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. 2023 May 31;2023(5):CD014513. doi: 10.1002/14651858.CD014513

Dijkstra 2008.

Study characteristics
Methods Implementing diabetes passports to focus practice reorganization on improving diabetes care
Cluster‐RCT (40 clusters with 61 providers), conducted in practices in the middle and south regions of The Netherlands
Two arms: 1. Control (control arm) and 2. Intervention (intervention arm)
Participants Control arm N: 1055
Intervention arm N: 1004
Diabetes type: type 2
Mean age: 63.4 ± 9.6
% Male: 49.8
Longest follow‐up: 18 months
Interventions Control arm:
None
Intervention arm:
1) Audit and feedback
2) Clinician education
3) Facilitated relay of clinical information
Outcomes 1) Retinopathy screening (eye exam)
2) Foot screening
3) Renal screening (creatinine)
4a) Controlled hypertension (DBP < 85 mmHg)
4b) Controlled hypertension (SBP < 150 mmHg)
Funding source This study was funded by the Netherlands organisation for health research and development (ZONMW grant number 2300 0018)
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Information not available.
Allocation concealment (selection bias) Low risk Information not available.
Provider's baseline characteristics (selection bias) Unclear risk Data is provided in Table 1 and P values are reported. No significant differences. No report of rural/urban.
Patient's baseline characteristics (selection bias) High risk The patients in the intervention group were more often women than in the control group.
Patient's baseline outcomes (selection bias) Unclear risk Table 3: no P values; looks balanced.
Incomplete outcome data (attrition bias) Low risk Information not available.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Low risk Information not available.
Selective reporting (reporting bias) Low risk Information not available.
Risk of contamination (other bias) Low risk Information not available.
Other bias Low risk Information not available.