Evidence map›Paper›PMID 38200933›Full record

ReviewHealthcare (Basel, Switzerland)2023

Exploring the Effectiveness of Self-Management Interventions in Type 2 Diabetes: A Systematic Review and Network Meta-Analysis.

Sofia Tsokani, Georgios Seitidis, Christos Christogiannis, Katerina-Maria Kontouli, Stavros Nikolakopoulos, Stella Zevgiti, Carola Orrego, Marta Ballester, Rosa Suñol, Monique Heijmans and 9 more

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Trial
  4. Trial
  5. Article
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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

19 authors.

Sofia TsokaniDepartment of Primary Education, University of Ioannina, 451 10 Ioannina, Greece.
Georgios SeitidisDepartment of Primary Education, University of Ioannina, 451 10 Ioannina, Greece.ORCID 0000-0003-0856-1892
Christos ChristogiannisDepartment of Primary Education, University of Ioannina, 451 10 Ioannina, Greece.ORCID 0000-0003-1157-3050
Katerina-Maria KontouliDepartment of Primary Education, University of Ioannina, 451 10 Ioannina, Greece.
Stavros NikolakopoulosDepartment of Psychology, University of Ioannina, 451 10 Ioannina, Greece.
Stella ZevgitiDepartment of Primary Education, University of Ioannina, 451 10 Ioannina, Greece.
Carola OrregoAvedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.ORCID 0000-0002-2978-6268
Marta BallesterAvedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.
Rosa SuñolAvedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.ORCID 0000-0003-1902-833X
Monique HeijmansNetherlands Institute of Health Services Research, 3513 CR Utrecht, The Netherlands.
Rune PoortvlietNetherlands Institute of Health Services Research, 3513 CR Utrecht, The Netherlands.
Marieke van der GaagNetherlands Institute of Health Services Research, 3513 CR Utrecht, The Netherlands.
Pablo Alonso-CoelloIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.ORCID 0000-0002-8001-8504
Carlos Canelo-AybarIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.
Jessica BeltranIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain.
Ana I González-GonzálezAvedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain.
Gimon de GraafInstitute for Medical Technology Assessment, Erasmus University, 3062 PA Rotterdam, The Netherlands.
Areti-Angeliki VeronikiKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON M5B 1T8, Canada.
Dimitrios MavridisDepartment of Primary Education, University of Ioannina, 451 10 Ioannina, Greece.

Funding

European Union's Horizon 2020 Research and Innovation Programme 754936
6 · The paper itself

Abstract

backgroundChronic diseases are a leading cause of global morbidity and mortality. In response to this challenge, self-management interventions (SMIs) have emerged as an essential tool in improving patient outcomes. However, the diverse and complex nature of SMIs pose significant challenges in measuring their effectiveness. This work aims to investigate the comparative effectiveness of SMIs on Type 2 diabetes mellitus (T2DM) outcomes.

methodsA rigorous analytical framework was employed to assess the relative effectiveness of different SMIs, encompassing both pairwise and network meta-analysis (NMA), as well as component network meta-analysis (CNMA). Various outcomes were considered, including glycated hemoglobin (HbA1c) control, body mass index (BMI) reduction and low-density lipoprotein (LDL) cholesterol. Visualization tools were also utilized to enhance the interpretation of results.

resultsSMIs were found promising in improving clinical outcomes and patient-reported measures. However, considerable heterogeneity and inconsistency across studies challenged the validity of NMA results. CNMA along with various visualization tools offered insights into the contributions of individual SMI components, highlighting the complexity of these interventions. DISCUSSION/

conclusionsSMIs represent a valuable approach to managing chronic conditions, but their effectiveness is context-dependent. Further research is needed to elucidate the contextual factors influencing SMI outcomes. This work contributes to a comprehensive understanding of SMIs' role in T2DM management, aiming to aid decision-makers, clinicians, and patients in selecting tailored interventions.

Indexed as

component network meta-analysisnetwork meta-analysisself-management interventionstype 2 diabetes

Identifiers

PMID38200933
PMCPMC10779199

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.