Evidence map›Paper›PMID 37663860›Full record

ArticleFrontiers in public health2023

Clinical outcomes of a digitally supported approach for self-management of type 2 diabetes mellitus.

Vincenzo De Luca, Lutgarda Bozzetto, Clemente Giglio, Giovanni Tramontano, Giuseppina De Simone, Antonio Luciano, Luigi Lucibelli, Ada Maffettone, Michele Riccio, Geremia Romano and 6 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Frontiers in public health, 2023. 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
4.8field-weighted citation impact, top 5% 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, 11 citations in OpenAlex.

  1. Pooled it
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  3. Multidimensional determinants of active and healthy aging trajectories: a position paper from the Age-It Research Program.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
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  4. Article
  5. Review
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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

16 authors at 4 institutions in 1 country.

Vincenzo De LucaDipartimento di Sanità Pubblica, Università degli Studi di Napoli Federico II, Naples, Italy.
Lutgarda BozzettoDipartimento di Medicina Clinica e Chirurgia, Università degli Studi di Napoli Federico II, Naples, Italy.
Clemente GiglioDipartimento di Medicina Clinica e Chirurgia, Università degli Studi di Napoli Federico II, Naples, Italy.
Giovanni TramontanoUnità Operativa Semplice Ricerca e Sviluppo, Azienda Ospedaliera Universitaria Federico II, Naples, Italy.
Giuseppina De SimoneAzienda Sanitaria Locale Napoli 3 Sud, Naples, Italy.
Antonio LucianoAzienda Sanitaria Locale Benevento, Benevento, Italy.
Luigi LucibelliAzienda Sanitaria Locale Napoli 3 Sud, Naples, Italy.
Ada MaffettoneAzienda Ospedaliera di Rilievo Nazionale dei Colli, Naples, Italy.
Michele RiccioAzienda Sanitaria Locale Napoli 2 Nord, Naples, Italy.
Geremia RomanoAzienda Sanitaria Locale Napoli 2 Nord, Naples, Italy.
Ernesto RossiAzienda Sanitaria Locale Benevento, Benevento, Italy.
Carlos Juan ChiattiGnomon Informatics SA, Thessaloniki, Greece.
Alexander BerlerGnomon Informatics SA, Thessaloniki, Greece.
Guido IaccarinoDipartimento Assistenziale Integrato di Endocrinologia, Diabetologia, Andrologia e Nutrizione, Azienda Ospedaliera Universitaria Federico II, Naples, Italy.
Maddalena IllarioDipartimento di Sanità Pubblica, Università degli Studi di Napoli Federico II, Naples, Italy.
Giovanni AnnuzziDipartimento Assistenziale Integrato di Endocrinologia, Diabetologia, Andrologia e Nutrizione, Azienda Ospedaliera Universitaria Federico II, Naples, Italy.
ASL Roma · ITFederico II University Hospital · ITUniversity of Naples Federico II · ITAzienda di Rilievo Nazionale ed Alta Specializzazione · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Self-management of Type 2 diabetes mellitus (T2D) is challenging. Regular self-monitoring of blood glucose and healthy lifestyles are required to improve glycometabolic control, thus delaying diabetes complications, and reducing hospitalizations. Digital technologies can empower patients in their disease management promoting self-management and motivation to change behaviors. We report the results of an exploratory trial aimed at evaluating the metabolic outcomes of using digital solutions for T2D self-management developed in the ProEmpower project, a European Commission funded Pre-Commercial Procurement. Methods: Two digital solutions, DM4All and DiaWatch, which were codesigned with providers, patients, and caregivers, enabled the collection of clinical parameters by the patient using a smartphone integrated with the medical devices (glucometer, sphygmomanometer, scale, smart watch for heart rate monitoring and step counter). Data were automatically sent to the shared care plan allowing professionals to monitor adherence to treatment, set goals, and communicate more effectively with patients. At baseline and after an average follow-up of 8 months, glycosylated hemoglobin (HbA1c), body weight, blood pressure, and blood lipids were measured in 100 T2D patients using the ProEmpower solutions across different diabetes centers in Campania Region, age 45-79  years, both genders, and compared with a Control cohort of T2D patients ( Results: At baseline, the ProEmpower participants and the Control subjects were on average overweight, with a similar BMI in the two cohorts, and mean HbA1c was at acceptable levels (around 7.0%). After the 8 month exploratory trial, body weight, HbA1c, systolic and diastolic blood pressure, and plasma and LDL-cholesterol significantly decreased in the ProEmpower participants compared to baseline ( Conclusion: This pilot study showed positive effects on metabolic outcomes relevant to cardiovascular risk in T2D of adopting digital telemedicine self-monitoring solutions based on automation of measurements and coaching on healthy lifestyles promotion.

Indexed as

Diabetes Mellitus, Type 2Self-ManagementAgedBody WeightCholesterol, LDLFemaleGlycated HemoglobinHumansMaleMiddle AgedPilot ProjectsCholesterol, LDLGlycated Hemoglobindigital healthmHealthpatient empowermentself-managementtelehealthtelemedicinetype 2 diabetes mellitus

Identifiers

PMID37663860
PMCPMC10469625
OpenAlexW4385966835

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.