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

Frijling 2002.

Study characteristics
Methods Multifaceted support to improve clinical decision making in diabetes care: a randomized controlled trial in general practice
Cluster‐RCT (124 clusters with 185 providers), conducted in the Netherlands
Two arms: 1. Control (control arm) and 2. Intervention (intervention arm)
Participants Control arm N: 707
Intervention arm N: 703
Diabetes type: type 2
Mean age: 65.0 ± 11.5
% Male: 44.6
Longest follow‐up: 21 months
Interventions Control arm:
None
Intervention arm:
1) Audit and feedback
2) Clinician education
3) Continuous quality improvement
Outcomes 1) Retinopathy screening (eye exam), N screened (%)
Control arm: pre 474 (67), post 469 (65)
Intervention arm: pre 492 (70), post 575 (79)
2) Foot screening, N screened (%)
Control arm: pre 276 (39), post 346 (48)
Intervention arm: pre 302 (43), post 451 (62)
Funding source This study was supported by a research grant from the Netherlands Heart Foundation
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Information not available.
Allocation concealment (selection bias) Low risk Information not available.
Provider's baseline characteristics (selection bias) Unclear risk Table 1 ‐ no P values reported, looks balanced, # physicians not reported.
Patient's baseline characteristics (selection bias) Unclear risk Table 1 ‐ no education level reported, age and gender looks balanced, no P values.
Patient's baseline outcomes (selection bias) Unclear risk Table 1 shows the data (for uncontrolled glucose) and the P values are not significant. No other information on other outcomes.
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.