Protocol for the Diabetes Technology Network UK and Association of British Clinical Diabetologists’ closed-loop insulin delivery audit programme
Crabtree, Thomas Griffin, Tomas P. Lumb, Alistair Hammond, Peter Choudhary, Pratik Wilomot, Emma G.
Crabtree, Thomas
Griffin, Tomas P.
Lumb, Alistair
Hammond, Peter
Choudhary, Pratik
Wilomot, Emma G.
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Affiliation
Derby Teaching Hospitals NHS Trust; University Hospitals of Leicester NHS Trust; Oxford University Hospitals NHS Trust; Sandwell and West Birmingham Hospitals NHS Trust; et al.
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Publication date
2022-06
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Abstract
Background: The Association of British Clinical Diabetologists (ABCD) closed-loop audit aims to capture real-world out- comes from all who use hybrid closed-loop (HCL) insulin delivery systems in routine clinical care. In addition, NHS England has announced a pilot programme this year to expand access to HCL insulin delivery systems to people with type 1 diabetes (T1D) who are already using pump therapy and FreeStyle Libre with a HbA1c ≥ 69mmol/mol (≥ 8.5%). This group is often underrepresented in current randomised control trial evidence and, vitally, the planned audit will capture their data. Methods: The ABCD nationwide audit programme has Caldicott guardian approval and has also been approved by Confidentiality Advisory Group (CAG). Clinical teams collect anonymised user data using a secure online tool. Baseline characteristics and routinely collected outcome data at follow-up will include: assessment of glycaemic outcomes ( HbA1c, time in range, time below range); patient-reported outcome measures (Gold score and diabetes-related distress); and frequency of resource utilisation (hospital admissions, paramedic callouts, diabetic ketoacidosis [DKA] and severe hypoglycaemia). Discussion: The ABCD closed-loop audit will produce an inde- pendent real-world dataset of outcomes in closed-loop users across multiple systems. These data will provide insight into the real-world benefits and challenges of HCL systems used within the NHS in England.
Citation
Crabtree, Thomas SJ; Griffin, Tomas P; Lumb, Alistair; Hammond, Peter; Ryder, Robert EJ; Choudhary, Pratik; et al. (2022). Protocol for the Diabetes Technology Network UK and Association of British Clinical Diabetologists' closed-loop insulin delivery audit programme. University of Leicester. Journal contribution. https://hdl.handle.net/2381/20430984.v1
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Article