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

Peterson 2008.

Study characteristics
Methods Improving diabetes care in practice: findings from the TRANSLATE trial
Cluster‐RCT (24 clusters with 238 providers), conducted in community care practices, USA
Two arms: 1. Control clinics (control arm) and 2. Intervention clinics (intervention arm)
Participants Control arm N: 3819
Intervention arm N: 4588
Diabetes type: type 2
Mean age: 62.8 ± 0.9
% Male: 50.3
Longest follow‐up: 12 months
Interventions Control arm:
1) Audit and feedback
Intervention arm:
1) Audit and feedback
2) Electronic patient registry
3) Clinician education
4) Clinician reminders
5) Patient reminders
Outcomes 1) Retinopathy screening (eye exam)
2) Foot screening
3) Renal screening (microalbumin)
4) HbA1c
5) SBP
6) LDL
7) Controlled hypertension (≤ 130 mmHg baseline and ≤ 140 mmHg final)
Funding source This study was funded by the National Institute of Diabetes, Digestive, and Kidney Disorders, National Institutes of Health Grant 1 R18 DK061709‐01A1, and the National Institutes of Health under Contract HHSN268200425212C, “Re‐engineering the Clinical Research Enterprise”
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Only says statistician.
Allocation concealment (selection bias) Low risk Information not available.
Provider's baseline characteristics (selection bias) High risk Not reported.
Patient's baseline characteristics (selection bias) Unclear risk Table 2 ‐ no education reported, age and gender P > 0.05.
Patient's baseline outcomes (selection bias) High risk Retinopathy statistics significant.
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.