Long-term effects of the multidisciplinary risk assessment and management program for patients with diabetes mellitus (RAMP-DM): A population-based cohort study

Cardiovascular Diabetology

Volumn 14, Issue 1, 2015, Pages

  Jiao, Fangfang ^a   Fung, Colman Siu Cheung ^a   Wan, Yuk Fai ^a   McGhee, Sarah Morag ^a   Wong, Carlos King Ho ^a   Dai, Daisy ^b   Kwok, Ruby ^b   Lam, Cindy Lo Kuen ^a  

^a UNIVERSITY OF HONG KONG   (Hong Kong)

^b HOSPITAL AUTHORITY   (Hong Kong)

Author keywords

Cardiovascular complications; Diabetes mellitus; Multidisciplinary; Risk stratification

Indexed keywords

HEMOGLOBIN A1C;

ADULT; ARTICLE; CARDIOVASCULAR RISK; CEREBROVASCULAR ACCIDENT; CHINESE; CLINICAL EFFECTIVENESS; COHORT ANALYSIS; COMPARATIVE EFFECTIVENESS; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIABETES MELLITUS; FEMALE; FOLLOW UP; HEALTH PROGRAM; HEART FAILURE; HUMAN; INTERMETHOD COMPARISON; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; MORTALITY; PRIMARY MEDICAL CARE; PROSPECTIVE STUDY; RISK ASSESSMENT AND MANAGEMENT PROGRAM; RISK REDUCTION; SURVIVAL; SYSTOLIC BLOOD PRESSURE; THERAPY EFFECT; AGED; ATTITUDE TO HEALTH; CARDIOVASCULAR DISEASES; CAUSE OF DEATH; CHI SQUARE DISTRIBUTION; CLINICAL TRIAL; CORONARY DISEASE; EPIDEMIOLOGY; HONG KONG; INCIDENCE; INTENTION TO TREAT ANALYSIS; KAPLAN MEIER METHOD; MULTICENTER STUDY; MULTIVARIATE ANALYSIS; PATIENT CARE; PATIENT EDUCATION; PREVENTIVE HEALTH SERVICE; PRIMARY HEALTH CARE; PROGRAM EVALUATION; PROPENSITY SCORE; PROPORTIONAL HAZARDS MODEL; RISK ASSESSMENT; RISK FACTOR; STROKE; TIME FACTOR; TREATMENT OUTCOME;

AGED; CARDIOVASCULAR DISEASES; CAUSE OF DEATH; CHI-SQUARE DISTRIBUTION; COMPARATIVE EFFECTIVENESS RESEARCH; CORONARY DISEASE; DIABETES MELLITUS; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEART FAILURE; HONG KONG; HUMANS; INCIDENCE; INTENTION TO TREAT ANALYSIS; KAPLAN-MEIER ESTIMATE; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PATIENT CARE TEAM; PATIENT EDUCATION AS TOPIC; PREVENTIVE HEALTH SERVICES; PRIMARY HEALTH CARE; PROGRAM EVALUATION; PROPENSITY SCORE; PROPORTIONAL HAZARDS MODELS; PROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; RISK REDUCTION BEHAVIOR; STROKE; TIME FACTORS; TREATMENT OUTCOME;

EID: 84939176764     PISSN: None     EISSN: 14752840     Source Type: Journal    
DOI: 10.1186/s12933-015-0267-3     Document Type: Article

References (34)

1. Guariguata L, Whiting D, Hambleton I, Beagley J, Linnenkamp U, Shaw J (2014) Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pr 103(2):137-149
2. International Diabetes Federation (2013) Diabetes Atlas, 6th edn. https://www.idf.org/sites/default/files/EN_6E_Atlas_Full_0.pdf. Accessed 17 Mar 2015
3. Wong KC, Wang Z (2006) Prevalence of type 2 diabetes mellitus of Chinese populations in Mainland China, Hong Kong, and Taiwan. Diabetes Res Clin Pr 73(2):126-134
4. Roglic G, Unwin N, Bennett PH, Mathers C, Tuomilehto J, Nag S (2005) The burden of mortality attributable to diabetes realistic estimates for the year 2000. Diabetes Care 28(9):2130-2135
5. Chan B, Tsang M, Lee V, Lee K (2007) Cost of type 2 diabetes mellitus in Hong Kong Chinese. Int J Clin Pharm Th 45(8):455-468
6. UK Prospective Diabetes Study Group (1998) Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. BMJ Br Med J 317(7160):703-713
7. Stamler J, Vaccaro O, Neaton JD, Wentworth D (1993) Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial. Diabetes Care 16(2):434-444
8. Van Dieren S, Beulens J, Kengne A, Peelen L, Rutten G, Woodward M et al (2012) Prediction models for the risk of cardiovascular disease in patients with type 2 diabetes: a systematic review. Heart 98(5):360-369
9. American Diabetes Association (2013) Standards of medical care in diabetes 2013. Diabetes Care 36(Supplement 1):S11-S57
10. National Collaborating Centre for Chronic Conditions (2008) Type 2 diabetes National clinical guideline for management in primary and secondary care (update). Royal College of Physicians, London
11. Canadian Diabetes Association (2008) 2008 Clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes 32(Supplement 1):S1-S201
12. Esposito K, Gentile S, Candido R, De Micheli A, Gallo M, Medea G, Ceriello A (2013) Management of hyperglycemia in type 2 diabetes: evidence and uncertainty. Cardiovasc Diabetol 12(1):81
13. Bodenheimer T, Wagner EH, Grumbach K (2002) Improving primary care for patients with chronic illness. JAMA J Am Med Assoc 288(14):1775-1779
14. Maislos M, Weisman D (2004) Multidisciplinary approach to patients with poorly controlled type 2 diabetes mellitus: a prospective, randomized study. Acta Diabetol 41(2):44-48
15. Chen MY, Huang WC, Peng YS, Guo JS, Chen CP, Jong MC et al (2011) Effectiveness of a health promotion programme for farmers and fishermen with type-2 diabetes in Taiwan. J Adv Nurs 67(9):2060-2067
16. Litaker D, Mion LC, Planavsky L, Kippes C, Mehta N, Frolkis J (2003) Physician-nurse practitioner teams in chronic disease management: the impact on costs, clinical effectiveness, and patients' perception of care. J Interprof Care 17(3):223-237
17. Mousquès J, Bourgueil Y, Le Fur P, Yilmaz E (2010) Effect of a French experiment of team work between general practitioners and nurses on efficacy and cost of type 2 diabetes patients care. Health Policy 98(2):131-143
18. Hansen LJ, Siersma V, Beck-Nielsen H, de Fine Olivarius N (2013) Structured personal care of type 2 diabetes: a 19 year follow-up of the study Diabetes Care in General Practice (DCGP). Diabetologia 56(6):1243-1253
19. Fung CS, Chin WY, Dai DS, Kwok RL, Tsui EL, Wan YF et al (2012) Evaluation of the quality of care of a multi-disciplinary risk factor assessment and management programme (RAMP) for diabetic patients. BMC Fam Pract 13:116
20. Jiao FF, Fung CS, Wong CK, Wan YF, Dai D, Kwok R et al (2014) Effects of the multidisciplinary risk assessment and management program for patients with diabetes mellitus (RAMP-DM) on biomedical outcomes, observed cardiovascular events and cardiovascular risks in primary care: a longitudinal comparative study. Cardiovasc Diabetol 13(1):127
21. So WY, Raboca J, Sobrepena L, Yoon KH, Deerochanawong C, Ho LT et al (2011) Comprehensive risk assessments of diabetic patients from seven Asian countries: The Joint Asia Diabetes Evaluation (JADE) program*. J Diabetes 3(2):109-118
22. Dehejia RH, Wahba S (2002) Propensity score-matching methods for nonexperimental causal studies. Rev Econ Stat 84(1):151-161
23. Charlson M, Peterson J, Szatrowski TP, MacKenzie R, Gold J (1994) Long-term prognosis after peri-operative cardiac complications. J Clin Epidemiol 47(12):1389-1400
24. Antolini L, Boracchi P, Biganzoli E (2005) A time-dependent discrimination index for survival data. Stat Med 24(24):3927-3944
25. Clark CM, Snyder JW, Meek RL, Stutz LM, Parkin CG (2001) A systematic approach to risk stratification and intervention within a managed care environment improves diabetes outcomes and patient satisfaction. Diabetes Care 24(6):1079-1086
26. Harris M, Greaves F, Patterson S, Jones J, Pappas Y, Majeed A et al (2012) The North West London Integrated Care Pilot: innovative strategies to improve care coordination for older adults and people with diabetes. J Ambul Care Manage 35(3):216-225
27. Chan J, So W, Ko G, Tong P, Yang X, Ma R et al (2009) The Joint Asia Diabetes Evaluation (JADE) program: a web-based program to translate evidence to clinical practice in Type 2 diabetes. Diabetic Med 26(7):693-699
28. Zhao W, Katzmarzyk PT, Horswell R, Wang Y, Johnson J, Hu G (2014) HbA1c and coronary heart disease risk among diabetic patients. Diabetes Care 37(2):428-435
29. Patel A, MacMahon S, Chalmers J, Neal B, Billot L, Woodward M et al (2008) Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes. N Engl J Med 358(24):2560-2572
30. Turner R, Holman R, Cull C, Stratton I, Matthews D, Frighi V et al (1998) Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 352(9131):837-853
31. Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HAW (2008) 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med 359(15):1577-1589
32. Gæde P, Lund-Andersen H, Parving H-H, Pedersen O (2008) Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med 358(6):580-591
33. Stock S, Drabik A, Büscher G, Graf C, Ullrich W, Gerber A et al (2010) German diabetes management programs improve quality of care and curb costs. Health Affair 29(12):2197-2205
34. Moe B, Augestad LB, Nilsen TI (2013) Diabetes severity and the role of leisure time physical exercise on cardiovascular mortality: the Nord-Trøndelag Health study (HUNT), Norway. Cardiovasc Diabetol 12(1):83