Mahwi 2013.
Study characteristics | ||
Methods |
Role of the pharmaceutical care in the management of patients with type 2 diabetes mellitus RCT (NA clusters and NA providers), conducted in 1) Study was conducted at Diabetic Center in Sulaimani, Kurdistan‐Iraq. 2) Intervention provided by pharmacists. In Iraq. 2 arms: 1. Control (usual medical care) (control arm) and 2. Intervention (pharmaceutical care) (intervention arm) |
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Participants | Control arm N: 65 Intervention arm N: 65, NA, NA Diabetes type: 2 Mean age: 52.69 ± 10.1 % Male: 30.88 Longest follow‐up: 3 months |
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Interventions |
Control arm: (usual medical care) Intervention arm: (pharmaceutical care) 1) Case management 2) Team change |
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Outcomes | Glycated haemoglobin | |
Funding source | This study was funded by an American Diabetes Association Core Research Award | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | In this study, patients were divided into 2 groups by simple randomisation technique; the first group is the intervention group, who received pharmaceutical care, while the second one is the control group who only received traditional medical care. |
Allocation concealment (selection bias) | Unclear risk | Not reported. |
Patient's baseline characteristics (selection bias) | Unclear risk | There are more hyperlipidaemic patients in intervention than control (33% vs 24%). Duration of diabetes seems shorter for the intervention group. No P values calculated for all baseline characteristics. |
Patient's baseline outcomes (selection bias) | High risk | At baseline, FPG value were 211 ± 70.3 vs 249 ± 88.9 in the control and intervention groups. At baseline, HbA1c value were 9.97 ± 2.75 vs 11.53 ± 1.83 in the control and intervention groups. No P values reported. |
Incomplete outcome data (attrition bias) | Low risk | 7 lost to follow‐up out of 130 (5.4%). The 7 patients were excluded because they came too late after first or second visits. |
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | Low risk | Objective outcome (HbA1c). |
Selective reporting (reporting bias) | Unclear risk | No registered protocol or previously published protocol. Results match methods. |
Risk of contamination (other bias) | Low risk | Given the intervention is case management, contamination is not a concern. Patients individually met a pharmacist or they were called by him. Patients do not see each other. |
Other bias | Low risk | No evidence of other bias. |