Chan 2012.
Study characteristics | ||
Methods |
A pharmacist care program: positive impact on cardiac risk in patients with type 2 diabetes Patient RCT, conducted in a diabetes clinic of Tung Wah Eastern Hospital, Hong Kong (public convalescent hospital), Hong Kong Two arms: 1) Control group (control arm) and 2) Intervention group (intervention arm) |
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Participants | Control arm N: 54 Intervention arm N: 51 Diabetes type: type 2 Mean age: NR ± NR % Male: NR Longest follow‐up: 9 months |
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Interventions |
Control arm: None Intervention arm: 1) Case management 2) Team changes 3) Patient education 4) Patient reminders |
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Outcomes | 1a) Aspirin, N users (%) Control arm: pre 32 (59), post 31 (57) Intervention arm: pre 37 (73), post 38 (75) 1b) Aspirin (clopidogrel), N users (%) Control arm: pre 1 (2), post 3 (6) Intervention arm: pre 1 (2), post 1 (2) 1c) Aspirin (other type of anti‐platelets), N users (%) Control arm: pre 23 (43), post 22 (41) Intervention arm: pre 17 (33), post 17 (33) 2) Statins, N users (%) Control arm: pre 33 (61), post 36 (67) Intervention arm: pre 38 (75), post 39 (76) 3a) Antihypertensives (a‐blocker), N users (%) Control arm: pre 7 (13), post 7 (13) Intervention arm: pre 4 (8), post 5 (10) 3b) Antihypertensives (a2 Agonists), N users (%) Control arm: pre 1 (2), post 1 (2) Intervention arm: pre 2 (4), post 2 (4) 3c) Antihypertensives (ACE inhibitor), N users (%) Control arm: pre 31 (57), post 33 (61) Intervention arm: pre 32 (63), post 29 (57) 3d) Antihypertensives (angiotensin II receptor blockers), N users (%) Control arm: pre 11 (20), post 12 (22) Intervention arm: pre 13 (25), post 15 (29) 3e) Antihypertensives (calcium channel blocker), N users (%) Control arm: pre 25 (46), post 25 (46) Intervention arm: pre 29 (57), post 28 (55) 3f) Antihypertensives (diuretic), N users (%) Control arm: pre 13 (24), post 17 (31) Intervention arm: pre 15 (29), post 13 (25) 3g) Antihypertensives (ß‐blocker), N users (%) Control arm: pre 27 (50), post 30 (56) Intervention arm: pre 27 (53), post 29 (57) 3h) Antihypertensives (vasodilators), N users (%) Control arm: pre 1 (2), post 1 (2) Intervention arm: pre 3 (6), post 3 (6) 4) HbA1c, mean % (SD) Control arm: pre 9.5 (1.8), post 9.1 (NR) Intervention arm: pre 9.7 (1.4), post 8.1 (NR) 5) SBP, mean mmHg (SD) Control arm: pre 138.0 (19.0), post 134.8 (NR) Intervention arm: pre 141.0 (24.0), post 134.5 (NR) 6) DBP, mean mmHg (SD) Control arm: pre 74.0 (11.0), post 73.3 (NR) Intervention arm: pre 75.0 (11.0), post 72.2 (NR) 7) LDL, mean mg/dL (SD) Control arm: pre 107.1 (28.6), post 106.0 (NR) Intervention arm: pre 101.3 (32.9), post 87.4 (NR) 8) Smoking cessation, N smokers (%) Control arm: pre 4 (7), post 4 (7) Intervention arm: pre 4 (8), post 3 (6) |
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Funding source | The author(s) disclosed receipt of the following financial support for the research and/or authorship of this article: the School of Pharmacy, The Chinese University of Hong Kong and the Diabetes Research Fund, Diabetes Hong Kong | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "computer generated." |
Allocation concealment (selection bias) | Unclear risk | Quote: "…and sealed in envelopes labeled with consecutive numbers. The envelopes were opened in the clinic in ascending manner…" Opaque envelopes? |
Patient's baseline characteristics (selection bias) | Low risk | Characteristics balanced between groups. |
Patient's baseline outcomes (selection bias) | Low risk | Information not available. |
Incomplete outcome data (attrition bias) | Low risk | No losses to follow‐up; intention‐to‐treat analysis. Baseline based on those randomised. |
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | High risk | Quote: "Blinding of participants and investigators was not possible in our study". Unsure if pharmacist was outcome collector. Objective methods not described. |
Selective reporting (reporting bias) | Low risk | < 2005 approach used since no protocol; methods match outcomes. |
Risk of contamination (other bias) | Low risk | Information not available. |
Other bias | Low risk | No evidence of other bias |