Macrovascular and microvascular disease in obese patients with type 2 diabetes attending structured diabetes education program: a population-based propensity-matched cohort analysis of Patient Empowerment Programme (PEP)

Endocrine

Volumn 53, Issue 2, 2016, Pages 412-422

  Wong, Carlos K H ^a   Wong, William C W ^a   Wan, Eric Y F ^a   Chan, Anca K C ^a   Chan, Frank W K ^b   Lam, Cindy L K ^a  

^a UNIVERSITY OF HONG KONG   (Hong Kong)

^b HOSPITAL AUTHORITY   (Hong Kong)

Author keywords

Macrovascular disease; Microvascular disease; Primary care; Self management; Structured education; Type 2 diabetes

Indexed keywords

HEMOGLOBIN A1C; LOW DENSITY LIPOPROTEIN CHOLESTEROL;

ADULT; ARTICLE; BODY MASS; CHOLESTEROL BLOOD LEVEL; CLINICAL EFFECTIVENESS; COHORT ANALYSIS; CONTROLLED STUDY; DIABETES EDUCATION; DIABETIC MICROANGIOPATHY; DIASTOLIC BLOOD PRESSURE; EMPOWERMENT; FEMALE; GLYCEMIC CONTROL; HEALTH PROGRAM; HEMOGLOBIN BLOOD LEVEL; HUMAN; MACROVASCULAR DISEASE; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; NON INSULIN DEPENDENT DIABETES MELLITUS; OBESITY; OUTCOME ASSESSMENT; PERIPHERAL VASCULAR DISEASE; PRIORITY JOURNAL; RISK ASSESSMENT; RISK REDUCTION; SURVIVAL RATE; SURVIVAL TIME; SYSTOLIC BLOOD PRESSURE; WEIGHT CONTROL; AGED; COMPLICATION; DIABETIC ANGIOPATHIES; MORTALITY; PATIENT EDUCATION; PATIENT PARTICIPATION; SELF CARE;

AGED; DIABETES MELLITUS, TYPE 2; DIABETIC ANGIOPATHIES; FEMALE; HUMANS; MALE; MIDDLE AGED; OBESITY; PATIENT EDUCATION AS TOPIC; PATIENT PARTICIPATION; SELF CARE;

EID: 84954533667     PISSN: 1355008X     EISSN: 15590100     Source Type: Journal    
DOI: 10.1007/s12020-015-0843-z     Document Type: Article

References (38)

1. Y.M.K. Farag, M.R. Gaballa, Diabesity: an overview of a rising epidemic. Nephrol. Dial. Transplant. 26(1), 28–35 (2011). doi:10.1093/ndt/gfq576
2. S. Colagiuri, Diabesity: therapeutic options. Diabetes Obes. Metab. 12(6), 463–473 (2010). doi:10.1111/j.1463-1326.2009.01182.x
3. K.M.V. Narayan, J.P. Boyle, T.J. Thompson, E.W. Gregg, D.F. Williamson, Effect of BMI on lifetime risk for diabetes in the U.S. Diabetes Care 30(6), 1562–1566 (2007). doi:10.2337/dc06-2544
4. R. Klein, B.K. Klein, S.E. Moss, Is obesity related to microvascular and macrovascular complications in diabetes? The Wisconsin epidemiologic study of diabetic retinopathy. Arch. Intern. Med. 157(6), 650–656 (1997). doi:10.1001/archinte.1997.00440270094008
5. M.R. Carnethon, P.J. de Chavez, M.L. Biggs, C.E. Lewis, J.S. Pankow, A.G. Bertoni, S.H. Golden, K. Liu, K.J. Mukamal, B. Campbell-Jenkins, A.R. Dyer, Association of weight status with mortality in adults with incident diabetes. JAMA, J. Am. Med. Assoc. 308(6), 581–590 (2012). doi:10.1001/jama.2012.9282
6. J.P.H. Wilding, The importance of weight management in type 2 diabetes mellitus. Int. J. Clin. Pract. 68(6), 682–691 (2014). doi:10.1111/ijcp.12384
7. R.R. Wing, W. Lang, T.A. Wadden, M. Safford, W.C. Knowler, A.G. Bertoni, J.O. Hill, F.L. Brancati, A. Peters, L. Wagenknecht, the Look, ARG, Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care 34(7), 1481–1486 (2011). doi:10.2337/dc10-2415
8. American Diabetes Association, Standards of medical care in diabetes—2014. Diabetes Care 37(Supplement 1), S14–S80 (2014). doi:10.2337/dc14-S014
9. L. Haas, M. Maryniuk, J. Beck, C.E. Cox, P. Duker, L. Edwards, E.B. Fisher, L. Hanson, D. Kent, L. Kolb, S. McLaughlin, E. Orzeck, J.D. Piette, A.S. Rhinehart, R. Rothman, S. Sklaroff, D. Tomky, G. Youssef, National standards for diabetes self-management education and support. Diabetes Care 37(Supplement 1), S144–S153 (2014). doi:10.2337/dc14-S144
10. E. Loveman, G.K. Frampton, A.J. Clegg, The clinical effectiveness of diabetes education models for type 2 diabetes: a systematic review. Health Technol. Assess. 12(9), 1–116 (2008). iii
11. J. Jarvis, T.C. Skinner, M.E. Carey, M.J. Davies, How can structured self-management patient education improve outcomes in people with type 2 diabetes? Diabetes Obes. Metab. 12(1), 12–19 (2010). doi:10.1111/j.1463-1326.2009.01098.x
12. E. Loveman, C. Cave, C. Green, P. Royle, N. Dunn, N. Waugh, The clinical and cost-effectiveness of patient education models for diabetes: a systematic review and economic evaluation. Health Technol. Assess. 7(22), 1–190 (2003). iii
13. A. Coppola, L. Sasso, A. Bagnasco, A. Giustina, C. Gazzaruso, The role of patient education in the prevention and management of type 2 diabetes: an overview. Endocrine (2015). doi:10.1007/s12020-015-0775-7
14. A. Steinsbekk, L.O. Rygg, M. Lisulo, M.B. Rise, A. Fretheim, Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res 12, 213 (2012). doi:10.1186/1472-6963-12-213
15. S.L. Norris, J. Lau, S.J. Smith, C.H. Schmid, M.M. Engelgau, Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care 25(7), 1159–1171 (2002)
16. L. Minet, S. Moller, W. Vach, L. Wagner, J.E. Henriksen, Mediating the effect of self-care management intervention in type 2 diabetes: a meta-analysis of 47 randomised controlled trials. Patient Educ. Couns. 80(1), 29–41 (2010). doi:10.1016/j.pec.2009.09.033
17. C.K.H. Wong, W.C.W. Wong, C.L.K. Lam, Y.F. Wan, W.H.T. Wong, K.L. Chung, D. Dai, E.L.H. Tsui, D.Y.T. Fong, Effects of Patient Empowerment Programme (PEP) on clinical outcomes and health service utilization in type 2 diabetes mellitus in primary care: an observational matched cohort study. PLoS One 9(5), e95328 (2014). doi:10.1371/journal.pone.0095328
18. C.K.H. Wong, W.C.W. Wong, Y.F. Wan, A.K.C. Chan, K.L. Chung, F.W.K. Chan, C.L.K. Lam, Patient Empowerment Programme in primary care reduced all-cause mortality and cardiovascular diseases in patients with type 2 diabetes mellitus: a population-based propensity-matched cohort study. Diabetes Obes. Metab. 17(2), 128–135 (2015). doi:10.1111/dom.12397
19. C.K.H. Wong, W.C.W. Wong, Y.F. Wan, A.K.C. Chan, F.W.C. Chan, C.L.K. Lam, Patient Empowerment Programme (PEP) and risk of microvascular diseases among patients with type 2 diabetes mellitus in primary care: a population-based propensity matched cohort study. Diabetes Care 38(8), e116–e117 (2015). doi:10.2337/dc14-2213
20. C.K.H. Wong, W.C.W. Wong, Y.F. Wan, A.K.C. Chan, F.W.C. Chan, C.L.K. Lam, Effect of a Structured Diabetes Education Programme in Primary Care on Hospitalizations and Emergency Department visits among people with type 2 diabetes mellitus: results from the Patient Empowerment Programme. Diabetic Med. (2015). doi:10.1111/dme.12969
21. C.K.H. Wong, W.C.W. Wong, E. Wan, W. Wong, F.W.K. Chan, C.L.K. Lam, Increased number of structured diabetes education attendance was not associated with the improvement in patient-reported health-related quality of life: results from Patient Empowerment Programme (PEP). Health Qual Life Outcomes 13(1), 126 (2015). doi:10.1186/s12955-015-0324-3
22. World Health Organization, International Association for the Study of Obesity, International Obesity TaskForce: The Asia-Pacific Perspective: Redefining Obesity and Its Treatment (2000), http://www.wpro.who.int/nutrition/documents/docs/Redefiningobesity.pdf
23. C.S.C. Fung, W.Y. Chin, D. Dai, R.L.P. Kwok, E.L.H. Tsui, Y.F. Wan, W. Wong, C.K.H. Wong, D.Y.T. Fong, C.L.K. Lam, Evaluation of the quality of care of a multi-disciplinary risk factor assessment and management programme (RAMP) for diabetic patients. BMC Fam Pract 13(1), 116 (2012). doi:10.1186/1471-2296-13-116
24. F.F. Jiao, C.S.C. Fung, C.K.H. Wong, Y.F. Wan, D. Dai, R.L.P. Kwok, C.L.K. Lam, 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. Cardiovascular Diabetology 13(1), 127 (2014). doi:10.1186/s12933-014-0127-6
25. F.F. Jiao, C.S.C. Fung, Y.F. Wan, S.M. McGhee, C.K.H. Wong, D. Dai, R.L.P. Kwok, C.L.K. Lam, 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 14(1), 105 (2015). doi:10.1186/s12933-015-0267-3
26. W. D’Hoore, A. Bouckaert, C. Tilquin, Practical considerations on the use of the Charlson Comorbidity Index with administrative data bases. J. Clin. Epidemiol. 49(12), 1429–1433 (1996). doi:10.1016/S0895-4356(96)00271-5
27. R.B.J. D’Agostino, Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Stat. Med. 17(19), 2265–2281 (1998). doi:10.1002/(SICI)1097-0258(19981015)17:19<2265:AID-SIM918>3.0.CO;2-B
28. P.R. Rosenbaum, Observational Studies (Springer, New York, 2002)
29. P.R. Rosenbaum, D.B. Rubin, The central role of the propensity score in observational studies for causal effects. Biometrika 70(1), 41–55 (1983)
30. D.B. Rubin, Estimating causal effects of treatments in randomized and nonrandomized studies. J. Educ. Psychol. 66(5), 688 (1974)
31. E. Leuven, B. Sianesi, PSMATCH2: Stata module to perform full Mahalanobis and propensity score matching, common support graphing, and covariate imbalance testing. Stat. Softw. Compon. (2012)
32. P.C. Austin, A critical appraisal of propensity-score matching in the medical literature between 1996 and 2003. Stat. Med. 27(12), 2037–2049 (2008). doi:10.1002/sim.3150
33. F. Harrell, K.L. Lee, D.B. Mark, Tutorial in biostatistics multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat. Med. 15, 361–387 (1996)
34. M. Gillett, H.M. Dallosso, S. Dixon, A. Brennan, M.E. Carey, M.J. Campbell, S. Heller, K. Khunti, T.C. Skinner, M.J. Davies, Delivering the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cost effectiveness analysis. BMJ 341, c4093 (2010). doi:10.1136/bmj.c4093
35. The Look AHEAD Research Group, Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N. Engl. J. Med. 369(2), 145–154 (2013). doi:10.1056/NEJMoa1212914
36. B.L. Johnson, D.W. Blackhurst, B.B. Latham, D.L. Cull, E.S. Bour, T.L. Oliver, B. Williams, S.M. Taylor, J.D. Scott, Bariatric surgery is associated with a reduction in major macrovascular and microvascular complications in moderately to severely obese patients with type 2 diabetes mellitus. J. Am. Coll. Surg. 216(4), 545–556 (2013). doi:10.1016/j.jamcollsurg.2012.12.019
37. L. Sjostrom, M. Peltonen, P. Jacobson, S. Ahlin, J. Andersson-Assarsson, A. Anveden, C. Bouchard, B. Carlsson, K. Karason, H. Lonroth, I. Naslund, E. Sjostrom, M. Taube, H. Wedel, P.A. Svensson, K. Sjoholm, L.M. Carlsson, Association of bariatric surgery with long-term remission of type 2 diabetes and with microvascular and macrovascular complications. JAMA, J. Am. Med. Assoc. 311(22), 2297–2304 (2014). doi:10.1001/jama.2014.5988
38. M. Maggard-Gibbons, M. Maglione, M. Livhits, B. Ewing, A.R. Maher, J. Hu, Z. Li, P.G. Shekelle, Bariatric surgery for weight loss and glycemic control in nonmorbidly obese adults with diabetes: a systematic review. JAMA, J. Am. Med. Assoc. 309(21), 2250–2261 (2013). doi:10.1001/jama.2013.4851