Weight Loss in Diabetes

Record #1 on
5 minute read

Zhelnov P. A critical appraisal of ‘Kendrick D, Kai J, Griffiths F, Maula A. Evidence generated from a realist synthesis of trials on educational weight loss interventions in type 2 diabetes mellitus. Diabet Med. 2020 Sep 1. doi: 10.1111/dme.14394. Epub ahead of print. PMID: 32871624’. Zheln. 2020 Sep 2;36–38(1):r1d2. URI: https://zheln.com/record/2020/09/02/1/.

Zheln Review Appraisal in 10 Steps:

  1. ✅ Downloaded from the PubMed Systematic Subset Daily Updates
  2. ✅ Meets Shojania & Bero 2001 True Positive Criteria for Systematic Reviews by Abstract
  3. ✅ Full Text & Other Reports Collected by Zheln
  4. ✅ Generates Pragmatic Evidence Directly Relevant to Evidence-Based Practice
  5. 🔄 Is Duplicate?
  6. 🔄 Passed or Failed Replication?
  7. 🔄 Has Critical Conduct Flaws?
  8. 🔄 Liked or Disliked by Zheln?
  9. 🔄 Practical Implications Summarized by Zheln
  10. 🔄 Appraisal Published & Call for Crowdfunding

So this is a realist synthesis, not an interventional review; but as authors claim, they have already conducted an interventional review as a separate undertaking. Why, let’s have a look at that one first to figure the background. However, there, several other reviews are cited, so we’ll have to look at these first. But within these, some other reviews, too, are referenced. Thus, to keep things nice & clear, let’s build up a chronology.

Year Title Under Review Backstory
2020 Evidence generated from a realist synthesis of trials on educational weight loss interventions in type 2 diabetes mellitus in Full Text The realist review to be appraised
2020 Educational weight loss interventions in obese and overweight adults with type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials in Full Text The interventional review by the same coauthors
2017–2019
2016 Efficacy of lifestyle interventions in patients with type 2 diabetes: A systematic review and meta-analysis in Full Text Referenced in the interventional review
2015 Lifestyle weight-loss intervention outcomes in overweight and obese adults with type 2 diabetes: a systematic review and meta-analysis of randomized clinical trials in Full Text Referenced in the interventional review
2006–2014
2005 Long-term non-pharmacologic weight loss interventions for adults with type 2 diabetes in Full Text Referenced in the interventional review
1997–2004
1996 Promoting weight loss in type II diabetes in Full Text Referenced in background reviews
1995 A review of the weight loss interventions for obese people with non-insulin-dependent diabetes mellitus as a DARE Abstract Referenced in background reviews

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Appraisal in progress