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. 2017 Jun 8;2017(6):CD010137. doi: 10.1002/14651858.CD010137.pub2

MEMO Study 2011.

Methods
  • Study design: parallel RCT

  • Study duration: September 2006 to April 2007

  • Follow‐up period: 18 months

Participants
  • Country: UK

  • Setting: multicentre (primary care practices and specialist diabetes clinics in Leicestershire)

  • Patients 25 to 80 years with type 2 diabetes and CKD stage 2

  • Number: treatment group (95); control group (95)

  • Mean age ± SD (years): treatment group (62.6 ± 10.3); control group (60.3 ± 10.7)

  • Sex (M/F): treatment group (71/24); control group (72/23)

  • Exclusion criteria: history of malignancy, chronic liver disease or life expectancy < 5 years; learning disability/mental incapacity or immobility which precluded them from attending educational sessions; SCr > 180 mmol/L; participating in another research study

Interventions Treatment group
  • Intensive care + structured education program


Control group
  • Standard care

Outcomes
  • Mean HbA1c at 18 months

  • BP

  • Total and LDL cholesterol and urine albumin creatinine ratio

  • Proportion of individuals reaching glycaemic, BP and lipid targets

  • Modelled cardiovascular disease (UKPDS) risk scores

Notes
  • Funding source: government

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information to permit judgement
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Data was recorded separately and assessed independently by a research physician who was not aware of the study participant’s treatment allocation and was not involved with any aspect of the study
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 11/189 lost to follow‐up (6%)
Selective reporting (reporting bias) Low risk All expected outcomes reported
Other bias Low risk Study appears free of other biases