Impact of Patient Use of an Online Patient Portal on Diabetes Outcomes

Lau, Marco; Campbell, H. Sutherland; Tang, Tricia S.; Thompson, Darby J. S.; Elliott, Tom

doi:10.1016/j.jcjd.2013.10.005

Cited by 97 publications

(86 citation statements)

References 24 publications

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“…Lau et al 26 examined the impact of online patient portal usage on glycemic control among patients newly referred to a diabetologist. Factors potentially adversely affecting portal use included level of health literacy, diabetes knowledge, and familiarity with internet technologies.…”

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confidence: 99%

Remote Health Consultations Supported by a Diabetes Management Web Application With a New Glucose Meter Demonstrates Improved Glycemic Control

Grady

Cameron

Levy³

et al. 2015

J Diabetes Sci Technol

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Background: Cloud-connected diabetes applications enable health care professionals (HCPs) to monitor patient progress and offer the potential for remote consultations. OneTouch Reveal (OTR) is a cloud-based web application that aggregates data from blood glucose (BG) meters or insulin pumps and provides analytics to help patients and HCPs make more informed treatment and lifestyle decisions. This study assessed the experience of patients using OTR and the OneTouch Verio (OTV) BG meter and determined the extent of changes in glycemic control. Methods: Subjects with T1DM (23) or T2DM (17) uploaded BG meter results to OTR for 12 weeks. HCPs remotely reviewed progress using OTR and delivered telephone consultations at 4 and 8 weeks based on OTR insights. Results: After 12 weeks, mean HbA1c decreased by 0.4% ( P < .001) and 25% of subjects had a reduction of ≥1.0%. Reduction in HbA1c was similar in subjects with T1DM and T2DM, although subjects with T1DM started with higher baselines. In subjects with T2DM, mean BG decreased significantly from 175 to 161 mg/dl ( P < .001) with the percentage of above-range BG results decreasing from 33% to 24%. 80% of subjects confirmed OTR detected out-of-range glucose patterns and 84% of these subjects were able to correct the underlying pattern to get BG back in-range. Conclusions: OTR web application in combination with the OTV meter helped subjects with T1DM and T2DM effectively manage their diabetes and was associated with improved BG control over 12 weeks. Real-time visibility to subject data may help HCPs deliver focused and effective remote consultations.

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mentioning

confidence: 99%

Remote Health Consultations Supported by a Diabetes Management Web Application With a New Glucose Meter Demonstrates Improved Glycemic Control

Grady

Cameron

Levy³

et al. 2015

J Diabetes Sci Technol

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show abstract

“…8 Lau et al used propensity score matching in a sample of 157 patients with type 2 diabetes and determined that EM users were more likely to achieve an HbA1c of 7% or less at 6 months compared with nonusers. 6 However, message content and type of diabetes were not reported in any of these studies.…”

Section: Discussionmentioning

confidence: 90%

“…4 Some studies reported that EM is associated with lower HbA1c levels. 2,[5][6][7][8] Thus far, studies regarding EM have not differentiated between type 1 and type 2 diabetes, examined message content, or examined the impact of EM on hospital or emergency department (ED) visits. This retrospective cohort study examines the relationship between EM and HbA1c levels, emergency room visits, and hospital admissions.…”

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confidence: 99%

Effect of Electronic Messaging on Glucose Control and Hospital Admissions Among Patients with Diabetes

Petullo

Noble

Dungan

2016

Diabetes Technology & Therapeutics

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Background: Electronic messaging (EM) is increasingly utilized among patients with diabetes, but it is unclear whether it is associated with improved glycemic control, hospital admissions, or emergency visits. Methods: Patients who were seen over a 1 year period at an academic endocrinology clinic with a diagnosis of diabetes were categorized according to portal activation and whether EMs were actually sent. The association between EM and HbA1c and inpatient or emergency department (ED) visits was further characterized using multivariable (MV) linear or logistic regression models. Results: A total of 867 patients were using EM (active user group), 1207 patients had activated the patient portal but did not use the EM function (active nonuser group), and 1542 patients had not activated the patient portal (inactive group). There were important disparities in race, age, income, and other variables across groups. The HbA1c was 7.7% -1.5%, 8.4% -1.9%, and 8.2% -1.8% among the active user, active nonuser, and inactive groups, respectively (P < 0.0001). After controlling for other factors, EM was associated with a 0.25% (SE 0.04%) lower HbA1c compared with the active nonuser group and a 0.19% (SE 0.04%) lower HbA1c compared with the inactive group (P < 0.0001 for both). However, EM frequency was not associated with HbA1c. EM use was not associated with inpatient or ED visits in MV analysis. Conclusions: EM use was associated with improved glycemic control, even after controlling for electronic portal access and other variables, but not with hospitalizations or emergency visits. EM frequency was not associated with glycemic control, justifying the need for prospective studies.

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“…No significant differences were observed at 12 months (−1.14% vs. −0.95%, P=0.133). In a retrospective cohort study, Lau et al (27) found that, compared to patient web portal nonusers, a higher proportion of users achieved HbA1c <7% at follow-up (56% vs. 32%, P<0.031). Tutino et al (28) conducted a randomized controlled trial comparing web portals for diabetic patients alone vs. patient web portal plus nurse-coordinated follow-up visits.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of studies of web portals for patients with diabetes mellitus

Coughlin

Williams

Hatzigeorgiou

2017

mHealth

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Impact of Patient Use of an Online Patient Portal on Diabetes Outcomes

Abstract: Accessing an online patient portal is associated with improved glycemic control.

Cited by 97 publications

References 24 publications

Remote Health Consultations Supported by a Diabetes Management Web Application With a New Glucose Meter Demonstrates Improved Glycemic Control

Remote Health Consultations Supported by a Diabetes Management Web Application With a New Glucose Meter Demonstrates Improved Glycemic Control

Effect of Electronic Messaging on Glucose Control and Hospital Admissions Among Patients with Diabetes

A systematic review of studies of web portals for patients with diabetes mellitus

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