Effects of protocol-driven care versus usual outpatient clinic care on survival rates in patients with type 2 diabetes.

摘要: Patients and Methods: During a median 7-year observational period, 91 patients with type 2 diabetes no cardiovascular or renal complications were monitored by nurse diabetologist in clinical trial setting according to structured protocol. Another 81 comparable characteristics moni- tored generalists at the medical clinic same hospital. Clinical end points, defined as death events, evaluated 1997 review of case records. Results: receiving care had lower mortality (relative risk (RR) = 0.21; 95% confidence interval (CI) 0.07, 0.65; P .006) than usual-care group, well inci- dence combined points (RR 0.43; CI 0.22, 0.84; .01). In who mon- itoring glycosylated hemoglobin plasma lipid levels during entire period (8.6%) 14.6-fold (P < .01) 15.7-fold increased respectively, compared those least one measurement (60.5%). Conclusion: Management protocol-driven model improved survival outcomes diabetes. Definitive studies are required confirm these findings compare cost effectiveness models. (Am J Manag Care. 2003;9:606-615)