[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100590532":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":26,"centralContacts":33,"locations":42,"responsibleParty":63,"collaborators":65,"id":71,"slug":72,"hasResults":73,"nctId":74,"briefTitle":75,"officialTitle":75,"acronym":12,"eligibilityCriteria":76,"healthyVolunteers":73,"sex":77,"minAge":78,"maxAge":12,"enrollmentInfo":79,"targetDuration":12,"studyType":82,"phases":83,"briefSummary":85,"conditions":86,"keywords":12,"overallStatus":45,"whyStopped":12,"lastUpdateSubmitDate":89,"lastUpdatePostDateStruct":90,"startDateStruct":93,"completionDateStruct":95,"leadSponsor":97,"locationsCount":98},{"fullName":5,"class":6},"Orbis","OTHER",[8,13],{"label":9,"type":10,"description":11,"interventionNames":12},"Control Group: Only DR results provided","NO_INTERVENTION","For these participants, the patient information system (PIS) will send only diabetic retinopathy (DR) results to the Diabetologist at the diabetic hospital without specific care recommendations",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Intervention Group: DR results + care recommendations for DM management provided","EXPERIMENTAL","For these participants, the patient information system (PIS) will send DR results to the Diabetologist at the diabetic hospital along with specific care recommendations for diabetes management (only for those patients with ANY DR)",[18],"Other: care recommendations",[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"care recommendations","Provision of specific care recommendations for diabetes management. Based on existing guidelines, when any DR is present, the PIS will prompt diabetologists to check, and if necessary, change medicines to optimize, blood sugar, blood pressure and lipids.",[14],[25],"Specific DM care recommendations",[27,31],{"name":28,"affiliation":29,"role":30},"Munir Ahmed","Orbis Bangladesh","PRINCIPAL_INVESTIGATOR",{"name":32,"affiliation":5,"role":30},"Nathan Congdon",[34,39],{"name":35,"role":36,"phone":37,"phoneExt":12,"email":38},"Lutful Husain","CONTACT","+8801711626852","lutful.husain@orbis.org",{"name":32,"role":36,"phone":40,"phoneExt":12,"email":41},"+44 7748 751393","ncongdon1@gmail.com",[43,56],{"facility":44,"status":45,"city":46,"state":47,"zip":48,"country":49,"countryCode":50,"cosmosGeoPoint":12,"geoPoint":12,"contacts":51},"Dinajpur Diabetes & Swasthoseba Hospital","RECRUITING","Dinajpur Sadar","Dinajpur","5200","Bangladesh","BD",[52],{"name":53,"role":36,"phone":54,"phoneExt":12,"email":55},"Diabetic Association, Dinajpur","+8802588817827","dinajpur.diabetes@gmail.com",{"facility":57,"status":45,"city":58,"state":12,"zip":12,"country":49,"countryCode":50,"cosmosGeoPoint":12,"geoPoint":12,"contacts":59},"Gausul Azam BNSB Eye Hospital","Dinajpur District",[60],{"name":57,"role":36,"phone":61,"phoneExt":12,"email":62},"+8802589934033","bnsbdinajpur@gmail.com",{"type":64,"investigatorFullName":12,"investigatorTitle":12,"investigatorAffiliation":12,"oldNameTitle":12,"oldOrganization":12},"SPONSOR",[66,69],{"name":67,"class":68},"District Diabetes Hospital, Dinajpur district of Bangladesh","UNKNOWN",{"name":70,"class":68},"Gausul Azam BNSB Eye Hospital in the Dinajpur district of Bangladesh","100590532","improving-patient-centered-care-for-diabetes-in-bangladesh-through-dynamic-integration-of-vision-care-on-the-supply-side-100590532",false,"NCT06968637","Improving Patient-centered Care for Diabetes in Bangladesh Through \"Dynamic Integration\" of Vision Care on the Supply Side","Inclusion Criteria:\n\n* Diagnosed with DM\n* Diagnosed with DR in at least one eye\n* Over 30 years of age\n* Currently treated at the Dinajpur Diabetes Hospital and Gausul Azam BNSB Eye Hospital in Bangladesh\n* willingness to participate in the study\n\nExclusion Criteria:\n\n* Any ocular condition impairing the view of the fundus sufficiently to preclude grading of the image for DR.\n* Inability to comply with retinal photography to the extent that a gradable image cannot be captured, or any other factor leading to absence of sufficient images to grade at least one eye of a participant.\n* Medical conditions that could impair compliance with follow-up (such as stroke, dementia, etc.)\n* Unwilling to participate in the study, or incapable of giving informed consent.","ALL","30 Years",{"count":80,"type":81},336,"ESTIMATED","INTERVENTIONAL",[84],"NA","The goal of this clinical trial is to determine whether integration of vision care into the DM treatment system, by providing specific recommendations to doctors for management of diabetes alongside feedback on positive eye exams for DR can improve diabetes care outcomes.\n\nThe main questions it aims to answer are:\n\n1. Does delivery of specific diabetes management recommendations to diabetes doctors for patients of theirs found to have DR lead to significantly improved blood glucose control as indicated by % reaching WHO targets of HbA1c (or targets for blood sugar if HbA1c data are unavailable)?\n2. What is the cost-effectiveness of the intervention, measured as total intervention cost per additional participant reaching the WHO target?\n\nResearchers will compare participant adherence with international guidelines when DR results are provided by a PIS without specific care recommendations to when the PIS provides DR results with specific care recommendations for DM management.",[87,88],"Diabetes Mellitus","Diabetic Retinopathy (DR)","2025-09-04",{"date":91,"type":92},"2025-09-11","ACTUAL",{"date":94,"type":92},"2025-08-25",{"date":96,"type":81},"2026-12",{"name":5,"class":6},2]