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Am J Manag Care. 2005 Apr;11(4):242-50.

A systematic review of diabetes disease management programs.

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1
Phar, LLC, Los Angeles, CA 90025, USA. kknight@pharllc.com

Abstract

OBJECTIVE:

To systematically evaluate and synthesize published evidence regarding the effect of disease management programs for patients with diabetes mellitus on processes and outcomes of care.

STUDY DESIGN:

Systematic literature review and meta-analysis.

PATIENTS AND METHODS:

Computerized databases were searched for English-language controlled studies assessing the effect of diabetes disease management programs published from 1987 to 2001. Two reviewers extracted study data using a structured abstraction form. Pooled estimates of program effects on glycated hemoglobin were calculated using an empirical Bayes model.

RESULTS:

The pooled estimate of program effects on glycated hemoglobin was a 0.5-percentage point reduction (95% confidence interval, 0.3 to 0.6 percentage points), a modest but significant improvement. Evidence also supports program benefits in improving screening for retinopathy and foot lesions.

CONCLUSIONS:

Diabetes disease management programs can improve glycemic control to a modest extent and can increase screening for retinopathy and foot complications. Further efforts will be required to create more effective disease management programs for patients with diabetes mellitus.

PMID:
15839184
[Indexed for MEDLINE]
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