care provided through telemedicine did not negatively affect the most important parameters.

conclusionsDuring the COVID-19 pandemic, telemedicine provided an acceptable quality of diabetes care, comparable to that of patients attending face-to-face consultation, although a less frequent screening of complications seems to have occurred in subjects consulted by telemedicine.

Indexed as

COVID-19Diabetes Mellitus, Type 2TelemedicineHumansOutpatientsPandemicsAMD AnnalsCOVID-19T2DMTelemedicine

Identifiers

PMID36400169
PMCPMC9663380
OpenAlexW4309571601

What OpenQuestion holds

Textmetadata
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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.