Evidence map›Paper›PMID 37185903›Full record

Trial reportActa diabetologica2023

Effectiveness of a comprehensive telemedicine intervention replacing standard care in gestational diabetes: a randomized controlled trial.

Ana Munda, Zala Mlinaric, Petra Ana Jakin, Mojca Lunder, Drazenka Pongrac Barlovic

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta diabetologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05521893 (Effectiveness of Telemedicine Care Replacing Standard Care in Gestational Diabetes), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
6.5field-weighted citation impact, top 3% 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.

NCT05521893 nacompletednot on this map

Effectiveness of Telemedicine Care Replacing Standard Care in Gestational Diabetes: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity Medical Centre LjubljanaRan2020 to 2021Enrolled105ConditionsGestational DiabetesArmsTelemedicine care, Standard care
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  5. Trial
  6. Continuous Glucose Monitoring in Gestational Diabetes Mellitus: Evidence, Clinical Benefits and Remaining Challenges.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
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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

5 authors at 2 institutions in 1 country.

Ana MundaUniversity Medical Centre Ljubljana, Department of Endocrinology, Diabetes and Metabolic Diseases, Zaloska Cesta 7, 1000, Ljubljana, Slovenia.
Zala MlinaricFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Petra Ana JakinFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Mojca LunderUniversity Medical Centre Ljubljana, Department of Endocrinology, Diabetes and Metabolic Diseases, Zaloska Cesta 7, 1000, Ljubljana, Slovenia.
Drazenka Pongrac BarlovicUniversity Medical Centre Ljubljana, Department of Endocrinology, Diabetes and Metabolic Diseases, Zaloska Cesta 7, 1000, Ljubljana, Slovenia. drazenka.pongrac@gmail.com.ORCID http://orcid.org/0000-0003-1975-0816
University of Ljubljana · SILjubljana University Medical Centre · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTelemedicine improves glycemic and perinatal outcomes when used as an adjunct to standard care in gestational diabetes (GDM). Little is known about its effectiveness when used instead of standard care. We aimed to compare the outcomes of telemedicine care and the standard care in women with GDM.

methodsIn a single-center, parallel, randomized controlled trial, women were randomized to: (1) a telemedicine group, sending glucose readings via an application installed on a smartphone and monthly individual video calls replacing on-site visits or (2) standard care group with routine monthly on-site visits. The primary outcome was the effectiveness of glycemic control. The secondary outcomes were gestational weight gain (GWG) and perinatal data, including birth weight, gestational age, the incidence of the offspring large for gestational age, preterm birth, preeclampsia and cesarean section.

resultsA total of 106 women were randomized to the telemedicine (n = 54) and the standard care group (n = 52). The telemedicine group demonstrated less postprandial measurements above the glycemic target (10.4% [3.9-17.9] vs. 14.6% [6.5-27.1]; p = 0.015), together with lower average postprandial glucose (5.6 ± 0.3 vs. 5.9 ± 0.4; p = 0.004). Percentage of cesarean section was lower in the telemedicine group (9 (17.3%) vs. 18 (35.3%); p = 0.038).

conclusionsTelemedicine offers an effective alternative to delivering care to women with GDM. Trial registration NCT05521893, ClinicalTrials.gov Identifier URL: https://www. CLINICALTRIALS: gov/ct2/show/NCT05521893?term=NCT05521893&draw=2&rank=1.

Indexed as

Diabetes, GestationalPremature BirthTelemedicineCesarean SectionFemaleGlucoseHumansInfant, NewbornPregnancyGlucoseCesarean sectionGestational diabetesLGA (large for gestational age)Standard careTelemedicine

Identifiers

PMID37185903
PMCPMC10129305
OpenAlexW4366976843

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.