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Systematic literature review: quality of life associated with insulin pump use in Type 1 diabetes

Citation

Barnard, KD and Lloyd, CE and Skinner, TC, Systematic literature review: quality of life associated with insulin pump use in Type 1 diabetes, Diabetic Medicine, 24, (6) pp. 607-617. ISSN 0742-3071 (2007) [Refereed Article]


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The definitive published version is available online at: http://www3.interscience.wiley.com/

DOI: doi:10.1111/j.1464-5491.2007.02120.x

Abstract

Aim To review systematically the published literature addressing whether continuous subcutaneous insulin infusion (CSII) provides any quality of life benefits to people with Type 1 diabetes.

Methods Electronic databases and published references were searched and a consultation with two professional groups was undertaken to identify relevant studies published up to July 2005. A multistep selection process was then undertaken to identify those articles which met the specific selection criteria, which were then critically reviewed.

Results Eighty-four potential relevant articles were identified from examination of titles and abstracts published during the specified time frame. Of these, 28 articles were retrieved in full text, of which 17 fulfilled the specific criteria for inclusion. Mixed results emerged from existing literature. Of the five randomized controlled trials, three reported mixed results, with one study reporting quality of life benefits and one reporting no evidence of quality of life benefits.

Conclusions There is conflicting evidence reported in the various studies on the quality of life benefits of CSII in Type 1 diabetes. Existing research is flawed, making a judgement about the quality of life benefits of insulin pump use difficult. There is no strong evidence against quality of life benefits associated with CSII or otherwise, with poor methodology and inconsistent assessment of quality of life clouding the issue. The lack of reported benefit is probably a function of this rather than pump therapy not offering any quality of life benefits.

Item Details

Item Type:Refereed Article
Keywords:CSII, health outcomes, insulin pump, quality of life, Type 1 diabetes
Research Division:Psychology and Cognitive Sciences
Research Group:Psychology
Research Field:Health, Clinical and Counselling Psychology
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Diabetes
Author:Skinner, TC (Professor Timothy Skinner)
ID Code:74173
Year Published:2007
Web of Science® Times Cited:58
Deposited By:Research Division
Deposited On:2011-11-15
Last Modified:2012-12-17
Downloads:3 View Download Statistics

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