Nurse-led telephone follow-up diabetes mellitus/Diabetes mellitusta telefonla hemsire izlemi.
Article Type: Letter to the editor
Author: Wiwanitkit, Viroj
Pub Date: 12/01/2010
Publication: Name: Turkish Journal of Endocrinology and Metabolism Publisher: Galenos Yayincilik Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2010 Galenos Yayincilik ISSN: 1301-2193
Issue: Date: Dec, 2010
Accession Number: 254828200
Full Text: Introduction

Editor, I read the recent publication by Cinar et al. with a great interest [1]. Cinar et al. concluded that "a nurse telephone intervention may improve glycemic parameters as well as diet, exercise, and medication adherence [1]". I have some questions on this work. First, there might be selection bias on the included case in this work since there is no procedure for preventing it. Second, there is no confirmation that there is no interobserver variation in telephoning technique and outcome measurement. Third, there are also other factors, rather than a few period telephone conversations, that can result in the diabetic control outcome in the patients. Indeed, this limitation is reported in a previous similar work by Bowles [2].


[1.] Cinar Fi, Akbayrak N, Cinar M, Karadurmus N, Sahin M, Dogru T, Sonmez A, Tosun N, Kilic S. The Effectiveness of Nurse-led Telephone Follow-up in Patients with Type 2 Diabetes Mellitus. Turk Jem 2010;14:1-5.

[2.] Bowles KH. Nurse practitioner provided home telemonitoring and medication management improves glycemic control in primary care patients with type 2 diabetes more than monthly care coordination telephone call. Evid Based Nurs. 2010;13:74-5.


Nuri Karadurmus's answer to the Editor

Dear Editor. I read his letter carefully and He is right and we should explain how can we got telephon technigue and outcome measurement. We thank author and we will think about it and may be we can improve our technique and so we have to chance to new study with new these methods.


Address for Correspondence: Viroj Wiwanitkit MD, Wiwanitkit house, bangkhae, bangkok thailand 10160 Phone: +0066 241 324 36 E-mail:

Viroj Wiwanitkit

Wiwanitkit House, Bangkhae, Bangkok, Thailand
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