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

Franz 1995.

Study characteristics
Methods Effectiveness of medical nutrition therapy provided by dietitians in the management of non‐insulin‐dependent diabetes mellitus: a randomized, controlled clinical trial
Patient RCT, conducted in diabetes centres in Minnesota, Florida, and Colorado, USA
Two arms: 1. BC Group ‐ basic nutrition care (control arm) and 2. PGC group ‐ practice guidelines nutrition care (intervention arm)
Participants Control arm N: 85
Intervention arm N: 94
Diabetes type: type 2
Mean age: 56.4 ± 7.8
% Male: 44.1
Longest follow‐up: 6 months
Interventions Control arm:
1) Patient education
Intervention arm:
1) Team changes
2) Patient education
3) Promotion of self‐management
Outcomes 1) HbA1c, mean % (SD)
Control arm: pre 8.3 (1.9), post 7.6 (1.7)
Intervention arm: pre 8.3 (1.8), post 7.4 (1.3)
2) LDL, mean mg/dL (SD)
Control arm: pre 135.4 (38.7), post 135.7 (44.5)
Intervention arm: pre 129.2 (38.7), post 125.7 (30.2)
Funding source This research was funded by The American Dietetic Association
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Information not available.
Allocation concealment (selection bias) Unclear risk Information not available.
Patient's baseline characteristics (selection bias) Low risk Information not available.
Patient's baseline outcomes (selection bias) Low risk Information not available.
Incomplete outcome data (attrition bias) Unclear risk They do not report the numbers of dropouts by group, so unclear risk.
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) Unclear risk The doctors were aware of the allocation and could have treated the dietician group differently. Also, the control group did see the dietician once and this could have made a huge impact on the control group.
Other bias Low risk Information not available.