Korcegez 2017.
| Study characteristics | ||
| Methods |
Effect of a pharmacist‐led program on improving outcomes in patients with type 2 diabetes mellitus from northern Cyprus: a randomized controlled trial RCT (NA clusters and NA providers), conducted in 1) a 186‐bed public hospital’s outpatient diabetes clinic in Gazimagusa, Northern Cyprus. 2) There were 2 nurses and 5 physicians (in rotation during week days) providing service to 30 patients a day at the outpatient diabetes clinic. A research clinical pharmacist worked 3 hours per day during weekdays at the outpatient diabetes clinic. In Cyprus. 2 arms: 1. Control (standard care) (control arm) and 2. Intervention (pharmacist care) (intervention arm) |
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| Participants | Control arm N: 80 Intervention arm N: 79, NA, NA Diabetes type: 2 Mean age: 62.01 ± 7.3 % Male: 24.37 Longest follow‐up: 12 months |
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| Interventions |
Control arm: (standard care) Intervention arm: (pharmacist care) 1) Case management 2) Team change 3) Patient education 4) Promotion of self‐management |
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| Outcomes | Glycated haemoglobin Systolic blood pressure Diastolic blood pressure Low‐density lipoprotein |
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| Funding source | This study was conducted as a PhD thesis by Korcegez under the supervision of Sancar for the clinical pharmacy program at Near East University, Health Sciences Institute, Northern Cyprus, and received no external funding. | |
| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | High risk | Eligible patients were randomised to each group using the registration number. |
| Allocation concealment (selection bias) | Unclear risk | Not reported. |
| Patient's baseline characteristics (selection bias) | Low risk | Table 1. P values provided and greater than 0.05 for characteristics. |
| Patient's baseline outcomes (selection bias) | Low risk | Table 1. Outcomes look balanced between groups. |
| Incomplete outcome data (attrition bias) | Low risk | 3/80 lost in control group (4%), 4/79 lost in intervention group (5%), reasons provided. |
| Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | Low risk | Objectively measured outcomes: HbA1c, BP, LDL. |
| Selective reporting (reporting bias) | Unclear risk | No registered protocol available, however all outcomes in methods are reported in results. |
| Risk of contamination (other bias) | Low risk | Some cross‐contamination between participants in the usual care and intervention groups might also have occurred because the participants were attending the same outpatient diabetes clinic, which was located in a small community where many residents have close relationships. |
| Other bias | Low risk | No evidence of other bias. |