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ABCD nationwide FreeStyle Libre
(FSL) audit on N3
ABCD nationwide FSL
audit our first device audit
This nationwide audit,
our first of a device, launched in November 2017. An online tool was
launched in August 2018. Following deadlines for data analysis in
December 2018 and May 2019, presentations from the audit were made at
Diabetes UK APC in Liverpool in March 2019 and ADA 79th scientific
sessions in San Francisco in June. These early findings were very
positive and were
summarised by Dr Chris Walton in an ABCD press release on 11 June, 2019.
In June 2020 the first full paper from the audit was published in
Diabetes Care and it is
free to download. Further analysis of this data is ongoing. It is
important to stress that the audit continues and it is particularly
important that follow up data is submitted as your patients return to
see you in the months ahead.
About the ABCD
nationwide FSL audit
With the launch of the
FSL audit, ABCD is now auditing the use of FSL in adults and paediatric
patients with both type 1 and type 2 diabetes. On the left you will find
examples of findings from randomised controlled trials (RCTs) undertaken
with FSL. As with the other ABCD audits ( for example
exenatide,
liraglutide,
dapagliflozin),
it
may be that outcomes
for patients using FSL in real clinical practice will be different from
those in the clinical trials. It is the aim of this audit to find this
out. As with other audits, this audit will again be hosted on N3 with
the latest version of NHSnet. Access the on-line tool for the audit does
require the user to be on N3 – ie in an NHS hospital, GP surgery etc.
The on-line tool became available for general use on August 28, 2018.
Paper forms are also available from the links below to assist with data
collection prior to entry into the on-line tool. The audit has a number
of
objectives.
During 2019 the online audit tool has been edited and improved in the
light of experience and data collection forms have been modified to the
ones downloadable from this page.
Web-based audit tool on N3
The audit tool for the
FSL audit is similar to that being used for the other ABCD audits. The
tool is easy to use. Being on N3 it has optimum security for patient
identifiable data with regard to your own patients, but anonymises the
data when it is utilised in the national audit. There are some special
features with regard to the data export both for your own local analysis
and for the nationwide analysis. The export now allows you to choose
which data to download for analysis as well as providing all data. It
also allows you to choose to download the data aggregated to different
time points. The tool has the facility to detect data from the
same patient entered in two sites (eg hospital and primary care) and to
merge the data when exported - see centres and sites below.
Structure of the audit –
centres and sites
For this audit the
concept of centres and sites is utilised in the same way as in the other
ABCD audits. Typically, a centre might be an NHS Trust. Sites might be
hospitals associated with that Trust, and/or health centres or GP
surgeries in the local vicinity. If set up in this structure, designated
leaders of the local audit would be given access to download the
anonymised data of all the patients associated with the centre for more
powerful local analysis of data involving higher numbers. Findings so
made through such local analysis could be put forward for further
testing on the full national dataset.
Collect data on-line or
via paper forms
The on-line audit tool
will be so easy to use that live data entry in clinic is a real option
to be considered. Otherwise to facilitate data collection during clinics
there are two paper forms which exactly match the data that can be
entered into the audit tool. You can download and print these forms
locally or
order
pre-printed data entry forms.
To download the forms
to printout for use, use the following links:
Download first visit data entry form
Download follow up visit data entry form
Non ABCD members
Non ABCD members are welcome to take part in the audit and will be given
access to the on-line audit tool when they
register for the audit.
Data from children
This may also be added thanks to a collaboration
between ABCD, the
Association of Children's Diabetes Clinicians (ACDC) and the
Children
and Young People’s Diabetes Network.
Register to take part in
the audit and access to the on-line tool
To register for the audit and be given access to the on-line tool on the
ABCD website on N3
click here.
Northern Ireland and Worldwide
As Northern Ireland is not on N3, a non N3 version of the tool has been
developed which can allow any country in the world to enrol at no cost
and utilise the facilities. Any country, and centres in the country, may
collect and analyse their own data which will then automatically become
part of worldwide audit. For more information
click here.
To register for the audit if you from Northern Ireland or outside
the UK
click here
How to do it videos
Videos showing how to analyse your data in the ABCD FreeStyle Libre
audit have now been created and are available to watch on the ABCD
YouTube channel.
Caldicott Guardian
approval
The ABCD nationwide audit programme has Caldicott Guardian approval. The
programme is audit not research. The NHS encourages audit of clinical
practice and there are strict guidelines which we follow, in particular
that we only to collect data from routine clinical practice, and
analysis is of data which is anonymised.
Further information
Further enquiries may be made to the ABCD nationwide audits database
administrator of the project,
Melissa Cull.
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