Group versus Individual Care in Patients with Long-Standing Type 1 and Type 2 Diabetes: A One-Year Prospective Noninferiority Study in a Tertiary Diabetes Clinic
Aims. To explore the feasibility and noninferiority of group care in a diabetes outpatient clinic in comparison with individual care. Methods. In this prospective, randomized, nonblinded, one center (university hospital) trial, 60 patients (28 with type 1 and 32 with type 2 diabetes) with a mean dur...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2018/1807246 |
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| author | Joelle Singer Sigal Levy Ilan Shimon |
| author_facet | Joelle Singer Sigal Levy Ilan Shimon |
| author_sort | Joelle Singer |
| collection | DOAJ |
| description | Aims. To explore the feasibility and noninferiority of group care in a diabetes outpatient clinic in comparison with individual care. Methods. In this prospective, randomized, nonblinded, one center (university hospital) trial, 60 patients (28 with type 1 and 32 with type 2 diabetes) with a mean duration of diabetes of 22.5 ± 11.7 years were randomly assigned to group (6 patients per group) or individual care for one year. The primary endpoints were the change in HbA1c and visits to outpatient clinics. The secondary endpoints were changes in body mass index, blood pressure levels, waist circumference, non-HDL cholesterol, diabetes-related and well-being index questionnaires, and the number of hospitalizations. Results. Group care was not inferior to individual care for any of the above parameters except for the number of visits to a primary care physician. Conclusion. Group care is feasible in a diabetes clinic and is as effective as individual care. Implementation of group care may facilitate access to specialized care to a larger population of patients with diabetes type 1 and 2. |
| format | Article |
| id | doaj-art-1f744480d274474387d36987329676d2 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-1f744480d274474387d36987329676d22025-02-03T05:46:10ZengWileyJournal of Diabetes Research2314-67452314-67532018-01-01201810.1155/2018/18072461807246Group versus Individual Care in Patients with Long-Standing Type 1 and Type 2 Diabetes: A One-Year Prospective Noninferiority Study in a Tertiary Diabetes ClinicJoelle Singer0Sigal Levy1Ilan Shimon2Institute of Endocrinology, Diabetes and Metabolism, Beilinson Hospital, Rabin Medical Center, Jabotinski Road 39, 49100 Petah Tikva, IsraelStatistical Education Unit, The Academic College of Tel Aviv-Yaffo, Khever ha-Le’umim St 10, Tel Aviv-Yafo, IsraelInstitute of Endocrinology, Diabetes and Metabolism, Beilinson Hospital, Rabin Medical Center, Jabotinski Road 39, 49100 Petah Tikva, IsraelAims. To explore the feasibility and noninferiority of group care in a diabetes outpatient clinic in comparison with individual care. Methods. In this prospective, randomized, nonblinded, one center (university hospital) trial, 60 patients (28 with type 1 and 32 with type 2 diabetes) with a mean duration of diabetes of 22.5 ± 11.7 years were randomly assigned to group (6 patients per group) or individual care for one year. The primary endpoints were the change in HbA1c and visits to outpatient clinics. The secondary endpoints were changes in body mass index, blood pressure levels, waist circumference, non-HDL cholesterol, diabetes-related and well-being index questionnaires, and the number of hospitalizations. Results. Group care was not inferior to individual care for any of the above parameters except for the number of visits to a primary care physician. Conclusion. Group care is feasible in a diabetes clinic and is as effective as individual care. Implementation of group care may facilitate access to specialized care to a larger population of patients with diabetes type 1 and 2.http://dx.doi.org/10.1155/2018/1807246 |
| spellingShingle | Joelle Singer Sigal Levy Ilan Shimon Group versus Individual Care in Patients with Long-Standing Type 1 and Type 2 Diabetes: A One-Year Prospective Noninferiority Study in a Tertiary Diabetes Clinic Journal of Diabetes Research |
| title | Group versus Individual Care in Patients with Long-Standing Type 1 and Type 2 Diabetes: A One-Year Prospective Noninferiority Study in a Tertiary Diabetes Clinic |
| title_full | Group versus Individual Care in Patients with Long-Standing Type 1 and Type 2 Diabetes: A One-Year Prospective Noninferiority Study in a Tertiary Diabetes Clinic |
| title_fullStr | Group versus Individual Care in Patients with Long-Standing Type 1 and Type 2 Diabetes: A One-Year Prospective Noninferiority Study in a Tertiary Diabetes Clinic |
| title_full_unstemmed | Group versus Individual Care in Patients with Long-Standing Type 1 and Type 2 Diabetes: A One-Year Prospective Noninferiority Study in a Tertiary Diabetes Clinic |
| title_short | Group versus Individual Care in Patients with Long-Standing Type 1 and Type 2 Diabetes: A One-Year Prospective Noninferiority Study in a Tertiary Diabetes Clinic |
| title_sort | group versus individual care in patients with long standing type 1 and type 2 diabetes a one year prospective noninferiority study in a tertiary diabetes clinic |
| url | http://dx.doi.org/10.1155/2018/1807246 |
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