Behavioral Programs for Type 1 Diabetes Mellitus: A Systematic Review and Meta-analysis.

Abstract:

BACKGROUND:Whether behavioral approaches for self-management programs benefit individuals with type 1 diabetes mellitus is unclear. PURPOSE:To determine the effects of behavioral programs for patients with type 1 diabetes on behavioral, clinical, and health outcomes and to investigate factors that might moderate effect. DATA SOURCES:6 electronic databases (1993 to June 2015), trial registries and conference proceedings (2011 to 2014), and reference lists. STUDY SELECTION:36 prospective, controlled studies involving participants of any age group that compared behavioral programs with usual care, active controls, or other programs. DATA EXTRACTION:One reviewer extracted and another verified data. Two reviewers assessed quality and strength of evidence (SOE). DATA SYNTHESIS:Moderate SOE showed reduction in glycated hemoglobin (HbA1c) at 6 months after the intervention compared with usual care (mean difference, -0.29 [95% CI, -0.45 to -0.13] percentage points) and compared with active controls (-0.44 [CI, -0.69 to -0.19] percentage points). At the end of the intervention and 12-month follow-up or longer, there were no statistically significant differences in HbA1c (low SOE) for comparisons with usual care or active control. Compared with usual care, generic quality of life at program completion did not differ (moderate SOE). Other outcomes had low or insufficient SOE. Adults appeared to benefit more for glycemic control at program completion (-0.28 [CI, -0.57 to 0.01] percentage points) than did youth (-0.12 [CI, -0.43 to 0.19] percentage points). Program intensity appeared not to influence effectiveness; some individual delivery appears beneficial. LIMITATIONS:All studies had medium or high risk of bias. There was scarce evidence for many outcomes. CONCLUSION:Behavioral programs for type 1 diabetes offer some benefit for glycemic control, at least at short-term follow-up, but improvement for other outcomes has not been shown. (PROSPERO registration number: CRD42014010515). PRIMARY FUNDING SOURCE:Agency for Healthcare Research and Quality. (PROSPERD registration number: CRD42014010515).

journal_name

Ann Intern Med

authors

Pillay J,Armstrong MJ,Butalia S,Donovan LE,Sigal RJ,Chordiya P,Dhakal S,Vandermeer B,Hartling L,Nuspl M,Featherstone R,Dryden DM

doi

10.7326/M15-1399

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

836-47

issue

11

eissn

0003-4819

issn

1539-3704

pii

2445319

journal_volume

163

pub_type

杂志文章,meta分析,评审
  • Manpower resources for research.

    abstract::Several trends in medical education affect our supply of future physicians. The number of new physicians has increased so that each year there is an excess of about 6000 over the number of physicians produced per year a decade ago. Increasing numbers of women and members of minority groups are entering the profession ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-89-5-806

    authors: Cooper JA

    更新日期:1978-11-01 00:00:00

  • The metyrapone and dexamethasone suppression tests for the differential diagnosis of the adrenocorticotropin-dependent Cushing syndrome: a comparison.

    abstract:OBJECTIVE:To develop criteria for interpreting results of the metyrapone test for the differential diagnosis of the adrenocorticotropin (ACTH)-dependent Cushing syndrome and to compare its diagnostic accuracy with that of the high-dose dexamethasone suppression test. DESIGN:Retrospective cohort study. SETTING:Inpatie...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-121-5-199409010-00002

    authors: Avgerinos PC,Yanovski JA,Oldfield EH,Nieman LK,Cutler GB Jr

    更新日期:1994-09-01 00:00:00

  • Descriptive epidemiology of body weight and weight change in U.S. adults.

    abstract::Data on body weight and weight change collected from nationally representative samples of U.S. adults are reviewed. The body mass index (weight [kg]/height [m2]) has a low correlation with height and is used to compare body weights between persons of differing heights. The BMI varies to a greater degree in women than ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-119-7_part_2-199310011-00004

    authors: Williamson DF

    更新日期:1993-10-01 00:00:00

  • Treatment of primary pulmonary hypertension with continuous intravenous prostacyclin (epoprostenol). Results of a randomized trial.

    abstract:STUDY OBJECTIVE:To determine the efficacy of continuous intravenous infusion of prostacyclin (epoprostenol) in primary pulmonary hypertension. DESIGN:Randomized trial with 8-week treatment periods and nonrandomized treatment for up to 18 months. SETTING:Four referral centers. PATIENTS:Sequential sample of 24 patient...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7326/0003-4819-112-7-485

    authors: Rubin LJ,Mendoza J,Hood M,McGoon M,Barst R,Williams WB,Diehl JH,Crow J,Long W

    更新日期:1990-04-01 00:00:00

  • Amyloid deposition in a renal transplant in familial Mediterranean fever.

    abstract::A patient with familial Mediterranean fever and amyloidosis who received a cadaver renal transplant 6 1/2 years ago was studied to determine the relation of the serum precursor of secondary amyloid (SAA) to the clinical course and to the deposition of amyloid in the transplant. Amyloid fibrils extracted from the patie...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-87-1-31

    authors: Benson MD,Skinner M,Cohen AS

    更新日期:1977-07-01 00:00:00

  • End-of-life care discussions among patients with advanced cancer: a cohort study.

    abstract:BACKGROUND:National guidelines recommend that physicians discuss end-of-life (EOL) care planning with patients with cancer whose life expectancy is less than 1 year. OBJECTIVE:To evaluate the incidence of EOL care discussions for patients with stage IV lung or colorectal cancer and where, when, and with whom these dis...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-156-3-201202070-00008

    authors: Mack JW,Cronin A,Taback N,Huskamp HA,Keating NL,Malin JL,Earle CC,Weeks JC

    更新日期:2012-02-07 00:00:00

  • Leukocyte reduction in blood component therapy.

    abstract:PURPOSE:To review methods of preventing or minimizing the adverse effects associated with the transfusion of passenger leukocytes present in cellular blood components and to define groups of patients who are at risk for adverse effects. DATA SOURCES:English-language articles on transfusion medicine. STUDY SELECTION:O...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-117-2-151

    authors: Lane TA,Anderson KC,Goodnough LT,Kurtz S,Moroff G,Pisciotto PT,Sayers M,Silberstein LE

    更新日期:1992-07-15 00:00:00

  • Diagnosis of lower-limb deep venous thrombosis: a prospective blinded study of magnetic resonance direct thrombus imaging.

    abstract:BACKGROUND:Current magnetic resonance techniques generate high signal from venous blood and show thrombi as filling defects. Magnetic resonance direct thrombus imaging (MRDTI) directly visualizes acute thrombus. OBJECTIVE:To determine the accuracy of MRDTI for diagnosis of acute symptomatic deep venous thrombosis (DVT...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章

    doi:10.7326/0003-4819-136-2-200201150-00006

    authors: Fraser DG,Moody AR,Morgan PS,Martel AL,Davidson I

    更新日期:2002-01-15 00:00:00

  • The quality of reporting in published cost-utility analyses, 1976-1997.

    abstract:PURPOSE:Cost-utility analysis is a type of cost-effectiveness analysis in which health effects are measured in terms of quality-adjusted life-years (QALYs) gained. Such analyses have become popular for examining the health and economic consequences of health and medical interventions, and they have been recommended by ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-132-12-200006200-00007

    authors: Neumann PJ,Stone PW,Chapman RH,Sandberg EA,Bell CM

    更新日期:2000-06-20 00:00:00

  • General internal medicine and general internists: recognizing a national need. Federated Council for Internal Medicine.

    abstract::The Federated Council for Internal Medicine (FCIM) comprises the American Board of Internal Medicine, American College of Physicians, American Society of Internal Medicine, Association of Professors of Medicine, Association of Program Directors in Internal Medicine, and the Society of General Internal Medicine. The Co...

    journal_title:Annals of internal medicine

    pub_type: 指南,杂志文章

    doi:10.7326/0003-4819-117-9-778

    authors:

    更新日期:1992-11-01 00:00:00

  • Amiodarone in refractory life-threatening ventricular arrhythmias.

    abstract::Ninety-six patients with life-threatening ventricular arrhythmias refractory to two or more conventional agents were treated with amiodarone and followed for 6 to 40 months (mean, 15 months). Currently, 75 are alive and well. Seven patients died from nonarrhythmic and five from arrhythmic causes. Nonfatal arrhythmias ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-98-5-577

    authors: Nademanee K,Singh BN,Hendrickson J,Intarachot V,Lopez B,Feld G,Cannom DS,Weiss JL

    更新日期:1983-05-01 00:00:00

  • Alpha1-antitrypsin deficiency with severe panniculitis. Report of two cases.

    abstract::Two patients with profound decrease of alpha1-antitrypsin (PiZZ) presented with severe pannicultis (Weber-Christian disease); one had systemic panniculitis including pancreatitis. Another possible case is quoted from the literature. Although milder forms of panniculitis can have normal Pi phenotypes and alpha1-antitry...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-86-6-742

    authors: Rubinstein HM,Jaffer AM,Kudrna JC,Lertratanakul Y,Chandrasekhar AJ,Slater D,Schmid FR

    更新日期:1977-06-01 00:00:00

  • Syndromes of Vibrio vulnificus infections. Clinical and epidemiologic features in Florida cases, 1981-1987.

    abstract:STUDY OBJECTIVE:To describe the clinical and epidemiologic features of Vibrio vulnificus infections. DESIGN:Case series based on notifiable disease report forms and patient medical records. SETTING:Cases reported to the Florida Department of Health and Rehabilitative Services from 1981 to 1987. PATIENTS:Sixty-two pa...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-109-4-318

    authors: Klontz KC,Lieb S,Schreiber M,Janowski HT,Baldy LM,Gunn RA

    更新日期:1988-08-15 00:00:00

  • Acute renal infection in women: treatment with trimethoprim-sulfamethoxazole or ampicillin for two or six weeks. A randomized trial.

    abstract::We compared the efficacy of orally administered ampicillin, 2 g/d, with that of trimethoprim-sulfamethoxazole, 320 mg/d-1600 mg/d, given for 2 or 6 weeks for outpatient management of acute uncomplicated renal infection in women. Of 98 women participating in the trial, 60 had renal infections with susceptible strains, ...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7326/0003-4819-106-3-341

    authors: Stamm WE,McKevitt M,Counts GW

    更新日期:1987-03-01 00:00:00

  • Evaluating contrast-enhancing brain lesions in patients with AIDS by using positron emission tomography.

    abstract:OBJECTIVE:To determine whether a noninvasive method for evaluating contrast-enhancing brain lesions in patients with the acquired immunodeficiency syndrome (AIDS) can accurately differentiate between lymphoma and nonlymphoma diagnoses. This method is based on Toxoplasma serologic testing and positron emission tomograph...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-123-8-199510150-00005

    authors: Pierce MA,Johnson MD,Maciunas RJ,Murray MJ,Allen GS,Harbison MA,Creasy JL,Kessler RM

    更新日期:1995-10-15 00:00:00

  • Effect of nasogastric tube size on gastroesophageal reflux and microaspiration in intubated patients.

    abstract:BACKGROUND:Little evidence exists to support the theory that small-bore nasogastric tubes prevent gastroesophageal reflux and microaspiration in intubated patients. OBJECTIVE:To determine whether gastroesophageal reflux and microaspiration in intubated patients can be reduced by the use of a small-bore nasogastric tub...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7326/0003-4819-130-12-199906150-00007

    authors: Ferrer M,Bauer TT,Torres A,Hernández C,Piera C

    更新日期:1999-06-15 00:00:00

  • Meta-analysis: the effect of dietary counseling for weight loss.

    abstract:BACKGROUND:Dietary and lifestyle modification efforts are the primary treatments for people who are obese or overweight. The effect of dietary counseling on long-term weight change is unclear. PURPOSE:To perform a meta-analysis of the effect of dietary counseling compared with usual care on body mass index (BMI) over ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.7326/0003-4819-147-1-200707030-00007

    authors: Dansinger ML,Tatsioni A,Wong JB,Chung M,Balk EM

    更新日期:2007-07-03 00:00:00

  • The toxicity of D-penicillamine in systemic sclerosis.

    abstract::We studied D-penicillamine toxicity in 259 patients with systemic sclerosis treated since 1972. The average daily dose of 635 mg was given for a mean of 1.8 years. Of patients with systemic sclerosis, 47% has side effects from D-penicillamine treatment, similar to the 56% of 807 patients with rheumatoid arthritis in s...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-104-5-699

    authors: Steen VD,Blair S,Medsger TA Jr

    更新日期:1986-05-01 00:00:00

  • Building measurement and data collection into medical practice.

    abstract::Clinicians can use data to improve daily clinical practice. This paper offers eight principles for using data to support improvement in busy clinical settings: 1) seek usefulness, not perfection, in the measurement; 2) use a balanced set of process, outcome, and cost measures; 3) keep measurement simple (think big, bu...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-128-6-199803150-00007

    authors: Nelson EC,Splaine ME,Batalden PB,Plume SK

    更新日期:1998-03-15 00:00:00

  • Clinical and epidemiologic characteristics of Mycobacterium haemophilum, an emerging pathogen in immunocompromised patients.

    abstract:OBJECTIVE:To describe 13 infections caused by Mycobacterium haemophilum. DESIGN:Identification of patients by microbiologic record review, followed by medical record review and a case-control study. SETTING:Seven metropolitan hospitals in New York. PATIENTS:All patients with M. haemophilum infections diagnosed betwe...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-120-2-199401150-00004

    authors: Straus WL,Ostroff SM,Jernigan DB,Kiehn TE,Sordillo EM,Armstrong D,Boone N,Schneider N,Kilburn JO,Silcox VA,LaBombardi V,Good RC

    更新日期:1994-01-15 00:00:00

  • Reporting discrepancies between the ClinicalTrials.gov results database and peer-reviewed publications.

    abstract:BACKGROUND:ClinicalTrials.gov requires reporting of result summaries for many drug and device trials. PURPOSE:To evaluate the consistency of reporting of trials that are registered in the ClinicalTrials.gov results database and published in the literature. DATA SOURCES:ClinicalTrials.gov results database and matched ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M13-0480

    authors: Hartung DM,Zarin DA,Guise JM,McDonagh M,Paynter R,Helfand M

    更新日期:2014-04-01 00:00:00

  • Cardioversion guided by transesophageal echocardiography: the ACUTE Pilot Study. A randomized, controlled trial. Assessment of Cardioversion Using Transesophageal Echocardiography.

    abstract:BACKGROUND:Electrical cardioversion in patients with atrial fibrillation is associated with an increased risk for embolic stroke. Screening for atrial thrombi with transesophageal echocardiography (TEE) before cardioversion should, in many patients, safely permit cardioversion to be done earlier than would be possible ...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.7326/0003-4819-126-3-199702010-00004

    authors: Klein AL,Grimm RA,Black IW,Leung DY,Chung MK,Vaughn SE,Murray RD,Miller DP,Arheart KL

    更新日期:1997-02-01 00:00:00

  • Physician reporting compared with medical-record review to identify adverse medical events.

    abstract:OBJECTIVE:To assess the effectiveness of housestaff physician reporting as a method for identifying adverse events on a medical service and to compare the physician reporting mechanism with a retrospective record review mechanism. SETTING:Medical service of an urban, university-affiliated teaching hospital. DESIGN:Co...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-119-5-199309010-00004

    authors: O'Neil AC,Petersen LA,Cook EF,Bates DW,Lee TH,Brennan TA

    更新日期:1993-09-01 00:00:00

  • Partial-liver transplantation to treat familial amyloid polyneuropathy: follow-up of 11 patients.

    abstract:BACKGROUND:Recently, liver transplantation has been used to treat patients with familial amyloid polyneuropathy (FAP). OBJECTIVE:To describe the clinical course of patients with FAP who received partial-liver transplantation from living donors. DESIGN:Case series. SETTING:University hospital in Matsumoto, Japan. PA...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-131-8-199910190-00008

    authors: Takei Y,Ikeda S,Hashikura Y,Ikegami T,Kawasaki S

    更新日期:1999-10-19 00:00:00

  • Tipping the balance of benefits and harms to favor screening mammography starting at age 40 years: a comparative modeling study of risk.

    abstract:BACKGROUND:Timing of initiation of screening for breast cancer is controversial in the United States. OBJECTIVE:To determine the threshold relative risk (RR) at which the harm-benefit ratio of screening women aged 40 to 49 years equals that of biennial screening for women aged 50 to 74 years. DESIGN:Comparative model...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-156-9-201205010-00002

    authors: van Ravesteyn NT,Miglioretti DL,Stout NK,Lee SJ,Schechter CB,Buist DS,Huang H,Heijnsdijk EA,Trentham-Dietz A,Alagoz O,Near AM,Kerlikowske K,Nelson HD,Mandelblatt JS,de Koning HJ

    更新日期:2012-05-01 00:00:00

  • The association between cardiorespiratory fitness and impaired fasting glucose and type 2 diabetes mellitus in men.

    abstract:BACKGROUND:Several studies show an inverse association between self-reported physical activity and type 2 diabetes. It is not known whether physical activity or cardiorespiratory fitness is associated with the onset of objectively determined impaired fasting glucose and type 2 diabetes. OBJECTIVE:To determine whether ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-130-2-199901190-00002

    authors: Wei M,Gibbons LW,Mitchell TL,Kampert JB,Lee CD,Blair SN

    更新日期:1999-01-19 00:00:00

  • Late development of systemic lupus erythematosus in patients with glomerular "fingerprint" deposits.

    abstract::Two patients presenting with nephrotic syndrome but without evidence of collagen vascular disease had organized glomerular immune deposits with a "fingerprint" pattern. This finding has been previously associated with lupus nephritis and, in our institution, has been seen in 6% of the biopsy specimens from patients wi...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-100-1-66

    authors: Alpers CE,Hopper J Jr,Bernstein MJ,Biava CG

    更新日期:1984-01-01 00:00:00

  • Predictors of Prolonged Opioid Use After Initial Prescription for Acute Musculoskeletal Injuries in Adults : A Systematic Review and Meta-analysis of Observational Studies.

    abstract:BACKGROUND:Opioids are frequently prescribed for acute musculoskeletal injuries and may result in long-term use and consequent harms. PURPOSE:To explore factors associated with persistent opioid use after its prescription for acute musculoskeletal injury. DATA SOURCES:Searches of multiple electronic databases, withou...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,meta分析

    doi:10.7326/M19-3600

    authors: Riva JJ,Noor ST,Wang L,Ashoorion V,Foroutan F,Sadeghirad B,Couban R,Busse JW

    更新日期:2020-11-03 00:00:00

  • Fluconazole therapy for coccidioidal meningitis. The NIAID-Mycoses Study Group.

    abstract:OBJECTIVE:To determine the efficacy and safety of fluconazole treatment of coccidioidal meningitis. DESIGN:Uncontrolled clinical trial. SETTING:Four university-based treatment centers in California, Arizona, and Texas. Most therapy was conducted without hospitalization. PATIENTS:Fifty consecutive patients with activ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.7326/0003-4819-119-1-199307010-00005

    authors: Galgiani JN,Catanzaro A,Cloud GA,Higgs J,Friedman BA,Larsen RA,Graybill JR

    更新日期:1993-07-01 00:00:00

  • The thrombophilias: well-defined risk factors with uncertain therapeutic implications.

    abstract::Discovery of the factor V Leiden and prothrombin G20210A mutations has greatly increased the percentage of patients in whom venous thrombosis can be attributed to hereditary thrombophilia. The first step in the diagnostic approach to all patients with venous thrombosis consists of a careful history and physical examin...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-135-5-200109040-00013

    authors: Bauer KA

    更新日期:2001-09-04 00:00:00