Abstract：
AIMS:To assess differences in hemoglobin A1c (HbA1c) over time in diabetics treated by internal medicine physicians using the chronic care model (IMP-ancillary) or an advanced practice nurse (APN-IMP). METHODS:Retrospective, 2-group comparative design using administrative databases and matching of IMP-ancillary and APN-IMP subjects 2:1 based on patient age (±3years), gender and race. Subjects were diabetics treated ≥2 times during 2007-2010, had ≥1 follow-up visit 6-months from baseline and ≥2 HbA1c levels. HbA1c levels were assessed longitudinally using linear mixed effect models. Pearson chi-square and two-sample t-tests compared groups on patient characteristics. RESULTS:A total of 774 patients were identified. After matching 93 APN-IMP patients with 176 IMP-ancillary patients (N=269), there were no differences between groups in demographics; however, baseline mean (SD) HbA1c was higher in APN-IMP group, p<0.001. Compared to baseline, at follow-up there were no between-group differences in HbA1c levels at 6 and 12 months; at 24month follow-up, APN-IMP tended to have a large decrease in HbA1c compared to the IMP-ancillary group; mean difference (95% CI), -0.26 (-0.56, 0.05) p=0.097. CONCLUSION:Compared to baseline HbA1c, patients treated by APN-IMP and IMP-ancillary provider groups had equivalent reductions in HbA1c.
journal_name
Prim Care Diabetesjournal_title
Primary care diabetesauthors
Marin PA,Bena JF,Albert NMdoi
10.1016/j.pcd.2018.01.008subject
Has Abstractpub_date
2018-08-01 00:00:00pages
319-324issue
4eissn
1751-9918issn
1878-0210pii
S1751-9918(18)30009-3journal_volume
12pub_type
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journal_title：Primary care diabetes
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journal_title：Primary care diabetes
pub_type： 杂志文章
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abstract：AIMS:The prevalence of Type 2 Diabetes Mellitus among adolescents in the United States continues to rise, following the trajectory of the obesity epidemic which posits not only a substantial health burden to our society, but also a significant threat to the wellbeing of America's youth. While a number of studies have e...
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journal_title：Primary care diabetes
pub_type： 杂志文章
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journal_title：Primary care diabetes
pub_type： 杂志文章
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更新日期：2020-10-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
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更新日期：2008-09-01 00:00:00
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journal_title：Primary care diabetes
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2013.04.002
更新日期：2013-12-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2009.06.001
更新日期：2009-08-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,评审
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更新日期：2010-07-01 00:00:00
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pub_type： 历史文章,杂志文章
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更新日期：2010-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
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更新日期：2020-02-01 00:00:00
abstract：AIMS:To evaluate the degree of glycemic control and its relationship with disease characteristics and antidiabetic treatment in patients with type 2 diabetes mellitus (DM), as well as the frequency of A1c use. METHODS:For this purpose, an observational, cross-sectorial, and multicenter study was performed. A total of ...
journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
doi：10.1016/j.pcd.2015.01.006
更新日期：2015-10-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2008.08.002
更新日期：2008-12-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,评审
doi：10.1016/j.pcd.2007.12.004
更新日期：2008-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.11.010
更新日期：2020-12-03 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2009.06.007
更新日期：2009-08-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
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更新日期：2018-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.05.010
更新日期：2020-12-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.04.004
更新日期：2020-10-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.12.005
更新日期：2021-01-06 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2014.06.003
更新日期：2015-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pcd.2014.01.010
更新日期：2014-10-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,评审
doi：10.1016/j.pcd.2020.08.002
更新日期：2021-02-01 00:00:00
abstract：BACKGROUND:The collaborative care model has been shown in studies to be effective in achieving sustained treatment outcomes in chronic disease management. Its success is highly dependent on active patient engagement, provider endorsement and effective care management. This study sought to ask patients and providers wha...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2012.03.003
更新日期：2012-10-01 00:00:00
abstract：AIM:We wanted to investigate third-trimester HbA1c as a predictor of diabetes after gestational diabetes mellitus (GDM). METHODS:Women with GDM were followed up prospectively for five years from pregnancy to detect the development of diabetes. The ability of HbA1c to predict diabetes was evaluated with receiver-operat...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2016.09.002
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVES:Novel interventions are needed for long-term maintenance of diabetes control. We studied the effects of a group diabetes clinic (GDC) on diabetes control when compared to usual care with primary care providers (PCP). RESEARCH DESIGN/METHODS:Data from the electronic medical records of 56 patients were collec...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2010.09.004
更新日期：2010-12-01 00:00:00
