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• W1965766310 endingPage "427" @default.
• W1965766310 startingPage "427" @default.
• W1965766310 abstract "There have been numerous reports of interventions designed to improve the care of patients with diabetes, but the effectiveness of such interventions is unclear.To assess the impact on glycemic control of 11 distinct strategies for quality improvement (QI) in adults with type 2 diabetes.MEDLINE (1966-April 2006) and the Cochrane Collaboration's Effective Practice and Organisation of Care Group database, which covers multiple bibliographic databases. Eligible studies included randomized or quasi-randomized controlled trials and controlled before-after studies that evaluated a QI intervention targeting some aspect of clinician behavior or organizational change and reported changes in glycosylated hemoglobin (HbA1c) values.Postintervention difference in HbA1c values were estimated using a meta-regression model that included baseline glycemic control and other key intervention and study features as predictors.Fifty randomized controlled trials, 3 quasi-randomized trials, and 13 controlled before-after trials met all inclusion criteria. Across these 66 trials, interventions reduced HbA(1c) values by a mean of 0.42% (95% confidence interval [CI], 0.29%-0.54%) over a median of 13 months of follow-up. Trials with fewer patients than the median for all included trials reported significantly greater effects than did larger trials (0.61% vs 0.27%, P = .004), strongly suggesting publication bias. Trials with mean baseline HbA1c values of 8.0% or greater also reported significantly larger effects (0.54% vs 0.20%, P = .005). Adjusting for these effects, 2 of the 11 categories of QI strategies were associated with reductions in HbA(1c) values of at least 0.50%: team changes (0.67%; 95% CI, 0.43%-0.91%; n = 26 trials) and case management (0.52%; 95% CI, 0.31%-0.73%; n = 26 trials); these also represented the only 2 strategies conferring significant incremental reductions in HbA1c values. Interventions involving team changes reduced values by 0.33% more (95% CI, 0.12%-0.54%; P = .004) than those without this strategy, and those involving case management reduced values by 0.22% more (95% CI, 0.00%-0.44%; P = .04) than those without case management. Interventions in which nurse or pharmacist case managers could make medication adjustments without awaiting physician authorization reduced values by 0.80% (95% CI, 0.51%-1.10%), vs only 0.32% (95% CI, 0.14%-0.49%) for all other interventions (P = .002).Most QI strategies produced small to modest improvements in glycemic control. Team changes and case management showed more robust improvements, especially for interventions in which case managers could adjust medications without awaiting physician approval. Estimates of the effectiveness of other specific QI strategies may have been limited by difficulty in classifying complex interventions, insufficient numbers of studies, and publication bias." @default.
• W1965766310 created "2016-06-24" @default.
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• W1965766310 date "2006-07-26" @default.
• W1965766310 modified "2023-10-16" @default.
• W1965766310 title "Effects of Quality Improvement Strategies for Type 2 Diabetes on Glycemic Control" @default.
• W1965766310 cites W1528705584 @default.
• W1965766310 cites W1573095991 @default.
• W1965766310 cites W1594583733 @default.
• W1965766310 cites W1596626796 @default.
• W1965766310 cites W170006779 @default.
• W1965766310 cites W1945795339 @default.
• W1965766310 cites W1966787510 @default.
• W1965766310 cites W1971222247 @default.
• W1965766310 cites W1978203095 @default.
• W1965766310 cites W1979866174 @default.
• W1965766310 cites W1980846619 @default.
• W1965766310 cites W1992369461 @default.
• W1965766310 cites W1999735316 @default.
• W1965766310 cites W2000848297 @default.
• W1965766310 cites W2002926979 @default.
• W1965766310 cites W2004415067 @default.
• W1965766310 cites W2004717077 @default.
• W1965766310 cites W2008135884 @default.
• W1965766310 cites W2008381348 @default.
• W1965766310 cites W2014487096 @default.
• W1965766310 cites W2017431429 @default.
• W1965766310 cites W2019036985 @default.
• W1965766310 cites W2021662832 @default.
• W1965766310 cites W2022328727 @default.
• W1965766310 cites W2026480246 @default.
• W1965766310 cites W2027991647 @default.
• W1965766310 cites W2029458191 @default.
• W1965766310 cites W2030806110 @default.
• W1965766310 cites W2038028146 @default.
• W1965766310 cites W2040766195 @default.
• W1965766310 cites W2041095989 @default.
• W1965766310 cites W2041529537 @default.
• W1965766310 cites W2041750280 @default.
• W1965766310 cites W2044096339 @default.
• W1965766310 cites W2054467535 @default.
• W1965766310 cites W2054971592 @default.
• W1965766310 cites W2055886342 @default.
• W1965766310 cites W2060534090 @default.
• W1965766310 cites W2061539520 @default.
• W1965766310 cites W2062261076 @default.
• W1965766310 cites W2064015154 @default.
• W1965766310 cites W2066316257 @default.
• W1965766310 cites W2068129753 @default.
• W1965766310 cites W2069774319 @default.
• W1965766310 cites W2073769842 @default.
• W1965766310 cites W2080436853 @default.
• W1965766310 cites W2085270814 @default.
• W1965766310 cites W2087151625 @default.
• W1965766310 cites W2092622365 @default.
• W1965766310 cites W2092754358 @default.
• W1965766310 cites W2092783195 @default.
• W1965766310 cites W2092842041 @default.
• W1965766310 cites W2096778268 @default.
• W1965766310 cites W2099956578 @default.
• W1965766310 cites W2100253812 @default.
• W1965766310 cites W2102153361 @default.
• W1965766310 cites W2105501846 @default.
• W1965766310 cites W2108694647 @default.
• W1965766310 cites W2109840663 @default.
• W1965766310 cites W2110616677 @default.
• W1965766310 cites W2111142769 @default.
• W1965766310 cites W2111220320 @default.
• W1965766310 cites W2113133870 @default.
• W1965766310 cites W2113825239 @default.
• W1965766310 cites W2121379225 @default.
• W1965766310 cites W2121827770 @default.
• W1965766310 cites W2122432826 @default.
• W1965766310 cites W2124794946 @default.
• W1965766310 cites W2126602143 @default.
• W1965766310 cites W2129332091 @default.
• W1965766310 cites W2133228569 @default.
• W1965766310 cites W2134146458 @default.
• W1965766310 cites W2134631016 @default.
• W1965766310 cites W2135029321 @default.
• W1965766310 cites W2136543330 @default.
• W1965766310 cites W2138104872 @default.
• W1965766310 cites W2139634859 @default.
• W1965766310 cites W2139826204 @default.
• W1965766310 cites W2140893618 @default.
• W1965766310 cites W2143222098 @default.
• W1965766310 cites W2145611913 @default.
• W1965766310 cites W2146133486 @default.
• W1965766310 cites W2149695069 @default.
• W1965766310 cites W2150309911 @default.
• W1965766310 cites W2153111497 @default.
• W1965766310 cites W2155621305 @default.

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