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

Hoskins 1993.

Study characteristics
Methods Sharing the care of diabetic patients between hospital and general practitioners: does it work?
Patient RCT, conducted in diabetic clinic at Royal Prince Alfred Hospital in New South Wales, Australia
Three arms: 1. GP care (control arm), 2. Clinic care (intervention arm 1) and 3. Shared care (intervention arm 2)
Participants Control arm N: 72
Intervention arm 1 N: 65
Intervention arm 2 N: 69
Diabetes type: type I and type 2
Mean age: 53.4 ± 13.3
% Male: 51.3
Longest follow‐up: 12 months
Interventions Control arm:
None
Intervention arm 1:
1) Team changes
Intervention arm 2:
1) Team changes
2) Clinician reminders
3) Patient education
4) Patient reminders
Outcomes 1) HbA1c, mean % (SD)
Control arm: pre 8.4 (2.6), post 6.9 (1.3)
Intervention arm 1: pre 8.9 (2.5), post 7.3 (1.6)
Intervention arm 2: pre 8.5 (2.2), post 6.6 (1.6)
2) SBP, mean mmHg (SD)
Control arm: pre 148.0 (23.0), post 136.0 (14.0)
Intervention arm 1: pre 150.0 (23.0), post 133.0 (19.0)
Intervention arm 2: pre 145.0 (24.0), post 130.0 (25.0)
3) DBP, mean mmHg (SD)
Control arm: pre 90.0 (15.0), post 81.0 (11.0)
Intervention arm 1: pre 90.0 (13.0), post 81.0 (13.0)
Intervention arm 2: pre 88.0 (13.0), post 81.0 (11.0)
Funding source This study was supported by a Diabetes Australia/APEX Research Grant and an award from the Ames Division of Bayer, Australia
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) 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) Unclear risk Information not available.
Other bias Low risk Information not available.