Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 1217-1225 |
| Number of pages | 9 |
| Journal | Diabetic Medicine |
| Volume | 27 |
| Issue number | 11 |
| Early online date | 12 Aug 2010 |
| DOIs | |
| Publication status | Published - 1 Nov 2010 |
| Externally published | Yes |
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Telephone follow-up to improve glycaemic control in patients with Type 2 diabetes : Systematic review and meta-analysis of controlled trials. / Wu, L.; Forbes, A.; Griffiths, P.; Milligan, P.; While, A.
In: Diabetic Medicine, Vol. 27, No. 11, 01.11.2010, p. 1217-1225.Research output: Contribution to journal › Review article
TY - JOUR
T1 - Telephone follow-up to improve glycaemic control in patients with Type 2 diabetes
T2 - Systematic review and meta-analysis of controlled trials
AU - Wu, L.
AU - Forbes, A.
AU - Griffiths, P.
AU - Milligan, P.
AU - While, A.
PY - 2010/11/1
Y1 - 2010/11/1
N2 - Objective To examine the impact of telephone follow-up interventions on glycaemic control in patients with Type 2 diabetes. Methods This was a systematic review and meta-analysis of randomized controlled trials using The Cochrane Library, including the Cochrane central register of controlled trials; MEDLINE, EMBASE, PsycINFO and CINHAL, together with citation searching. The included studies were randomized controlled trials examining the effect of a telephone follow-up intervention on glycaemic control in patients with Type 2 diabetes. All the included trials were subject to critical appraisal. Data were extracted on study design, characteristics of patients, exact nature of the telephone intervention and details of comparison. Pooled standardized effects were calculated for the primary outcome. Glycaemic control was measured by HbA1c.Results HbA1c levels reported in the reviewed studies were pooled using random effects models. The standardized effect of telephone follow-up was equivocal, with endpoint data showing weighted mean differences of -0.44 (95% CI -0.93 to 0.06) (Z = -1.72, P = 0.08) in favour of the telephone follow-up intervention. Subgroup analysis of more intensive interventions (interactive follow-up with health professional plus automated follow-up or non-interactive follow-up) showed (n = 1057) a significant benefit in favour of the treatment group, with a standardized mean difference of -0.84 (95% CI -1.67 to 0.0) (Z = 1.97, P = 0.05), indicating that more intensive (targeted) modes of follow-up may have better effects on glycaemic control.Conclusions The analysis suggested that telephone follow-up interventions following a more intensive targeted approach could have a positive impact on glycaemic control for Type 2 diabetes.
AB - Objective To examine the impact of telephone follow-up interventions on glycaemic control in patients with Type 2 diabetes. Methods This was a systematic review and meta-analysis of randomized controlled trials using The Cochrane Library, including the Cochrane central register of controlled trials; MEDLINE, EMBASE, PsycINFO and CINHAL, together with citation searching. The included studies were randomized controlled trials examining the effect of a telephone follow-up intervention on glycaemic control in patients with Type 2 diabetes. All the included trials were subject to critical appraisal. Data were extracted on study design, characteristics of patients, exact nature of the telephone intervention and details of comparison. Pooled standardized effects were calculated for the primary outcome. Glycaemic control was measured by HbA1c.Results HbA1c levels reported in the reviewed studies were pooled using random effects models. The standardized effect of telephone follow-up was equivocal, with endpoint data showing weighted mean differences of -0.44 (95% CI -0.93 to 0.06) (Z = -1.72, P = 0.08) in favour of the telephone follow-up intervention. Subgroup analysis of more intensive interventions (interactive follow-up with health professional plus automated follow-up or non-interactive follow-up) showed (n = 1057) a significant benefit in favour of the treatment group, with a standardized mean difference of -0.84 (95% CI -1.67 to 0.0) (Z = 1.97, P = 0.05), indicating that more intensive (targeted) modes of follow-up may have better effects on glycaemic control.Conclusions The analysis suggested that telephone follow-up interventions following a more intensive targeted approach could have a positive impact on glycaemic control for Type 2 diabetes.
KW - Diabetes mellitus
KW - Glycaemic control
KW - Systematic review meta-analysis
KW - Telephone follow-up
U2 - 10.1111/j.1464-5491.2010.03113.x
DO - 10.1111/j.1464-5491.2010.03113.x
M3 - Review article
VL - 27
SP - 1217
EP - 1225
JO - Diabetic Medicine
JF - Diabetic Medicine
SN - 0742-3071
IS - 11
ER -