Document Detail


The effects of a patient-based risk assessment prompt on diabetes screening.
MedLine Citation:
PMID:  17367889     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Previous research has determined that nurse-based diabetes risk assessment increases screening and preventive services for patients at risk for type 2 diabetes. This pilot study tested the impact of a diabetes risk assessment completed by patients without nursing assistance. RESEARCH DESIGN AND METHODS: Patients from a family medicine residency clinic completed an American Diabetes Association Risk Assessment questionnaire. Intervention subjects presented completed questionnaires to their physicians. Control subjects returned the questionnaire to the research assistant. Primary endpoints were the number of persons receiving diabetes screening and the number of persons with newly diagnosed diabetes. The associations between the intervention and diabetes screening and diagnosis were assessed using univariate and multivariate logistic regression models. RESULTS: This study included 511 subjects (256 in the intervention group and 255 in the control group). Comparing intervention to control subjects, there was no difference in fasting glucose screening rates. However, odds of diabetes diagnoses were significantly higher using univariate analysis (OR 5.2; 95% CI 1.1-24.3, p=.036) and approached statistical significance after adjusting for other risk factors (OR 4.6; 95% CI 0.92-23.2, p=.063). CONCLUSIONS: A simple patient-based risk assessment used in the outpatient setting may represent a simple, economical method for discovering previously-undiagnosed type 2 diabetes.
Authors:
John M Boltri; J Paul Seale; Ike S Okosun; Andrew Ouzts; Monica Cornelius; Monique Davis-Smith
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.     Date:  2007-03-23
Journal Detail:
Title:  Diabetes research and clinical practice     Volume:  78     ISSN:  0168-8227     ISO Abbreviation:  Diabetes Res. Clin. Pract.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-10     Completed Date:  2007-11-13     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  8508335     Medline TA:  Diabetes Res Clin Pract     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  102-7     Citation Subset:  IM    
Affiliation:
Department of Family Medicine, Mercer University School of Medicine and the Medical Center of Central Georgia, Macon, GA, USA. boltri.john@mccg.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Diabetes Mellitus / diagnosis,  epidemiology*
Ethnic Groups
Family Practice
Female
Georgia
Health Surveys
Humans
Male
Mass Screening
Middle Aged
Patient Selection
Prevalence
Questionnaires
Risk Assessment
Societies, Medical
United States / epidemiology
Grant Support
ID/Acronym/Agency:
5 D12 HP00159//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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