未经评估:糖尿病病例会议是内分泌学家拜访全科医生(GP),就糖尿病患者的护理提供建议。过去的病例会议研究报告了初级保健中糖尿病管理和临床结果的改善。这项研究调查了悉尼西南部糖尿病病例会议计划的有效性,澳大利亚。
UASSIGNED:在获得患者同意后,全科医生将复杂的糖尿病病例转介给来访的内分泌学家进行审查。患者通常不在场。在案件讨论之后,糖尿病管理计划由全科医生/专科医师团队共同制定.使用配对t检验比较基线和每年直至咨询后三年(2017-2020年)的临床数据。主要结果是HbA1c。
UNASSIGNED:收集了645/775例患者的临床数据(平均年龄64±15(SD)岁;351(54.4%)男性40/43;96.4%患有2型糖尿病;6.5%接受胰岛素治疗,54.3%非胰岛素治疗,31.5%的胰岛素和非胰岛素治疗和3.4%的饮食。HbA1c降低了1.0±1.7%(11±19mmol/mol)(p<0.001),收缩压8.2±18.1mmHg(p<0.001),舒张压2.7±11.6mmHg(p<0.001),总胆固醇0.2±1.7mmol/l(p=0.007),低密度脂蛋白0.2±1.0mmol/l(p<0.001),体重3.3±10.1kg(p<0.001)和体重指数(BMI)1.3±3.5kg/m2(p<0.001)。
未经批准:血糖,在初级医疗机构进行病例会议咨询后,体重和心血管危险因素有所改善.
UNASSIGNED: Diabetes
case conferencing is where an endocrinologist visits a general practitioner (GP) to advise on the care of patients with diabetes. Past
case conferencing studies have reported improved diabetes management and clinical outcomes in primary care. This study investigated the effectiveness of a diabetes
case conferencing program in South Western Sydney, Australia.
UNASSIGNED: Complex diabetes cases were referred by general practitioners to a visiting endocrinologist for review after obtaining patient consent. The patient was not usually present. After the
case discussion, a diabetes management plan was developed jointly by the general practice/specialist team. Clinical data were compared at baseline and each year up to three years (2017-2020) after the consultation using paired t-test. The primary outcome was HbA1c.
UNASSIGNED: Clinical data were collected for 645/775 patients (mean age 64 ± 15(SD) years; 351 (54.4%) males from 40/43 general practices; 96.4% had type 2 diabetes; 6.5% were insulin treated, 54.3% non-insulin treated, 31.5% both insulin and non-insulin treated and 3.4% diet only. There were reductions in HbA1c by 1.0 ± 1.7% (11 ± 19 mmol/mol) (p < 0.001), systolic blood pressure 8.2 ± 18.1 mmHg (p < 0.001), diastolic blood pressure 2.7 ± 11.6 mmHg (p < 0.001), total cholesterol 0.2 ± 1.7 mmol/l (p = 0.007), low-density lipoprotein 0.2 ± 1.0 mmol/l (p < 0.001), weight 3.3 ± 10.1 kg (p < 0.001) and body mass index (BMI) 1.3 ± 3.5 kg/m2 (p < 0.001).
UNASSIGNED: Glycaemia, weight and cardiovascular risk factors improved following
case conferencing consultations in a primary care setting.