Evidence map›Paper›PMID 37949471›Full record

ArticleBMJ open diabetes research & care2023

Awareness and knowledge of diabetic ketoacidosis in people with type 1 diabetes: a cross-sectional, multicenter survey.

Matthias Hepprich, Pia Roser, Sebastian Stiebitz, Barbara Felix, Bernd Schultes, Daniela Schmitz, Jonas Rutishauser, Sabine Schubert, Jens Aberle, Gottfried Rudofsky

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open diabetes research & care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

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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

10 authors at 5 institutions in 2 countries.

Matthias HepprichDivision of Endocrinology, Diabetes and Metabolism, University Hospital Basel and University of Basel, Basel, Switzerland matthias.hepprich@usb.ch.ORCID 0000-0002-6905-6235
Pia RoserDepartment of Endocrinology and Diabetology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Sebastian StiebitzVitasphère Gesundheitszentrum Oensingen, Oensingen, Switzerland.
Barbara FelixDivision of Endocrinology, Department of Internal Medicine, Cantonal Hospital Basel-Landschaft Campus Bruderholz, Binningen, Switzerland.
Bernd SchultesMetabolic Center St Gallen, friendlyDocs, St Gallen, Switzerland.ORCID 0000-0002-5301-1163
Daniela SchmitzEndocrinology, Hospital Rheinfelden, Rheinfelden, Switzerland.
Jonas RutishauserMedCenter Volta Basel, Basel, Switzerland.
Sabine SchubertDiabetespraxis Buxtehude, Buxtehude, Germany.
Jens AberleDepartment of Endocrinology and Diabetology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Gottfried RudofskyPraxis für Endokrinologie, Diabetes und Adipositas, Olten, Switzerland.
Universität Hamburg · DEKantonsspital Baselland Standort Bruderholz · CHReha Rheinfelden · CHUniversity of Basel · CHUniversity of St.Gallen · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo evaluate awareness and knowledge of diabetic ketoacidosis (DKA), a common and potentially life-threatening complication in people living with type 1 diabetes (T1D). RESEARCH DESIGN AND

methodsA survey was developed to assess individuals' current knowledge, management, and unmet needs regarding DKA. The study was conducted in six Swiss and three German endocrine outpatient clinics specialized in the treatment of diabetes.

resultsA total of 333 participants completed the questionnaire (45.7% female, mean age of 47 years, average duration of T1D at 22 years). Surprisingly, 32% of individuals were not familiar with the term 'diabetic ketoacidosis'. Participants rated their own knowledge of DKA significantly lower than their physicians (p<0.0001). 46% of participants were unable to name a symptom of DKA, and 45% were unaware of its potential causes. 64% of participants did not test for ketones at all. A significant majority (67%) of individuals expressed the need for more information about DKA.

conclusionsIn patients treated in specialized centers, knowledge of DKA was found to be inadequate, with a lack of understanding regarding symptoms and causes. Healthcare professionals tended to overestimate individuals' knowledge. Future efforts should focus on addressing these knowledge gaps and incorporating protective factors into the treatment of T1D.

Indexed as

Diabetes Mellitus, Type 1Diabetic KetoacidosisAmbulatory Care FacilitiesCross-Sectional StudiesFemaleHumansKetonesMaleMiddle AgedKetonesdiabetes mellitus, type 1diabetic ketoacidosisknowledgepatient-centered care

Identifiers

PMID37949471
PMCPMC10649772
OpenAlexW4388575870

What OpenQuestion holds

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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.