Effectiveness of diabetes shared care program on metabolic indicators of people with type 2 diabetes: A systematic review and meta-analysis

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2024-03-15 DOI:10.1016/j.pcd.2024.03.003

Ya-Hui Yang , Kuan-Han Lin , Shu-Nu Chang-Lee , Jiun-Yi Wang

{"title":"Effectiveness of diabetes shared care program on metabolic indicators of people with type 2 diabetes: A systematic review and meta-analysis","authors":"Ya-Hui Yang , Kuan-Han Lin , Shu-Nu Chang-Lee , Jiun-Yi Wang","doi":"10.1016/j.pcd.2024.03.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Aims</h3><p>To explore the effectiveness of the Taiwanese Diabetes Shared Care Program (DSCP) on improving the metabolic indicators of people with type 2 diabetes.</p></div><div><h3>Methods</h3><p>Relevant studies published between January 2002 and August 2021 were retrieved from Chinese- and English-language electronic databases, including PubMed, MEDLINE, CINAHL, ProQuest, Cochrane Library, Airiti Library, and Taiwan Periodical Literature System. After screening, studies that met inclusion criteria were included in the literature review. RevMan 5.4 was employed for a meta-analysis.</p></div><div><h3>Results</h3><p>Ten studies published between 2007 and 2021 were included in the systematic review, with nine of them contributing to the meta-analysis. In total, 1506 and 1388 participants were classified into DSCP and non-DSCP groups, respectively, for the meta-analysis. The results revealed that the DSCP significantly improved glycated hemoglobin levels (mean difference [MD]: −0.50, 95% Confidence Interval [CI]: −0.83 to −0.17) and body weights (MD: −0.83, 95% CI: −1.29 to −0.38) within 1-year follow-up. However, it did not show significant improvement in other metabolic indicators.</p></div><div><h3>Conclusions</h3><p>Taiwanese DSCP led to improvements in glycated hemoglobin levels and body weights among people with type 2 diabetes. This study suggests that people with diabetes and health-care institutions should consider participating in the DSCP.</p></div>","PeriodicalId":48997,"journal":{"name":"Primary Care Diabetes","volume":"18 3","pages":"Pages 257-267"},"PeriodicalIF":2.6000,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751991824000664/pdfft?md5=4734f4f4b184aa8c59f58a1a56fbe7df&pid=1-s2.0-S1751991824000664-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Primary Care Diabetes","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1751991824000664","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

Abstract

Aims

To explore the effectiveness of the Taiwanese Diabetes Shared Care Program (DSCP) on improving the metabolic indicators of people with type 2 diabetes.

Methods

Relevant studies published between January 2002 and August 2021 were retrieved from Chinese- and English-language electronic databases, including PubMed, MEDLINE, CINAHL, ProQuest, Cochrane Library, Airiti Library, and Taiwan Periodical Literature System. After screening, studies that met inclusion criteria were included in the literature review. RevMan 5.4 was employed for a meta-analysis.

Results

Ten studies published between 2007 and 2021 were included in the systematic review, with nine of them contributing to the meta-analysis. In total, 1506 and 1388 participants were classified into DSCP and non-DSCP groups, respectively, for the meta-analysis. The results revealed that the DSCP significantly improved glycated hemoglobin levels (mean difference [MD]: −0.50, 95% Confidence Interval [CI]: −0.83 to −0.17) and body weights (MD: −0.83, 95% CI: −1.29 to −0.38) within 1-year follow-up. However, it did not show significant improvement in other metabolic indicators.

Conclusions

Taiwanese DSCP led to improvements in glycated hemoglobin levels and body weights among people with type 2 diabetes. This study suggests that people with diabetes and health-care institutions should consider participating in the DSCP.

查看原文本刊更多论文

糖尿病共同护理计划对 2 型糖尿病患者代谢指标的影响：系统回顾与荟萃分析。

目的：探讨台湾糖尿病共同照护计划（DSCP）对改善2型糖尿病患者代谢指标的效果：方法：从中文和英文电子数据库（包括 PubMed、MEDLINE、CINAHL、ProQuest、Cochrane Library、Airiti Library 和台湾期刊文献系统）中检索 2002 年 1 月至 2021 年 8 月间发表的相关研究。经过筛选，符合纳入标准的研究被纳入文献综述。采用 RevMan 5.4 进行荟萃分析：系统综述纳入了 2007 年至 2021 年间发表的 10 项研究，其中 9 项参与了荟萃分析。在荟萃分析中，共有 1506 名和 1388 名参与者分别被分为 DSCP 组和非 DSCP 组。结果显示，DSCP 可在 1 年随访期内显著改善糖化血红蛋白水平（平均差 [MD]：-0.50，95% 置信区间 [CI]：-0.83 至 -0.17）和体重（平均差 [MD]：-0.83，95% 置信区间 [CI]：-1.29 至 -0.38）。结论：结论：台湾的 DSCP 改善了 2 型糖尿病患者的糖化血红蛋白水平和体重。本研究建议糖尿病患者和医疗机构应考虑参与 DSCP。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.