| Impact of a Diabetes Disease Management Program on Diabetes Control and Patient Quality of Life. | |
| | |
MedLine Citation:
|
PMID: 22229386 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Abstract The worldwide burden of diabetes is projected to be 5.4% of the adult population by the year 2025. Diabetes is associated with multiple medical complications that both decrease health-related quality of life (HR-QOL) and contribute to earlier mortality. There is growing evidence for the effectiveness of multidisciplinary disease management programs that incorporate self-management principles in improving patients' long-term outcomes. The aim of this project was to evaluate the effectiveness of this approach in improving: (1) glycemic control measured by HbA1c, and (2) HR-QOL measured by the Assessment of Quality of Life (AQOL), at enrollment and at 12-months follow-up. Between 2004 and 2008, a total of 967 patients were enrolled in the program; 545 (56%) of these patients had HbA1c data available at baseline and at 12 months. Mean HbA1c at enrollment was 8.6% (SD 1.9) versus 7.3% (SD 1.2) at 12 months (P < 0.001). Overall, 68% of patients experienced improvements in HbA1c. At enrollment, patients reported "fair" HR-QOL, which was significantly lower than age-adjusted population norms who reported "good" HR-QOL. At 12 months, 251 (64%) patients had improved HR-QOL, 27 (7%) had no change, and 114 (29%) deteriorated. Mean utility scores improved by 0.11 (P < 0.001), which is almost twice the minimum clinically important difference for the AQOL. This study confirms that a multidisciplinary disease management program for patients with poorly controlled type 2 diabetes can improve both glycemic control and HR-QOL. (Population Health Management 2012;15:xx-xx). |
| | |
Authors:
|
Tshepo Mokuedi Rasekaba; Marnie Graco; Chrissie Risteski; Andrea Jasper; David J Berlowitz; Graeme Hawthorne; Anastasia Hutchinson |
Related Documents
:
|
18332156 - Markedly blunted metabolic effects of fructose in healthy young female subjects compare... 7906626 - Oral administration of insulin in winter-acclimatized carp (cyprinus carpio) induces he... 20144296 - Oral insulin: the rationale for this approach and current developments. 21840916 - What is the relationship between diabetes and depression? a qualitative meta-synthesis ... 15551046 - Short-term infusion of interleukin-6 does not induce insulin resistance in vivo or impa... 14560956 - Genetic analysis of tor signaling in drosophila. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-1-9 |
Journal Detail:
|
Title: Population health management Volume: - ISSN: 1942-7905 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
|
Created Date: 2012-1-10 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101481266 Medline TA: Popul Health Manag Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
1 Northern Clinical Research Centre, Northern Health & The University of Melbourne Department of Medicine , Melbourne, Australia . |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Dissection of genotype-phenotype associations in rice grains using metabolome quantitative trait loc...
Next Document: I think I can, I think I can: Examining the within-person coupling of control beliefs and cognition ...