Taylor 2003.
| Study characteristics | ||
| Methods |
Evaluation of a nurse‐care management system to improve outcomes in patients with complicated diabetes Patient RCT, conducted in a medical centre in Santa Clara, CA, USA Two arms: 1. Usual care (control arm) and 2. Intervention (intervention arm) |
|
| Participants | Control arm N: 85 Intervention arm N: 84 Diabetes type: type 1 and type 2 Mean age: 55.1 ± 10.2 % Male: 53.0 Longest follow‐up: 12 months |
|
| Interventions |
Control arm: 1) Patient education Intervention arm: 1) Case management 2) Team changes 3) Patient education 4) Promotion of self‐management |
|
| Outcomes | 1) Retinopathy screening (eye exam), N screened (%) Control arm: pre 47 (71), post 44 (67) Intervention arm: pre 43 (70), post 49 (80) 2) Foot screening, N screened (%) Control arm: pre 43 (65), post 48 (73) Intervention arm: pre 26 (43), post 45 (74) 3) HbA1c, mean % (SD) Control arm: pre 9.5 (0.3), post 9.2 (NR) Intervention arm: pre 9.5 (0.3), post 8.4 (NR) 4) SBP, mean mmHg (SE) Control arm: pre 128.5 (NR), post 137.1 (NR) Intervention arm: pre 126.5 (NR), post 130.9 (NR) 5) DBP, mean mmHg (SE) Control arm: pre 72.3 (1.5), post 74.2 (NR) Intervention arm: pre 73.3 (1.4), post 75.5 (NR) 6) LDL, mean mg/dL (SE) Control arm: pre 123.9 (4.7), post 117.4 (NR) Intervention arm: pre 124.1 (5.2), post 104.7 (NR) 7a) Controlled hypertension (DBP ≤ 85 mmHg), N under control (%) Control arm: pre 57 (86), post 56 (85) Intervention arm: pre 55 (90), post 51 (84) 7b) Controlled hypertension (SBP ≤ 130 mmHg), N under control (%) Control arm: pre 38 (58), post 28 (42) Intervention arm: pre 42 (69), post 32 (52) |
|
| Funding source | This study was funded by grant no 032643 from The Robert Wood Johnson Foundation | |
| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | Information not available. |
| Allocation concealment (selection bias) | Unclear risk | Information not available. |
| Patient's baseline characteristics (selection bias) | Low risk | Information not available. |
| Patient's baseline outcomes (selection bias) | Low risk | Information not available. |
| Incomplete outcome data (attrition bias) | High risk | Information not available. |
| Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | Unclear risk | Information not available. |
| Selective reporting (reporting bias) | Low risk | Information not available. |
| Risk of contamination (other bias) | Unclear risk | Information not available. |
| Other bias | Low risk | Information not available. |