Evidence map›Paper›PMID 36809498›Full record

SynthesisEuropean journal of pediatrics2023

Safety, metabolic and psychological outcomes of Medtronic MiniMed 670G in children, adolescents and young adults: a systematic review.

Chiara Mameli, Giulia Marie Smylie, Alessio Galati, Biagio Rapone, Roque Cardona-Hernandez, Gianvincenzo Zuccotti, Maurizio Delvecchio

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in European journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Observational
  9. Review
  10. Safety, Metabolic and Psychological Outcomes of Medtronic MiniMed 780G™ in Children, Adolescents and Young Adults: A Systematic Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Review
  11. Editorial: Technologies for diabetes.Frontiers in endocrinology · 2023
    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

7 authors at 4 institutions in 2 countries.

Chiara MameliDepartment of Pediatrics, Buzzi Children's Hospital, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0003-3385-4128
Giulia Marie Smylie *Department of Pediatrics, Buzzi Children's Hospital, University of Milan, Milan, Italy.
Alessio Galati *Metabolic Disorders and Diabetes Unit, "Giovanni XXIII" Children's Hospital, AOU Policlinico-Giovanni XXIII, Bari, Italy.
Biagio RaponeDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro, 70121, Bari, Italy.ORCID https://orcid.org/0000-0002-0062-6594
Roque Cardona-HernandezDivision of Pediatric Endocrinology, Hospital Sant Joan de Déu, Barcelona, Spain.ORCID https://orcid.org/0000-0002-7067-1657
Gianvincenzo ZuccottiDepartment of Pediatrics, Buzzi Children's Hospital, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0002-2795-9874
Maurizio DelvecchioMetabolic Disorders and Diabetes Unit, "Giovanni XXIII" Children's Hospital, AOU Policlinico-Giovanni XXIII, Bari, Italy. mdelvecchio75@gmail.com.ORCID http://orcid.org/0000-0002-1528-0012
University of Milan · ITOspedale Pediatrico Giovanni XXIII · ITHospital Sant Joan de Déu Barcelona · ESUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hybrid closed loop (HCL) systems are the combination of a pump for insulin delivery and a glucose sensor for continuous glucose monitoring. These systems are managed by an algorithm, which delivers insulin on the basis of the interstitial glucose levels. The MiniMed™ 670G system was the first HCL system available for clinical purpose. In this paper, we reviewed the literature about metabolic and psychological outcomes in children, adolescents and young adults with type 1 diabetes treated with MiniMed™ 670G. Only 30 papers responded to the inclusion criteria and thus were considered. All the papers show that the system is safe and effective in managing glucose control. Metabolic outcomes are available up to 12 months of follow-up; longer study period are lacking. This HCL system may improve HbA1c up to 7.1% and time in range up to 73%. The time spent in hypoglycaemia is almost neglectable. Better improvement in blood glucose control is observed in patients with higher HbA1c at HCL system start and larger daily use of auto-mode functionality.     Conclusion: The Medtronic MiniMed™ 670G is safe and well accepted, without any increase in the burden for patients. Some papers report an improvement in the psychological outcomes, but other papers do not confirm this finding. So far, it significantly improves the management of diabetes mellitus in children, adolescents and young adults. Proper training and support by the diabetes team are mandatory. Studies for a period longer than 1 year would be appreciated to better understand the potentiality of this system. What is Known: • The Medtronic MiniMed

Indexed as

Diabetes Mellitus, Type 1HypoglycemiaAdolescentBlood GlucoseBlood Glucose Self-MonitoringChildGlycated HemoglobinHumansHypoglycemic AgentsInsulinYoung AdultBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinGlucoseHybrid closed loop (HCL) systemsMiniMed™ 670G system

Identifiers

PMID36809498
PMCPMC9942055
OpenAlexW4321435015

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.