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

Planas 2012.

Study characteristics
Methods Evaluation of diabetes management program using selected HEDIS measures
Patient RCT, conducted in a regional community pharmacy chain in Tulsa, Oklahoma, USA
Two arms: 1. Control group (control arm) and 2. Intervention group (intervention arm)
Participants Control arm N: 27
Intervention arm N: 38
Diabetes type: unclear/not reported
Mean age: NR ± NR
% Male: NR
Longest follow‐up: 9 months
Interventions Control arm:
1) Patient education
2) Promotion of self‐management
Intervention arm:
1) Case management
2) Team changes
3) Clinician education
4) Patient education
5) Promotion of self‐management
Outcomes 1) HbA1c, mean % (SD)
Control arm: pre 7.8 (1.0), post 7.9 (0.9)
Intervention arm: pre 7.6 (1.0), post 7.1 (1.0)
2) SBP, mean mmHg (SD)
Control arm: pre 141.1 (24.9), post 140.2 (20.0)
Intervention arm: pre 139.2 (17.9), post 124.0 (16.9)
3) DBP, mean mmHg (SD)
Control arm: pre 75.3 (12.6), post 74.9 (10.3)
Intervention arm: pre 78.1 (10.3), post 73.7 (9.9)
4) LDL, mean mg/dL (SD)
Control arm: pre 94.4 (38.2), post 90.5 (31.3)
Intervention arm: pre 109.3 (36.8), post 97.3 (24.1)
5) Controlled hypertension (< 130/80 mmHg), N under control (%)
Control arm: pre 5 (23), post 5 (23)
Intervention arm: pre 6 (20), post 16 (53)
Funding source American Society of Health‐System Pharmacists Research and Education Foundation, the American Pharmacists Association Foundation, and USA Drug Stores
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Previously generated random number list.
Allocation concealment (selection bias) Unclear risk Not reported.
Patient's baseline characteristics (selection bias) Low risk BMI (P < 0.05); all other characteristics were similar between groups.
Patient's baseline outcomes (selection bias) Unclear risk Not reported in text or table.
Incomplete outcome data (attrition bias) High risk Large losses from both arms, reasons not provided.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Low risk Primary outcome: BP, using a aneroid sphygmomanometers at resting for period of 5 minutes. HbA1c measured using fingerstick DCA 2000, LDL using fingerstick Cholestech LDX, point of care after fasting for 9 to 12 hours.
Selective reporting (reporting bias) Low risk < 2005 approach used since no protocol; methods match results.
Risk of contamination (other bias) Low risk Information not available.
Other bias Low risk No evidence of other bias.