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

Kulzer 2018.

Study characteristics
Methods Integrated personalized diabetes management improves glycemic control in patients with insulin‐treated type 2 diabetes: Results of the PDM‐ProValue study program
Clustered RCT (101 clusters and NR providers), conducted in 1) General practitioner (GP) practices and diabetes specialist practitioner (DSP) practices across Germany 2) GP and diabetes specialists in Germany
2 arms: 1. Control (usual care) (control arm) and 2. Intervention (iPDM‐Integrated personalised diabetes management) (intervention arm)
Participants Control arm N: 494
Intervention arm N: 475, NA, NA
Diabetes type: 2
Mean age: 64.71 ± 8.3
% Male: 58.13
Longest follow‐up: 12 months
Interventions Control arm: (usual care)
Intervention arm: (iPDM ‐ integrated personalised diabetes management)
1) Electronic patient registry
2) Clinician education
3) Facilitated relay of clinical information
4) Patient education
5) Promotion of self‐management
Outcomes Glycated haemoglobin
Harms
Funding source This work was supported by funding from Roche Diabetes Care Deutschland GmbH, Germany
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk GP and DSP practices were randomly assigned (by means of centralised permuted‐block randomisation) to the intervention group (iPDM) or the control group (CNL).
Allocation concealment (selection bias) Low risk Cluster trial ‐ GP and DSP practices were randomly assigned.
Provider's baseline characteristics (selection bias) High risk Not reported.
Patient's baseline characteristics (selection bias) Low risk Most characteristics are balanced.
Patient's baseline outcomes (selection bias) Low risk Data looks balanced.
Incomplete outcome data (attrition bias) Low risk 50/494 (10%) discontinued from control group, 56/475 (12%) discontinued from intervention group; 27/494 (5%) in control group not included in analysis, 35/475 (7%) in intervention group. Reasons provided.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Low risk All measurements were performed by a central laboratory.
Selective reporting (reporting bias) Low risk Prospectively registered protocol, primary outcomes match, however secondary outcomes in protocol are vague ("effects of integrated Personalized Diabetes Management").
Risk of contamination (other bias) Low risk Cluster at the clinic level.
Other bias Low risk No evidence of other risk of bias.