{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:18:43Z","timestamp":1791897523770,"version":"4.3.4"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T00:00:00Z","timestamp":1663286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp; Metabol"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Continuous glucose monitoring (CGM) is rapidly becoming a vital tool in the management of type 1 diabetes. Its use has been shown to improve glycaemic management and reduce the risk of hypoglycaemic events. The cost of CGM remains a barrier to its widespread application. We aimed to identify and synthesize evidence about the cost\u2010effectiveness of utilizing CGM in patients with type 1 diabetes. Studies were identified from MEDLINE, Embase and Cochrane Library from January 2010 to February 2022. Those that assessed the cost\u2010effectiveness of CGM compared to self\u2010monitored blood glucose (SMBG) in patients with type 1 diabetes and reported lifetime incremental cost\u2010effectiveness ratio (ICER) were included. Studies on critically ill or pregnant patients were excluded. Nineteen studies were identified. Most studies compared continuous subcutaneous insulin infusion and SMBG to a sensor\u2010augmented pump (SAP). The estimated ICER range was [$18,734\u2013$99,941] and the quality\u2010adjusted life year (QALY) gain range was [0.76\u20132.99]. Use in patients with suboptimal management or greater hypoglycaemic risk revealed more homogenous results and lower ICERs. Limited studies assessed CGM in the context of multiple daily injections (MDI) (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a04), MDI and SMBG versus SAP (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a02) and three studies included hybrid closed\u2010loop systems. Most studies (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a017) concluded that CGM is a cost\u2010effective tool. This systematic review suggests that CGM appears to be a cost\u2010effective tool for individuals with type 1 diabetes. Cost\u2010effectiveness is driven by reducing short\u2010 and long\u2010term complications. Use in patients with suboptimal management or at risk of severe hypoglycaemia is most cost\u2010effective.\n                  <\/jats:p>","DOI":"10.1002\/edm2.369","type":"journal-article","created":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T13:39:19Z","timestamp":1663335559000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":65,"title":["A systematic review: Cost\u2010effectiveness of continuous glucose monitoring compared to\n                    <scp>self\u2010monitoring<\/scp>\n                    of blood glucose in type 1 diabetes"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7580-3623","authenticated-orcid":false,"given":"Yuxin","family":"Jiao","sequence":"first","affiliation":[{"name":"Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Lin","sequence":"additional","affiliation":[{"name":"Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyang","family":"Hua","sequence":"additional","affiliation":[{"name":"Centre for Health Policy Melbourne School of Population and Global Health University of Melbourne  Carlton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonid","family":"Churilov","sequence":"additional","affiliation":[{"name":"Melbourne Medical School The University of Melbourne  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7350-3299","authenticated-orcid":false,"given":"Michele J.","family":"Gaca","sequence":"additional","affiliation":[{"name":"Health Sciences Library Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3928-9206","authenticated-orcid":false,"given":"Steven","family":"James","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Paramedicine University of the Sunshine Coast  Petrie Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip M.","family":"Clarke","sequence":"additional","affiliation":[{"name":"Health Economics Research Centre Nuffield Department of Population Health University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"O'Neal","sequence":"additional","affiliation":[{"name":"Department of Medicine St Vincent's Hospital Melbourne, Melbourne Medical School, The University of Melbourne  Parkville Victoria 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