TY - JOUR T1 - Some evidence that continuous subcutaneous insulin infusion for type I diabetes improves glycaemic control compared with multiple daily injections, but few trials have compared CSII with MDI using newer insulin analogues JF - Evidence Based Nursing JO - Evid Based Nurs SP - 29 LP - 30 DO - 10.1136/ebn1121 VL - 14 IS - 1 AU - Phyllis Wolff-McDonagh Y1 - 2011/01/01 UR - http://ebn.bmj.com/content/14/1/29.abstract N2 - Commentary on: Cummins E, Royle P, Snaith A, et al. Clinical effectiveness and cost-effectiveness of continuous subcutaneous insulin infusion for diabetes: systematic review and economic evaluation. Health Technol Assess 2010;14:iii–iv, xi–xvi, 1–181.OpenUrlPubMedWeb of Science This report by Cummins and colleagues is an extensive, rigorous literature review from 2002 to 2007 examining the clinical efficacy and cost-effectiveness of continuous subcutaneous insulin infusion therapy (CSII) in diabetes. Databases searched included MEDLINE, EMBASE, The Cochrane Library, the Science Citation Index for meeting abstracts and the American Diabetes Association website. More than 900 studies were found; more than 550 were eliminated after abstract review and another 291 after full text review. A total of 74 studies were analysed, including 48 observational studies, 16 randomised controlled trials (RCTs), 4 with CSII in pregnancy and 4 systematic reviews.The incidence and pathophysiology … ER -