作者
Andrea C Tricco, Noah M Ivers, Jeremy M Grimshaw, David Moher, Lucy Turner, James Galipeau, Ilana Halperin, Brigitte Vachon, Tim Ramsay, Braden Manns, Marcello Tonelli, Kaveh Shojania
发表日期
2012/6/16
来源
The Lancet
卷号
379
期号
9833
页码范围
2252-2261
出版商
Elsevier
简介
Background
The effectiveness of quality improvement (QI) strategies on diabetes care remains unclear. We aimed to assess the effects of QI strategies on glycated haemoglobin (HbA1c), vascular risk management, microvascular complication monitoring, and smoking cessation in patients with diabetes.
Methods
We identified studies through Medline, the Cochrane Effective Practice and Organisation of Care database (from inception to July 2010), and references of included randomised clinical trials. We included trials assessing 11 predefined QI strategies or financial incentives targeting health systems, health-care professionals, or patients to improve management of adult outpatients with diabetes. Two reviewers independently abstracted data and appraised risk of bias.
Findings
We reviewed 48 cluster randomised controlled trials, including 2538 clusters and 84 865 patients, and 94 patient randomised controlled …
学术搜索中的文章
AC Tricco, NM Ivers, JM Grimshaw, D Moher, L Turner… - The Lancet, 2012