Skip to main content
. 2023 May 31;2023(5):CD014513. doi: 10.1002/14651858.CD014513

Yuan 2016.

Study characteristics
Methods Effect of case management on glycemic control and behavioral outcomes for Chinese people with type 2 diabetes: a 2‐year study
RCT (NA clusters and NA providers), conducted in 1) Study recruitment in the area surrounding one hospital in Eastern China. 2) Diabetes educator assessed the participant’s health care needs. If necessary, participants were referred short‐term to a doctor, a nutritionist or psychologist who provided feedback to the diabetes educator through a case report form. In China.
2 arms: 1. Control: usual care (control arm) and 2. Intervention: case management (intervention arm)
Participants Control arm N: 60
Intervention arm N: 60, NA, NA
Diabetes type: 2
Mean age: 58.69 ± 10.8
% Male: 47.22
Longest follow‐up: 24 months
Interventions Control arm: usual care
1) Patient education
2) Patient reminders
Intervention arm: case management
1) Case management
2) Facilitated relay of clinical information
3) Patient education
4) Promotion of self‐management
5) Continuous quality improvement
Outcomes Glycated haemoglobin
Funding source Not reported
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomised to the case management (CM) group or the control group based on random numbers generated through Proc Plan (SAS9.2) and block randomisation procedures with a block size of 4.
Allocation concealment (selection bias) Low risk This process was accomplished by a statistician with no clinical involvement in the trial, and the process was concealed from the researchers. Group assignment for each participant was pulled from a sequentially numbered, opaque, sealed and stapled envelope.
Patient's baseline characteristics (selection bias) Low risk Table 1. P values provided greater than 0.05. No education or income.
Patient's baseline outcomes (selection bias) Low risk Table 1. P values provided and > 0.05.
Incomplete outcome data (attrition bias) Low risk 53/60 followed up in control, 55/60 followed up in intervention. Reasons for dropout provided.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Low risk Objective HbA1c measure.
Selective reporting (reporting bias) Unclear risk There is no published protocol but all the outcomes in the methods are reported in the results.
Risk of contamination (other bias) Low risk The nurse educators were different in the arms.
Other bias Unclear risk The baseline HbA1C in both groups was low. "Finally, just the mere action of asking questions could be interpreted as a mild intervention in itself, as it might have raised patients’ awareness of topics that were important. This could be a factor which might account for changes observed in the control group."