O'Hare 2004.
Methods |
Parallel randomised controlled clinical trial (RCT) Randomisation ratio: Recruited from 6 practices, I1:C1 180 (3 practices):181 (3 practices) Superiority design |
|
Participants |
Inclusion criteria:
Exclusion criteria: not stated Diagnostic criteria: not stated |
|
Interventions |
Number of study centres: 3 practices randomly assigned to intervention and 3 practices to control clusters Treatment before study: not stated Intervention: consisted of extra weekly diabetes clinic at primary care centres (with community diabetes input and 2 link workers with language skills). Frequency of participants' exposure to the intervention has not been stated Control: usual care; practices were provided with protocols; no further resources were provided Provider: diabetes nurse specialist, practice nurse, dietician—all aided by a link worker |
|
Outcomes |
Outcomes reported in abstract of publication: Primary outcome(s):
Secondary outcome(s): Economic evaluation (not available) |
|
Study details |
Run‐in period: not stated Study terminated before regular end: no |
|
Publication details |
Language of publication: English Funding: Pfizer; Aventis UK; Eli Lilly; NovoNordisk; Boehringer Ingleheim; Servier Laboratories UK; Takeda UK Publication status: peer‐reviewed journal |
|
Stated aim of study | Quote from publication: "To test the hypothesis that enhanced diabetes care tailored to the needs of the South Asian community with type 2 DM, would improve risk factors for diabetic vascular complications and ultimately reduce morbidity and mortality" | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Comment: randomly assigned by practice, not individually; does not say how this was done |
Allocation concealment (selection bias) | Unclear risk | Comment: not explained |
Blinding of participants and personnel (performance bias) Objective outcomes | High risk | Comment: does not say whether participants blinded, personnel not blinded |
Blinding of participants and personnel (performance bias) Subjective outcomes | Unclear risk | Comment: no subjective outcomes |
Blinding of outcome assessment (detection bias) Lab tests: Lipids, HBA1C | Unclear risk | Comment: does not say whether practice personnel taking BP were blinded |
Blinding of outcome assessment (detection bias) Subjective outcomes | Unclear risk | Comment: no subjective outcomes |
Incomplete outcome data (attrition bias) Objective outcomes | Unclear risk | Comment: baseline groups similar in characteristics; 10% lost to follow‐up but does explain reasons; does not explain within‐group follow‐up data; 6 died—from which group? No ITT mentioned |
Incomplete outcome data (attrition bias) Subjective outcomes | Unclear risk | Comment: no subjective outcomes |
Selective reporting (reporting bias) | Unclear risk | Comment: study protocol not seen |
Other bias | Unclear risk | Comment: none |