Joseph Benjamin Crocker, Stephen H Lynch, Anthony J Guarino, Kent Lewandrowski
J Diabetes Sci Technol. 2021;15(3):561-567
The objectives of this quality improvement study were to evaluate the impact of HbA1c point-of-care testing (POCT) on onsite HbA1c testing frequency as a component of population health performance, as well as to measure the utility of HbA1c POCT in identifying clinically meaningful change in disease.
The authors highlight that patients and practices remain challenged in completing timely HbA1c tests, and that POCT for HbA1c provides a quick, easy, reliable method for monitoring diabetes in the primary care setting.
The study was conducted among adult patients with diabetes due for HbA1c testing across three primary care practices. Onsite HbA1c POCT was implemented, whereby scheduled patients with known diabetes, and eligible for every six-monthly HbA1c monitoring, received POCT.
The results indicated that practices with HbA1c POCT were 3.7 times more likely to result in HbA1c testing compared to practices where HbA1c POCT was not available. Nearly one in four patients in each group were found to have clinically worsening diabetes and nearly half of those patients were identified by POCT.
The authors conclude that HbA1c POCT can improve population health driven HbA1c testing adherence in primary care and may encourage timely intervention of diabetes management for patients with worsening disease.
The full publication can be accessed here.
© 2023 年雅培。版权所有。引用的所有商标均为雅培集团公司或其各自所有者的商标。
The American Diabetes Association standards of care - 2023 guidelines provide recommendations for healthcare providers regarding cardiovascular disease (CVD) and risk management in people with diabetes. The authors highlight that atherosclerotic cardiovascular disease (ASCVD) and heart failure (HF) are leading causes of morbidity and mortality for people with diabetes, noting that simultaneously addressing cardiovascular (CV) risk factors can con...
American Diabetes Association recommendations for cardiovascular disease in diabetesen立即访问
The Kidney Disease: Improving Global Outcomes (KIDGO) 2022 clinical practice guidelines are based on a systematic review of evidence and aim to assist health care professionals with their decision making for people with diabetes and chronic kidney disease (CKD). The authors highlight that by 2045, 784 million people are estimated to have diabetes globally, of whom ≥40% will develop CKD, potentially leading to kidney failure requiring dialysis or ...
KIDGO clinical practice guidelines: diabetes management in chronic kidney diseaseen立即访问
The objective of this longitudinal cohort study was to determine the prevalence of chronic kidney disease (CKD) and associated risk factors in a rural South African population. The authors note that infectious and non-communicable disease are a substantial risk for CKD in Africa, but that heterogeneity in assessment and diagnostic criteria hamper the interpretation of prevalence.
Chronic kidney disease prevalence and risks in rural South Africaen立即访问