| The effects of a patient-based risk assessment prompt on diabetes screening. | |
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MedLine Citation:
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PMID: 17367889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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John M Boltri; J Paul Seale; Ike S Okosun; Andrew Ouzts; Monica Cornelius; Monique Davis-Smith |
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Publication Detail:
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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:
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Title: Diabetes research and clinical practice Volume: 78 ISSN: 0168-8227 ISO Abbreviation: Diabetes Res. Clin. Pract. Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-09-10 Completed Date: 2007-11-13 Revised Date: 2007-12-03 |
Medline Journal Info:
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Nlm Unique ID: 8508335 Medline TA: Diabetes Res Clin Pract Country: Ireland |
Other Details:
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Languages: eng Pagination: 102-7 Citation Subset: IM |
Affiliation:
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Department of Family Medicine, Mercer University School of Medicine and the Medical Center of Central Georgia, Macon, GA, USA. boltri.john@mccg.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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5 D12 HP00159//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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