Quality improvement needed in quality improvement randomised trials: systematic review of interventions to improve care in diabetes.

ABSTRACT: Despite the increasing numbers of published trials of quality improvement (QI) interventions in diabetes, little is known about the risk of bias in this literature. Secondary analysis of a systematic review. Medline, the Cochrane Effective Practice and Organisation of Care (EPOC) database (from inception to July 2010) and references of included studies. Randomised trials assessing 11 predefined QI strategies or financial incentives targeting health systems, healthcare professionals or patients to improve the management of adult outpatients with diabetes. Risk of bias (low, unclear or high) was assessed for the 142 trials in the review across nine domains using the EPOC version of the Cochrane Risk of Bias Tool. We used Cochran-Armitage tests for trends to evaluate the improvement over time

SUBMITTER: Ivers NM 

PROVIDER: S-EPMC3641459 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature